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Easy to prescribe

Starting patients on XDEMVY is as easy as 1-2-3

ePrescribe XDEMVY to an authorized pharmacy that is activated to assist

BlinkRx
Phone: 1-833-919-4942
Fax: 1-866-585-4631
12639 W Explorer Dr, Suite 100
Boise, ID 83713
NPI #: 1891461885
Carepoint Pharmacy
Phone: 1-855-237-9112
Fax: 1-855-237-9113
9 E. Commerce Drive
Schaumburg, IL 60173
NPI #: 1598013864
CenterWell Specialty Pharmacy
Phone: 1-800-486-2668
Fax: 1-877-405-7940
9843 Windisch Rd
West Chester, OH 45069
NPI #: 1942441886
CVS Specialty Pharmacy (2 locations)
Phone: 1-800-237-2767
Fax: 1-800-323-2445
800 Biermann Court Suite B
Mount Prospect, IL 60056
NPI #: 1134100134
105 Mall Boulevard
Monroeville, PA 15146
NPI #: 1043382302
Walgreens Specialty Pharmacy
Phone: 1-800-424-9002
Fax: 1-800-874-9179
41460 Haggerty Circle South
Canton, MI 48188
NPI #: 1942303110
Walmart Specialty Pharmacy
Phone: 1-877-453-4566
Fax: 1-866-537-0877
2354 Commerce Park Dr,
Orlando, FL 32819
NPI #: 1013934413

Indicate Demodex blepharitis and provide the appropriate ICD-10 codes

  • For your patients with Demodex blepharitis, it is important to indicate the diagnosis and related ICD-10 diagnosis code(s), for example:
    – B88.01: Infestation of Demodex mites New as of October 1, 2025
    – H01.00 (Unspecified blepharitis)
    – H01.001: Unspecified blepharitis right upper eyelid
    – H01.002: Unspecified blepharitis right lower eyelid
    – H01.003: Unspecified blepharitis right eye, unspecified eyelid
    – H01.004: Unspecified blepharitis left upper eyelid
    – H01.005: Unspecified blepharitis left lower eyelid
    – H01.006: Unspecified blepharitis left eye, unspecified eyelid
    – H01.009: Unspecified blepharitis unspecified eye, unspecified eyelid
    – H01.00A: Unspecified blepharitis right eye, upper and lower eyelids
    – H01.00B: Unspecified blepharitis left eye, upper and lower eyelids
    – H01.8: Other specified inflammations of eyelid Updated as of October 1, 2025
  • Please include patient date of birth, contact phone number, prescription plan name, and pharmacy member ID

    If a prior authorization (PA) is needed, the pharmacy you selected will initiate the PA form with CoverMyMeds. The office must complete, sign, and submit the PA

    It is the responsibility of the healthcare provider to clinically diagnose each patient, verify the available codes, and select the codes that accurately reflect each patient’s diagnosis. The information in this section is for informational purposes only and should not be interpreted as a guarantee of coverage or payment. Contact payers directly for the latest coverage and claims guidance. For current information on ICD-10 codes, please refer to an ICD-10-CM resource. All information is subject to change.

Set patient expectations

  • The pharmacy will reach out to your patient to confirm their prescription and to navigate available assistance options
    • Majority of patients pay $30 or less for XDEMVY*
    • Eligible, commercially insured patients may pay as little as $0*; their pharmacy can help them determine if they qualify
  • XDEMVY will be delivered directly to your patient’s home free of charge

ICD-10-CM=International Classification of Diseases, 10th Revision, Clinical Modification.
*With payer coverage and available assistance options, based on eligibility requirements; see XDEMVY Savings and Access Terms and Conditions.
For CVS or Walgreens specialty pharmacies, patients may opt to pick up their XDEMVY prescription at their neighborhood store.

Get the info you need to send Demodex mites packing

Sign Up for Updates

Reference: Centers for Medicare & Medicaid Services. 2026 ICD-10-CM: October 1, 2025 UPDATE. Accessed October 30, 2025. https://www.cms.gov/medicare/coding-billing/icd-10-codes


INDICATIONS AND USAGE
XDEMVY (lotilaner ophthalmic solution) 0.25% is indicated for the treatment of Demodex blepharitis.

IMPORTANT SAFETY INFORMATION:

WARNINGS AND PRECAUTIONS

Risk of Contamination: Do not allow the tip of the dispensing container to contact the eye, surrounding structures, fingers, or any other surface in order to minimize contamination of the solution. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions.

Use with Contact Lenses: XDEMVY contains potassium sorbate, which may discolor soft contact lenses. Contact lenses should be removed prior to instillation of XDEMVY and may be reinserted 15 minutes following its administration.

ADVERSE REACTIONS: The most common adverse reaction with XDEMVY was instillation site stinging and burning which was reported in 10% of patients. Other ocular adverse reactions reported in less than 2% of patients were chalazion/hordeolum and punctate keratitis.

To report SUSPECTED ADVERSE REACTIONS, contact Tarsus Pharmaceuticals, Inc. at 1-888-421-4002 or the FDA at 1-800-FDA-1088 (www.fda.gov/medwatch).

Please see full Prescribing Information.

Available by prescription only.

INDICATIONS AND USAGE
XDEMVY (lotilaner ophthalmic solution) 0.25% is indicated for the treatment of Demodex blepharitis.

IMPORTANT SAFETY INFORMATION:

WARNINGS AND PRECAUTIONS

Risk of Contamination: Do not allow the tip of the dispensing container to contact the eye, surrounding structures, fingers, or any other surface in order to minimize contamination of the solution. Serious damage to the eye and subsequent loss of vision may result from using contaminated solutions.