ZORYVE DIRECT
for AFFORDABLE
PATIENT ACCESS
One ZORYVE Direct Savings Program helps eligible, commercially
insured patients get access and start ZORYVE treatment quickly and easily*†
Scan the QR code or text SAVE to:
440-4ZORYVE (440-496-7983)
Savings
Program
Patient Access
Support
Adherence
Support
Eligible patients with commercial drug insurance may
pay as little as $0 for ZORYVE.†
*Prescriptions will be delivered to the patient 1–2 days after processing.
†Subject to eligibility criteria and maximum program limitation. This offer is not valid for patients without commercial drug insurance or whose
prescription claims are eligible to be reimbursed, in whole or in part, by any government program. Please see Terms and Conditions.
Encourage your patients to sign up
Get patients started on ZORYVE
ZORYVE can be dispensed by a ZORYVE Direct pharmacy or any pharmacy. For easier access to ZORYVE, consider including the following information, if clinically relevant:
Atopic Dermatitis
Possible ICD-10 Codes16‡:
L20.0: Besnier’s prurigo (atopic dermatitis)
L20.8: Other atopic dermatitis
L20.9: Atopic dermatitis, unspecified
1 or 2 medications tried and failed, if any17‡:
Topical corticosteroids
Topical calcineurin inhibitors
Special treatment locations(s), if any:
Face/eyelids and skin folds
Seborrheic Dermatitis
Possible ICD-10 Codes16‡:
L21.8: Other seborrheic dermatitis
L21.9: Seborrheic dermatitis, unspecified
1 or 2 medications tried and failed, if any18‡:
Topical corticosteroids
Topical antifungals
Topical calcineurin inhibitors
Special treatment location(s), if any:
Face/eyelids, genitals, and skin folds
Plaque Psoriasis
Possible ICD-10 Codes16‡:
L40.0: Psoriasis vulgaris
L40.8: Other psoriasis
L40.9: Psoriasis, unspecified
1 or 2 medications tried and failed, if any19‡:
Topical corticosteroids
Topical vitamin D analogs
Topical calcineurin inhibitors
Combination therapy
Special treatment location(s), if any:
Face/eyelids, genitals, and skin folds
Atopic Dermatitis
Seborrheic Dermatitis
Plaque Psoriasis
Possible ICD-10 Codes16‡:
L20.0: Besnier’s prurigo (atopic dermatitis)
L20.8: Other atopic dermatitis
L20.9: Atopic dermatitis, unspecified
1 or 2 medications tried and failed, if any17‡:
Topical corticosteroids
Topical calcineurin inhibitors
Special treatment locations(s), if any:
Face/eyelids and skin folds
Tel:
855-237-9112
Fax:
855-237-9113§
NCPDP: 1487330
Phone number from which patients should expect to receive a call/text:
Calls:
855-237-9112
/ Texts: 87514
Address:
9 Commerce Drive
Schaumburg, IL 60173
‡Always add relevant clinical information for your specific patient based on your own professional judgment. This information is not intended nor should it be construed as a guarantee of reimbursement or coverage for any claims being submitted on behalf of a patient. These decisions rest solely with the payer.
§When faxing the prescription, send the completed ZORYVE Direct Prescription Form to Carepoint.
Arcutis CaresTM Patient Assistance Program is available for financially eligible patients
who are uninsured or underinsured.║
For additional program and application information, visit arcutiscares.com.
║Subject to financial eligibility requirements. Other terms and restrictions apply.