Contact Us:
Toll Free: 888-93-EVERS
Fax: (718) 323-9377


E-mail us at:


Hours of Operation:

Mon - Fri  9am - 9pm

Sat  9am - 7pm

Sun 10am - 5pm


Evers Pharmacy, Inc. : Accreditation Commission for Health Care

©2018 Evers Pharmacy, Inc.


Privacy Policy and HIPAA Notice   |   Licensing Information   |   Compounded Medication Disclosure Terms Of Use   |   Warnings and Disclaimers


Form Downloads

These interactive forms make sending prescriptions to Evers Pharmacy an easy process. Simply download the form, type or print the appropriate information and fax to Evers Pharmacy. We encourage you to e-prescribe to make the process even easier. Contact your account manager for pre-printed forms for your local pharmacy.

This section is for prescribing practitioners only. Patients must bring an original prescription to the pharmacy, and cannot fax these referral forms to Evers Pharmacy. Faxed prescriptions will only be accepted from a prescribing practitioner. For best results, download the latest version of Acrobat Reader.

Crohn's Disease



Growth Horomone

Hep C

Multiple Sclerosis



Psoriatic Arthritis

Rheumatoid Arthritis


Form Downloads: Administrative

Evers Fax Referrel

Enrollment Form