

Having trouble finding Xdemvy in stock? Learn 3 proven strategies to locate this Demodex blepharitis eye drop, including tools, pharmacy tips, and more.
Your doctor prescribed Xdemvy (Lotilaner ophthalmic solution 0.25%) for your Demodex blepharitis, and now you need to actually get it. If you've already discovered that your regular pharmacy doesn't carry it, don't worry — you're not the only one dealing with this. Xdemvy is a limited distribution drug, which means it's only available through certain specialty pharmacies.
But that doesn't mean getting it has to be a headache. Here are three practical strategies to find Xdemvy in stock and get your treatment started.
Medfinder is a free tool designed to help patients locate medications that are hard to find. Instead of calling pharmacy after pharmacy, you can use Medfinder to check which pharmacies have Xdemvy available and compare your options.
Here's how it works:
This is especially helpful because Xdemvy's specialty pharmacy model means you can't just walk into any drugstore and pick it up. Medfinder cuts through the confusion by showing you exactly where to go. For a more detailed walkthrough, see our guide on how to check if a pharmacy has Xdemvy in stock.
Xdemvy is distributed through a select group of specialty pharmacies, including CVS Specialty and Walgreens Specialty. These aren't the same as your neighborhood CVS or Walgreens — they're dedicated specialty pharmacy divisions that handle medications with special distribution requirements.
Here's what you need to know about the specialty pharmacy process:
If you haven't heard from the specialty pharmacy within 48 hours of your doctor sending the prescription, call them to check on the status. Sometimes prescriptions need additional information or prior authorization before they can be processed.
Eye care offices that regularly prescribe Xdemvy are usually well-versed in the specialty pharmacy process. Don't hesitate to ask your doctor's office staff for help navigating the system. They can:
Many offices have a dedicated staff member who handles specialty pharmacy prescriptions. If your office doesn't seem familiar with the process, the Xdemvy website at xdemvy.com has a doctor finder and resources for prescribers. You can also ask your doctor to check out our provider's guide to helping patients find Xdemvy.
If you've tried the steps above and are still running into roadblocks, here are a few more things to try:
Over 85% of insured patients have coverage for Xdemvy through commercial plans, Medicare Part D, or Medicaid. If your insurance is denying coverage, ask your doctor's office to submit a prior authorization or appeal. The specialty pharmacy can also help navigate insurance issues.
The full cash price of Xdemvy is approximately $1,850 for a 6-week course. If cost is a barrier, several programs can help:
Read our full breakdown of how to save money on Xdemvy for more details.
If there's a significant delay in getting your Xdemvy, ask your eye doctor about interim treatments to manage your Demodex blepharitis symptoms. Options may include tea tree oil lid scrubs, warm compresses, or other eyelid hygiene measures. These won't replace Xdemvy, but they can provide some relief while you wait. Our guide to alternatives to Xdemvy covers these options in detail.
Finding Xdemvy requires a different approach than picking up a typical prescription. Because it's a limited distribution drug, you need to work through specialty pharmacies rather than your regular drugstore. The process may take a few extra days, but most patients are able to get their Xdemvy delivered within a week.
The key steps are:
If you're still struggling, don't give up. Your eye doctor's office and the specialty pharmacy team are there to help you get the treatment you need.
Related guides:
You focus on staying healthy. We'll handle the rest.
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