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1-855-EYLEA4U (1-855-395-3248), Option 4



PRESCRIBING INFORMATION


CONTACT US

Phone Numbers
Voice: 1-855-EYLEA4U, Option 4
  (1-855-395-3248)
Fax: 1-888-335-3264

Monday-Friday
9 AM - 8 PM Eastern Time
Contact Address
EYLEA4U Reimbursement Support Program
PO Box 220578
Charlotte, NC 28222-0578

Change Password

Please enter the following information in order to change your password.

If you need technical assistance, please contact us at 1-855-EYLEA4U (1-855-395-3248), Option 4.

*Fields in BOLD are required






Password Requirements:
  • At least one lower case letter
  • At least one uppercase letter
  • At least one number
  • At least one special character (i.e., #, @, ", etc)
  • Cannot contain the user name
  • Minimum 8 characters in length
  • Has not been used in the previous 5 passwords
  • Has not been changed in the past day