For all New Patient Orders:
Please note: The services and contact information described below are available in the US only. For information on obtaining Sucraid® (sacrosidase) Oral Solution for patients located outside of the US, please see the Non-US Orders section.
Sucraid® (sacrosidase) Oral Solution is available by prescription only. If you are interested in obtaining a Sucraid® prescription, please contact your healthcare provider for more information.
It is important that licensed healthcare providers use the Sucraid® Patient Enrollment Form for new patients requiring therapy in order to ensure initial patient access and an uninterrupted supply of therapy as prescribed. This form provides all of the information required by the specialty pharmacy provider to arrange for patient access to Sucraid®.
Please print and complete the Sucraid® Patient Enrollment Form, sign (physician signature is required; patient signature is encouraged), and fax to 1-800-632-1944. Alternately, the physician can call SucraidASSIST™ at 1-800-705-1962 and speak to one of the Nurse Case Managers about ordering Sucraid®.
To prevent delays in delivery:
To schedule a patient’s first delivery, obtain refill shipments, or for questions about a Sucraid® shipment, please call 1-800-705-1962. You may also use this number for questions about SucraidASSIST™ (Access and Support Services in Sucraid® Therapy), our comprehensive patient assistance program.
QOL Medical has among the best patient access support services in the pharmaceutical industry through the SucraidASSIST™ (Access and Support Services in Sucraid® Therapy) program. We will provide active case management support through our Nurse Case Managers to assist patients and their caregivers in finding alternative coverage sources and accessing co-pay assistance.