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Updated: January 1, 2026

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

Author

Peter Daggett

Peter Daggett

Doctor handing prescription to patient, pointing to pharmacy map

A practical guide for ophthalmologists and optometrists on helping patients access Vevye, including the Access for All program, PA tips, and alternative pathways.

A Provider's Guide to Getting Vevye to Your Patients

Vevye (cyclosporine ophthalmic solution 0.1%) is an effective, well-tolerated dry eye treatment — but if your patient leaves your office and can't fill the prescription, all the clinical benefit is lost. This guide helps your practice reduce that gap, covering the most efficient workflows for getting Vevye into patients' hands quickly and affordably.

The Core Challenge: Access, Not Supply

Vevye is not in shortage. It's available from major wholesale distributors and can be shipped to any retail pharmacy within roughly 24 hours. The challenge for most patients is navigating insurance prior authorization requirements, step therapy edits, and formulary restrictions — not finding the physical supply.

Fastest Pathway: Send to PhilRx via EMR (VEVYE Access for All)

The most efficient pathway for most patients is the VEVYE Access for All program, available since March 2025. The workflow:

  1. Write the Vevye prescription in your EMR as you normally would
  2. Send it electronically to PhilRx (Harrow's national mail-order pharmacy partner)
  3. Eligible patients receive the medication with free home delivery, no PA required
  4. Cost: $59 per bottle for cash-pay patients; as low as $0 for eligible commercially insured patients

There is no PA paperwork for your staff, no step therapy documentation required, and no delays from insurance adjudication.

Note: Not valid for prescriptions paid by Medicare, Medicaid, Tricare, VA, DOD, or any state or federally funded program.

For Patients with Commercial Insurance

Option A: VEVYE Savings Card

The VEVYE Savings Card (available at vevye.com/savings-program) can reduce copays to as little as $0 for eligible commercially insured patients at any participating retail pharmacy.

Option B: VEVYE Access for All via PhilRx

Send to PhilRx — patient pays $0 if commercially insured and eligible. Home delivery eliminates the step of locating a stocking pharmacy.

For Patients with Medicare Part D

As of January 2025, Vevye is covered on key Medicare Part D formularies managed by Express Scripts, Cigna, Kaiser Permanente, and CVS Caremark, covering more than 25 million beneficiaries. The VEVYE Access for All $59 program is NOT available to Medicare beneficiaries. Direct these patients to their plan's preferred pharmacy.

If Medicare PA is required, document: diagnosis, insufficient response to other interventions, and clinical rationale for Vevye specifically.

For Patients with Medicaid

Vevye is covered by all U.S. Medicaid programs as of 2025. Individual state formulary placement and PA requirements vary. Check your state's Medicaid formulary and be prepared for PA documentation.

For Uninsured or Underinsured Patients

VEVYE Access for All at $59 per bottle through PhilRx is the best option. For patients who cannot afford $59 per month, consider:

  • Generic cyclosporine 0.05% (generic Restasis): ~$90/month — the most affordable prescription cyclosporine
  • Cequa Direct Pricing: $89/month for Cequa without insurance
  • GoodRx or RxSaver discount programs at retail pharmacies

When the Patient's Pharmacy Doesn't Have Vevye

  • Advise the pharmacy to request an order from their wholesale distributor — Vevye ships within about 24 hours
  • Route the prescription to a specialty pharmacy that handles ophthalmic medications regularly, or to PhilRx
  • Direct the patient to Medfinder to search for nearby pharmacies with Vevye in stock

Key Counseling Points to Reinforce at the Visit

  • Results take time — benefits typically begin around weeks 2-4, but full effect may take several months
  • Remove contact lenses before instillation; wait 15 minutes to reinsert
  • One bottle is approximately a 30-day supply with twice-daily dosing
  • Common side effects: eye irritation (8%), temporary blurred vision (3%) — usually well tolerated

Medfinder for Your Practice

Medfinder helps patients locate medications in stock at nearby pharmacies. Share Medfinder.com with your dry eye patients so they can find Vevye without hours of phone calls.

Visit Medfinder for Providers to learn how we support eye care practices.

Also read: Vevye shortage: what providers and prescribers need to know in 2026

Also read: How to help your patients save money on Vevye

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