Welcome! Please complete and submit the form below. This will provide us with the necessary information to start creating a Ship-To-Site account for your facility. A dedicated Customer Operations Specialist will reach out to you to obtain any additional information.
Note: Alexion complement-inhibitor therapies are available only through a restrictive program under a Risk Evaluation and Mitigation Strategy (REMS). All prescribers and dispensing sites must be certified.
Please be sure to enroll in the REMS program through www.UltSolREMS.com or www.VoydeyaREMS.com or by calling the REMS Call Center at 1-888-765-4747 (option 5).
All fields are mandatory.