provider services
ELIQUIS 360 — provider benefits review, prior authorization and appeals support
Shared ELIQUIS 360 support line for healthcare professionals.
Fax855-674-8134
Completed ELIQUIS Benefits Review Form and patient authorization for benefits review, prior authorization or appeals support.
Published hoursMonday–Friday, 8 a.m.–8 p.m. Eastern.
Confirm the exact product or service
National contact — confirm product and location
Not researched for this route
The current HCP resources page links the Benefits Review Form with revision 03/23. That publisher-linked form specifies this fax. Provider and patient signatures are required by the form. This is manufacturer reimbursement support, not a payer claims-decision or pharmacy prescription-intake fax.
View source ↗ · Source checked 2026-10-22 · Benefits Review Form currently linked by the HCP page; revision 03/23 ↗
Report an update