Submitting a prescription to ARESTIN Rx Access is easy
Start a prescription online,* by phone, or by fax.
Before beginning a submission, make sure you have your patient's insurance card ready.
Log in to the ARESTIN Rx Access Portal to print a pre-filled Prescription Form.
Call the dedicated service center: 1-855-684-7481, 8 am-8 pm ET, Monday-Friday and a pre-filled Prescription Form will be faxed to you.
Print and fill out a Prescription Form.
Complete and sign the Prescription Form and fax the signed form to 1-855-630-9783.
Don’t forget, the Prescription Form requires a dentist’s signature, and a patient’s signature.