Specialty Pharmacy Network for NEXPLANON: Organon does not recommend the use of one authorized pharmacy over another. Organon does not make any warranty as to the services offered by any particular authorized pharmacy. Walgreens Specialty Pharmacy 888-380-6188 CVS Specialty Pharmacy 800-237-2767 Specialty Pharmacy Network for NEXPLANON NEXPLANON is available through a limited specialty pharmacy network as a pharmacy benefit. Through the assignment of benefit (AOB) process, NEXPLANON is paid for by the insurance plan. The specialty pharmacy will ship NEXPLANON to a healthcare professional's office for the procedure, and there is no out-of-pocket cost to the healthcare professional. The CSCN can conduct a benefit investigation, and if NEXPLANON is provided as a ph a rmac y be ne f it , a n d i f re q u e st e d , the CSCN will forward the patient s prescription to the specialty pharmacy of your choice (or as required by the patient s insurance plan).
Specialty Pharmacy Network for NEXPLANON: Organon does not recommend the use of one authorized pharmacy over another. Organon does not make any warranty as to the services offered by any particular authorized pharmacy. CVS Specialty Pharmacy 800-237-2767 Walgreens Specialty Pharmacy 888-380-6188 Specialty Pharmacy Network for NEXPLANON NEXPLANON is available through a limited specialty pharmacy network as a pharmacy benefit. Through the assignment of benefit (AOB) process, NEXPLANON is paid for by the insurance plan. The specialty pharmacy will ship NEXPLANON to a healthcare professional's office for the procedure, and there is no out-of-pocket cost to the healthcare professional. The CSCN can conduct a benefit investigation, and if NEXPLANON is provided as a pharmacy benefit, and if requested, the CSCN will forward the patient s prescription to the specialty pharmacy of your choice (or as required by the patient s insurance plan).

2 WAYS TO ENROLL

E-prescribe NEXPLANON within your EMR system

Download, print, complete, and fax the form

Contact the CSCN:     844-NEX-4321 (844-639-4321) OR 844-232-2618

This site is intended only for residents of the United States.

© 2026 Organon group of companies. All rights reserved. ORGANON and the ORGANON Logo are trademarks of the Organon group of companies. US-XPL-117884 01/26

© 2026 Organon group of companies. All rights reserved. ORGANON and the ORGANON Logo are trademarks of the Organon group of companies. US-XPL-117884 01/26