Xermelo(telotristat ethyl)
NO BOXED WARNING

Dosage & Administration

Get Your Patient on Xermelo

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
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Xermelo Prescribing Information

Xermelo Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Oct 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Oct 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Oct 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Oct 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Oct 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Oct 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Oct 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Appeals
Coverage Authorization Request
Complete Letter of Medical Necessity

Benefits investigation

Xermelo Physician Enrollment Form

Xermelo Preferred Pharmacy

Pharmacy List

Xermelo Financial Assistance Options

Copay savings program

Xermelo Physician Enrollment Form
Enroll in Patient Savings Program
Learn More

Foundation programs

Xermelo Physician Enrollment Form
Patient Assistance Program
Learn More

Xermelo PubMed™ News

    Xermelo Patient Education

    To share resource; ask patient to:
    1.Pull out phone
    2.Open camera
    3.Scan QR code with camera
    4.Tap link

    Patient toolkit

    Patient Brochure
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xermelo
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    Side Effects
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    View How to Take Xermelo
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link

    Xermelo FAQs