Learn how to find a neurologist or epileptologist who can prescribe Nayzilam near you. This 2026 guide covers which specialists prescribe it, how to get a referral, and what to expect at your first appointment.
Nayzilam (Midazolam nasal spray) is a rescue medication used to treat seizure clusters in people with epilepsy who are 12 years of age and older. Because it's a Schedule IV controlled substance and a specialized epilepsy treatment, not every doctor can or will prescribe it. You'll typically need to see a neurologist or epileptologist — a doctor who specializes in seizure disorders.
If you've been told you need Nayzilam but aren't sure where to start, this guide walks you through finding the right doctor, getting a referral, and preparing for your visit.
Nayzilam is most commonly prescribed by:
Your primary care doctor may be familiar with Nayzilam, but in most cases they'll refer you to a specialist to start the prescription. Once you have an established treatment plan, some primary care doctors may handle refills.
This is the most straightforward route. Tell your doctor you're interested in Nayzilam as a rescue medication for seizure clusters. They can refer you to a neurologist in your insurance network.
Log into your health insurance website or call the number on the back of your card. Search for in-network neurologists or epileptologists in your area. This helps avoid surprise bills.
The Epilepsy Foundation maintains a directory of epilepsy centers and specialists across the United States. Visit their website and search by zip code to find accredited epilepsy centers near you.
University hospitals and academic medical centers often have dedicated epilepsy programs with specialists experienced in prescribing rescue medications like Nayzilam and alternatives such as Valtoco.
While your first visit will likely need to be in person, many neurologists now offer telehealth appointments for follow-ups and prescription refills. Nayzilam is a Schedule IV controlled substance, so telehealth rules vary by state, but many states do allow ongoing management remotely.
When you see a neurologist about Nayzilam, be prepared to discuss:
Your doctor will evaluate whether Nayzilam is right for you based on your specific seizure pattern. If you want to understand more about the medication itself, check out our guide on what Nayzilam is and how it's used.
If you live in a rural area or can't find a nearby specialist, here are some options:
Once your doctor decides to prescribe Nayzilam, there may be an extra step: prior authorization. Many insurance plans require your doctor's office to submit paperwork explaining why you need Nayzilam before they'll cover it. Some plans may also require step therapy, meaning you need to try another rescue medication (like Diastat) first.
Don't let this discourage you. Your doctor's office typically handles this process. It may take a few days to a couple of weeks. If you're concerned about cost, read our guide on how to save money on Nayzilam.
After you get your prescription, you may run into availability issues. Nayzilam has experienced intermittent supply challenges since it has a single manufacturer (UCB Pharma). Here are some resources:
You can also use MedFinder to search for pharmacies that currently have Nayzilam in stock in your area.
You focus on staying healthy. We'll handle the rest.
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