BERINERT Connect is a comprehensive resource for healthcare providers and their patients who depend on BERINERT. When you prescribe BERINERT through the Prescription Referral Form, patients are automatically enrolled in BERINERT Connect and will start receiving support right away.
BERINERT Connect, formerly known as BERINERT Expert Network (B.E.N.), makes starting a new patient on BERINERT an easy process. When you fax the Prescription Referral Form to BERINERT Connect, a dedicated Care Coordinator will guide you and your patient through the entire process to:
Patients enrolled in B.E.N. do not need to enroll in BERINERT Connect.
Fill out the BERINERT Prescription Referral Form below to get your patients started on BERINERT
Prescribing BERINERT and enrolling in BERINERT Connect are both part of the same easy process.
Download and print the Prescription Referral Form, make sure you and your patient fill out all relevant fields, and fax the completed form to 1-866-415-2162. BERINERT Connect will take care of the rest, including support for your patients for as long as they take BERINERT.
Current BERINERT patients who are not enrolled in BERINERT Connect, formerly known as B.E.N., can call 1-877-236-4423 to sign up.Download PDF