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Easy to prescribe

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

Simply ePrescribe to one of the following pharmacies supplying XDEMVY:

BlinkRx
Phone: 1-833-919-4942
Fax: 1-866-585-4631
4696 West Overland Road Suite 274
Boise, ID 83705
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

Enter key information to streamline Rx processing

Pharmacies supplying XDEMVY will need the following information to process your ePrescription and to start the prior authorization (PA). If CoverMyMeds notification or fax is received, be sure to complete any missing information and sign PA.

  • For your patients with Demodex blepharitis, it is important to indicate the diagnosis and related ICD-10 diagnosis code(s), for example:
    – B88.0 (Other acariasis)
    – 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
  • Please include patient date of birth, contact phone number, prescription plan name, and pharmacy member ID

Inform your patient on what to expect

  • The pharmacy will reach out to your patient to confirm their prescription and to navigate available assistance options
    • Majority of patients may pay as little as $50 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

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

Get the info you need to send Demodex mites packing

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Reference: Centers for Medicare & Medicaid Services. 2023 ICD-10-CM: April 1, 2023 UPDATE. Accessed October 26, 2023. https://www.cms.gov/medicare/coding-billing/icd-10-codes/2023-icd-10-cm


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.

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.