How to Help Your Patients Find Palforzia in Stock: A Provider's Guide

With Palforzia's commercialization ending July 31, 2026, your practice is likely fielding urgent calls from patients and families who are mid-treatment and cannot locate their next supply of Palforzia capsules or sachets. Locating remaining Palforzia inventory — particularly for specific up-dosing levels like 3 mg — requires a different strategy than finding a typical medication at a retail pharmacy. This guide walks you through the most effective approaches.

Why Palforzia Is Uniquely Difficult to Source

Unlike standard oral medications, Palforzia was always dispensed through a restricted channel: REMS-certified specialty pharmacies and enrolled healthcare settings. This was by design — the REMS program required that only certified dispensers could provide Palforzia to enrolled patients. As Stallergenes Greer winds down the product, that already-limited distribution network is contracting further, leaving inventory concentrated at a smaller number of dispensing locations with varying availability by dose level.

Step 1: Leverage the Palforzia Pathway Patient Hub

The Palforzia Pathway Patient Hub (1-844-PALFORZ / 1-844-725-3679) is the official patient and provider support line maintained by Stallergenes Greer. During the wind-down period, this hub has been the primary channel for identifying remaining dispensing locations and available inventory. Providers can call this line to:

Identify which specialty pharmacy partners still have specific dose-level inventory

Get updates on expected supply duration for patients already in therapy

Navigate transition support resources for your patients

Facilitate prescription transfers to remaining authorized dispensing locations

Step 2: Contact Specialty Pharmacy Networks Directly

Palforzia was primarily dispensed through specialty pharmacy networks. Your practice likely has established relationships with some of these. For providers who need to cast a wider net, specialty pharmacy networks that historically dispensed Palforzia include:

Walgreens Specialty Pharmacy — large national network with specialty capabilities

CVS Specialty — covers most major metro areas

Optum Specialty Pharmacy (OptumRx) — strong in commercial insurance networks

Shields Health Solutions — hospital-integrated specialty pharmacy; often affiliated with academic medical centers

Hospital outpatient pharmacies — particularly at children's hospitals and academic medical centers with food allergy programs

When calling, specify: (1) the patient's exact dose configuration (e.g., 1 mg capsules for 3 mg daily dosing during Up-Dosing), (2) the quantity needed, and (3) whether you need in-person pickup or cold-chain shipping is required.

Step 3: Use medfinder to Search Efficiently Across Pharmacies

For practices managing multiple Palforzia patients at different dose stages, manually calling pharmacy after pharmacy is not a scalable approach. medfinder for providers does the calling on your behalf. You provide the medication, dose level, and patient location; medfinder contacts pharmacies in that area — including specialty pharmacies — to check which ones have stock and can fill the prescription. Results are delivered quickly, allowing your team to act without wasting hours on hold.

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Step 4: Facilitate Prescription Transfers to Where Stock Exists

Once you've identified a pharmacy with Palforzia inventory, you may need to transfer or redirect your patient's prescription. Because Palforzia's REMS program requires patient enrollment at a specific healthcare setting, confirm with the receiving pharmacy that the patient's REMS documentation can be honored or transferred. Your REMS program administrator can help facilitate this process.

Step 5: Prepare Patients for What Comes Next

Even as you work to source remaining Palforzia inventory, proactively counsel patients on transition options. Families should understand:

What office-based peanut OIT is and whether your practice or a referred center can continue their child's protocol

Whether omalizumab (Xolair) is an appropriate next step for their child's allergy profile

The importance of never stopping OIT abruptly, and why a medically supervised transition matters

That strict peanut avoidance and carrying epinephrine remain essential regardless of what treatment they are on

Skip the calls, skip the stress.

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Medications
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Success
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6+

Hours saved
on average

Documentation Considerations During Transition

For medico-legal and continuity purposes, ensure that every Palforzia patient's chart includes: (1) the date and dose level at which Palforzia was discontinued, (2) the reason for discontinuation (supply unavailability), (3) the transition plan discussed with the patient/family, and (4) the alternative treatment initiated or referral made. This documentation protects both your patient and your practice during an unprecedented supply transition.

Provider Quick Reference: Palforzia Supply Search Checklist

Call Palforzia Pathway Hub: 1-844-PALFORZ for current dispensing locations

Contact specialty pharmacy accounts directly — specify dose level and quantity

Use medfinder to search pharmacies efficiently by patient location

Facilitate REMS-compliant prescription transfer to dispensing pharmacy with stock

Counsel all Palforzia patients on transition options NOW, not when supply runs out

Document current dose level and transition plan in every patient's chart