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

Updated:

February 17, 2026

Author:

Peter Daggett

Summarize this blog with AI:

A practical guide for providers on helping patients locate Reyvow during the discontinuation period, plus transition strategies and workflow tips.

Your Patients Are Calling About Reyvow — Here's How to Help

With Eli Lilly's permanent discontinuation of Reyvow (Lasmiditan), your practice is likely fielding more calls from patients unable to fill their prescriptions. As remaining supply dwindles toward the May 31, 2026 distribution end date, these calls will only increase.

This guide provides actionable strategies to help your patients find remaining Reyvow stock, manage the transition to alternatives, and reduce the operational burden on your practice.

Current Availability: What the Landscape Looks Like

As of early 2026, Reyvow's availability is uneven across the U.S.:

  • Supply is finite: No new Reyvow is being manufactured. Every tablet in the system is from the final production runs
  • Chain pharmacies are running low: High-volume retail chains (CVS, Walgreens, Rite Aid) are depleting stock faster
  • Independent pharmacies may still have supply: Lower patient volume means slower depletion
  • Wholesale ordering still active: Until May 31, 2026, pharmacies can order from wholesalers — but stock is first-come, first-served
  • Geographic variation: Pharmacies in areas with fewer migraine patients may retain stock longer

Why Patients Can't Find Reyvow

Understanding the barriers helps your staff respond effectively:

  • Permanent discontinuation, not a shortage: Many patients (and some pharmacy staff) don't realize this isn't a temporary backorder situation
  • No generic exists: There's no Lasmiditan alternative from another manufacturer
  • Schedule V controlled substance: Reyvow can't be transferred between pharmacies as easily in some states
  • Insurance complications: Some insurers may stop covering Reyvow or flag prescriptions for a discontinued drug

What Providers Can Do: 5 Practical Steps

Step 1: Identify Affected Patients Proactively

Run a report in your EHR to identify all patients with active Reyvow prescriptions. Don't wait for them to call — reach out first:

  • Send a patient portal message or letter explaining the discontinuation
  • Recommend they schedule a visit to discuss alternatives
  • Provide a timeline so they understand the urgency

Proactive outreach reduces reactive phone calls and allows you to manage transitions on your schedule, not the pharmacy's.

Step 2: Use Medfinder to Locate Remaining Stock

Medfinder for Providers offers real-time pharmacy inventory information that can streamline the process of finding Reyvow for patients who still need it:

  • Search by zip code to find pharmacies with current Reyvow stock
  • Share specific pharmacy locations with patients directly
  • Reduce the back-and-forth between your office, patients, and pharmacies

Train your front desk and nursing staff to use Medfinder when patients call about Reyvow availability. This empowers your team to provide immediate, actionable information.

Step 3: Facilitate Prescription Transfers

When a patient's usual pharmacy is out of stock, help them transfer to a pharmacy that has it:

  • Send the prescription electronically to the pharmacy with confirmed stock
  • If the patient has an existing paper or e-prescription at a pharmacy without stock, coordinate the transfer
  • Note: As a Schedule V controlled substance, check your state's regulations on controlled substance prescription transfers — most states allow Schedule V transfers between pharmacies

Step 4: Advise Patients to Fill Early

Encourage patients to fill their Reyvow prescriptions as soon as their insurance allows rather than waiting until they run out. Most plans permit refills when 75–80% of the previous supply has been used.

For patients with remaining refills, filling now rather than later significantly improves their chances of receiving the medication before supply is exhausted.

Step 5: Document the Discontinuation for Insurance Purposes

When transitioning patients to gepants or other alternatives that require prior authorization:

  • Document that the patient's current medication (Reyvow) has been discontinued by the manufacturer
  • Note the discontinuation date (May 31, 2026)
  • Include this in PA requests — it serves as strong justification for approval of alternative branded medications
  • If an insurer denies based on step therapy requirements, appeal with the discontinuation as the basis

Alternative Medications to Consider

When transitioning patients, match the alternative to the clinical reason Reyvow was prescribed:

For Patients with Cardiovascular Contraindications to Triptans

These patients were likely on Reyvow because it doesn't cause vasoconstriction. Transition to gepants:

  • Ubrelvy (Ubrogepant): Oral tablet, 50 or 100 mg. Most similar use profile to Reyvow. Not a controlled substance
  • Nurtec ODT (Rimegepant): 75 mg ODT. Consider for patients who may benefit from combined acute/preventive therapy
  • Zavzpret (Zavegepant): Nasal spray. Best for patients with significant nausea during attacks

For Patients Without Cardiovascular Contraindications

If a patient was on Reyvow due to triptan non-response or preference, consider re-evaluating triptans:

  • Generic Sumatriptan: $5–$20 for 9 tablets. Available as oral, nasal spray, or injection
  • Rizatriptan, Eletriptan: May offer different efficacy profiles than previously tried triptans

For a patient-facing version of this information, direct patients to our alternatives to Reyvow guide.

Workflow Tips for Your Practice

Create a Standard Operating Procedure

Develop a brief SOP for your staff to handle Reyvow-related calls:

  1. Acknowledge the discontinuation and validate the patient's concern
  2. Check Medfinder for nearby pharmacies with stock
  3. If stock is available: offer to send the prescription to that pharmacy
  4. If stock is not available: schedule a transition appointment
  5. Document the interaction in the patient's chart

Batch Transition Appointments

Rather than handling transitions one-off as patients call, consider:

  • Setting aside dedicated appointment blocks for Reyvow transition visits
  • Preparing a patient handout comparing alternative options
  • Having PA paperwork templates ready for gepant prescriptions

Leverage Your EHR

  • Create a patient registry or tag for Reyvow patients
  • Set up automated reminders for patients who haven't yet scheduled transition visits
  • Use prescription tracking to identify patients whose refills are approaching

Patient Resources to Share

Point patients to these resources for additional information:

Final Thoughts

The Reyvow discontinuation is an operational challenge, but it's manageable with proactive planning. Identify your affected patients now, standardize your transition workflow, and use tools like Medfinder to efficiently locate remaining supply.

The providers who plan ahead will turn a disruptive event into a smooth transition — and strengthen patient trust in the process.

For the clinical overview of the discontinuation, see our companion article: Reyvow shortage — what providers need to know in 2026.

How can I quickly check if a pharmacy has Reyvow in stock for my patient?

Use Medfinder for Providers (medfinder.com/providers) to search by zip code and see real-time pharmacy inventory. This is faster than calling individual pharmacies and can be delegated to front desk or nursing staff.

Can Reyvow prescriptions be transferred between pharmacies?

In most states, yes. Reyvow is a Schedule V controlled substance, and most states allow transfers of Schedule V prescriptions between pharmacies. Check your state's specific controlled substance transfer regulations. Alternatively, cancel the existing prescription and send a new e-prescription to the pharmacy with stock.

How should I document the Reyvow discontinuation for prior authorization of alternatives?

Include in the PA request: the patient's current use of Reyvow, the manufacturer's discontinuation announcement, the May 31, 2026 distribution end date, and that no generic or therapeutic equivalent in the ditan class exists. This demonstrates medical necessity for the alternative medication.

Should I still prescribe Reyvow to new patients in 2026?

Generally no. Starting a new patient on a medication that will be unavailable within months creates unnecessary disruption. Prescribe one of the available alternatives (Ubrelvy, Nurtec ODT, Zavzpret, or triptans) instead. The exception would be a patient with a very specific clinical need and confirmed pharmacy stock.

Why waste time calling, coordinating, and hunting?

You focus on staying healthy. We'll handle the rest.

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