Follow the steps below to complete your order:

1. Print your referral form

SEYSARA® (sarecycline)

KLISYRI® (tirbanibulin)

2. Fax the completed form to us at 877-329-9325

OR

Send your prescription electronically to ZEAL at NPI 1093424905

Here’s a card you can provide your patients to share our information for ongoing follow-up!

That’s it!

Our team will communicate with you once a valid prescription has been received to confirm your information and coordinate your shipment.

This product requires a valid prescription for shipment.  Zeal Specialty Pharmacy cannot accept prescriptions faxed or emailed by patients.