Follow the steps below to complete your order:

1. Print your Addyi referral form (Click here to download)

2. Provide this form to your Addyi prescriber

3. Have your prescriber fax the completed form to us at 877-329-9325

OR

Have your prescriber send your Addyi prescription electronically to ZEAL or NPI 1093424905

That’s it!

Our team will communicate with you once a valid Addyi 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.