3 Ways to Prescribe KYZATREX
1
2
Direct Order
3
Model
Care Delivery:
Submit eRx on EMR for Fulfillment through Gifthealth Pharmacy:
Rx Info:
NPI: 1932780475
NCPDP: 3688833
Location:
Gifthealth Rx Pharmacy
266 N 4th Street, 2nd Floor
Colombus, OH 43215
Phone: (833) 614-4438
Fax: (833) 427-1165
Coverage area:
Gifthealth Rx Pharmacy Ships Nationwide except to Alabama and Arkansas
For Office Collateral:
Please email info@mariuspharma.com or call 888-994-1950 for Assistance.
Care Delivery:
Providers can submit eRx on EMR for Fulfillment through DiRx Pharmacy:
Rx Info:
NPI: 1447555453
NCPDP: 5707801
Location:
DiRx Pharmacy
4754 N Hiatus Road
Sunrise, FL 33351
Phone: (877) 367-3479
Fax: (833) 347-9329
Coverage area:
DiRx Pharmacy Ships Nationwide except to New York.
For Office Collateral:
Please email info@mariuspharma.com or call 888-994-1950 for Assistance.
Care Delivery:
Providers can submit eRx on EMR for Fulfillment through EPIQ Scripts Pharmacy:
Rx Info:
NPI: 1790415883
NCPDP: 5936919
Location:
EPIQ Scripts LLC
465 W. President George Bush Highway, Suite #240
Richardson, TX 75080
Phone: (833) 654-3553
Fax: (833) 563-2330
Coverage area:
EPIQ Scripts Pharmacy Ships Nationwide except to AL, CA, SC
For Office Collateral:
Please email info@mariuspharma.com or call 888-994-1950 for Assistance.
Buy & Bill Enrollment:
Mid-Level Practitioners (NP/PA) must include their Supervising Physician on the enrollment form (required for scheduled RX).
Care Delivery:
Submit eRx on EMR for Fulfillment through ReviveRx Pharmacy:
Rx Info:
NPI: 1437600392
Location:
ReviveRx Pharmacy
3831 Golf Drive
Houston, TX 77018
Phone: (888) 689-2271
Fax: (888) 689-1620
Coverage area:
AK, AZ, CO, CT, DE, FL, GA, HI, IL, IN, IA, LA, MD, MA, MI, MN, MO, NV, NJ, NM, NY, NC, OH, OK, OR, PA, RI, TN, TX, UT, VT, VA, WA, WI, WY
For Office Collateral:
Please email info@mariuspharma.com or call 888-994-1950 for Assistance.
For International Patients & Prescribers
Care Delivery:
Access to KYZATREX outside of the USA KYZATREX is currently only approved in the USA.
Marius Pharmaceuticals has partnered to provide regulatory-compliant access to KYZATREX outside of the USA under the relevant compassionate use, named patient and unlicensed medicines regulations. Smartway are global experts in the design and management of global Early Access Programs.
Contact:
KYZATREX@smartwaypharma.com to discuss supply for your patients.
For Office Collateral:
Please email info@mariuspharma.com or call 888-994-1950 for Assistance.