Important Changes to Obtain Matulane - Effective July 31, 2014: Walgreen Co. is the exclusive full service Specialty Pharmacy for Matulane® (procarbazine hydrochloride) capsules, NDC 54482-053-01.

To order Matulane contact Walgreens Specialty Pharmacy:
The physician must complete and then fax the Prescription & Enrollment Form to Walgreens at (888) 347-3416.Once the completed enrollment form is received and processed the patient (or caregiver) will be contacted to schedule shipment of the drug.

Walgreens Specialty Pharmacy: (877) 534-9627
Walgreens Specialty Fax: (888) 347-3416
Walgreens Specialty Email:

VA/FSS Customers Only: There are two options available to order Matulane:

(1) Order through Walgreens Specialty Pharmacy and ship Matulane directly to the patient’s home or to the VA Pharmacy for the patient. The physician must complete the Matulane Patient Prescription Form- Veterans Administration (VA only) and then fax the form to Walgreens at (888) 347-3416.

Walgreens Specialty Pharmacy: (877) 534-9627
Walgreens Specialty Fax: (866) 889-1510
Walgreens Specialty Email:

(2) Order Wholesale to ship to facility through Integrated Commercialization Solutions (ICS), on behalf of Walgreen Co., by completing the VA/FSS Wholesale Ordering Authorization Form and then fax to ICS at (855) 534-8308 or call ICS at (877) 534-9627.

Matulane Wholesale Phone: (877) 534-9627 (Select option 2 for Matulane, Select option 1 for VA/FSS customers)
Matulane Wholesale Fax: (855) 534-8308
Matulane Wholesale Email:

Important Safety Instruction