Confirm the exact product or service National contact — confirm product and location
Mailing address
Not researched for this route
Page 5 of both current forms gives this number for withdrawal of consent to processing health data described in that consent. It is separate from enrollment, benefits investigation and fax intake.
Confirm the exact product or service National contact — confirm product and location
Mailing addressIncyteCARES for OPZELURA
P.O. Box 7613
Overland Park, KS 66207
Written HIPAA authorization withdrawal or cancellation of the form’s income-verification authorization. Not PAP application intake, proof-of-income delivery or patient payments.
Page 2 permits HIPAA authorization withdrawal by this program phone or postal address. Page 3 directs cancellation of income-verification authorization in writing to the same address. The different 6000 Park Lane address is specifically for supporting income documents.
Revoking the optional education/support contact consent or optional market-research contact consent on page 3 of the OPZELURA PAP form; not enrollment or medical-document submission.
Published hours
Not published in this record
Product, plan and location
Confirm the exact product or service National contact — confirm product and location
Mailing address
Not researched for this route
The published email applies to the two optional communication permissions. HIPAA and income-verification authorization withdrawal use the distinct instructions on the same form.
Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.
Share a call experienceSuggest a contact correction
Call preparation · editorial guide
Make the call count.
Find other published document channels. Confirm the department and purpose before sending any records.
Have ready in your secure workspace
Recipient department and exact document request
Required release or authorization
Secure return contact and existing request reference
Questions to resolve
Is this the correct destination for this document type?
Is there a secure portal or required form?
How is receipt confirmed?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
For healthcare offices
Found the contact. Still need to make the call?
Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.
For the people making the calls
Put payer follow-up on your office’s worklist.
Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.
A request does not create an account or start a call. Use business contact information only. No patient information.
DialClerk Directory