We have partnered with PhilRx

to help ensure your eligible patients receive their first prescription of VEVYE as low as $0.*

Benefits of Prescribing through PhilRx

  • Prescriptions ship FREE right to your patient’s door
  • Assistance with initiating the prior authorization process

To prescribe through PhilRx, simply look up PhilRx in your Electronic Medical Record (EMR) System to prescribe VEVYE.

PhilRx Information Sheet

Click on the button below to download the Information Sheet.

Prescription Fax Form

Click on the button below to download the Prescription Fax Form.

Also available through retail pharmacies.

Visit getvevye.com or click on the button below to access the VEVYE Savings Program.


*Terms and Conditions: For patients whose prescriptions are covered by commercial insurance, use of this card may reduce your copayment so that you may pay as little as $0. For patients whose prescriptions are not covered by either commercial insurance or Medicare, use of this card may reduce your cost for prescriptions to as little as $79. By enrolling in the VEVYE Savings Program, you certify to the following: (1) Your Medicare plan does not cover your VEVYE prescription medication; (2) you will not seek any prescription coverage or reimbursement from your Medicare plan for the cost of the VEVYE prescriptions received through this offer or report any amounts paid in connection with this offer toward your True Out-of-Pocket (TrOOP) costs under your plan; and (3) that you will purchase all VEVYE prescriptions covered under this offer during the calendar year by using the VEVYE Savings Program and will not use your Medicare benefits. To th Pharmacist: Submit the claim to the primary commercial insurance company. Submit the balance due as a Secondary Submission COB with the patient responsibility amount and a valid Other Coverage Code (OCC). For eligible commercial patients when the product is covered, submit BIN and OCC 08. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. For a cash-paying patient, submit the claim as primary with a valid other coverage code (OCC 0,1). The patient is responsible for the first $79.00. Reimbursement for the balance, up to the program’s maximum, will be submitted to the pharmacy. Harrow Health reserves the right to rescind, revoke, or amend this offer at any time. For questions, call 1-316-219-4495. For complete Terms and Conditions, please visit: http:// www.getvevye.com.