For Dermatology Prescribers

Dermatology Referral Resources

Two steps to send a Seysara or Klisyri prescription to Zeal.

  1. Print the referral form for your medication.
    Seysara (sarecycline)
    Klisyri (tirbanibulin)
  2. Send it to us: fax the completed form to 877-329-9325, or send the prescription electronically to ZEAL (NPI 1093424905).

Here is a card you can hand patients so they have our information for ongoing follow-up.

Download Patient Card

Our team will reach out once a valid prescription is received to confirm details and coordinate the shipment.

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