How to Order

1. You must have a licensed Physician in the United States write a prescription and send it to a US Licensed Pharmacist. Healthcare Professionals Click Here for Prescribing and patient Information.

2. A US licensed Pharmacist can order directly by following the directions below. (Regular or Specialty pharmacist) DOES NOT NEED TO BE A SPECIALTY PHARMACY

3. If you are a patient talk to your Physician. If you are having trouble obtaining the prescription or reimbursement - Contact Us here as we may be able to help. 

Pharmacist Directions:

 

*Product will be shipped overnight (If you need sooner or have additional questions, please call 908-635-2326) (PAM cases ALWAYS call as soon as possible)

 

(1)Call 908-635-2326 (ALTERNATE PHONE 513-205-7176). or Send an Email  to Todd@profounda.com and copy to JulieJ@profounda.com with:

        (1) Your contact information (email/phone)

        (2) a  Copy of your State Pharmacy License.                  (3) a copy of your Purchase Order (PO)#

 

  • Rx is one 50 mg capsule TID for 28 days (TOTAL 84 capsules). Take with Food. 
     

  • Capsules are blister packed into 28 capsules per pack (3 packs needed for typicall 28 day dose of 84 capsules) NDC# 69051-300-01

 

(2) Or Fill out this Order Form and we will contact you:

 

Impavido is NOT sold through wholesalers but can be sold to ANY licensed pharmacy (Specialty, Hospital or Regular pharmacy can order directly from Profounda) 

DOES NOT NEED TO BE A SPECIALTY PHARMACY

For Walgreens and Walmart pharmacies, please see below

Have Questions? Need help with Reimbursement? Get someone to call you by filling out this form or call 908-635-2326 to reach us immediately:

DO NOT USE THIS FORM IN CASES OF EMERGENCY. 

Not Available at CVS

Walgreens Directions:

Walmart Directions:

 

(1) Impavido is ordered at Walgreens by the pharmacist sending email to Rxinventory@walgreens.com when you have a paid claim.

 

  • Rx is one 50 mg capsule TID for 28 days (TOTAL 84 capsules). Take with Food. 
     

  • Capsules are blister packed into 28 capsules per pack (3 packs needed for 84 capsules) NDC# 69051-300-01

 

(2) Any issues with Co-pay Insurance or if patient assistance is needed, contact Profounda at 908-635-2326.

 

(3) Product is shipped for Next Day Delivery.

 

Have Questions? Get someone to call you by filling out form above or call Profounda at 908-635-2326. 

 

(1) Impavido is dispensed from Walmart Specialty Pharmacy to the patient.  To place an order, Walmart pharmacy associates may call 877-453-4566 or send an email to specialty@walmart.com

 

● Rx is one 50 mg capsule TID for 28 days (TOTAL 84 capsules). Take with Food.

 

● Capsules are blister packed into 28 capsules per pack (3 packs needed for 84 capsules) NDC# 69051-300-01

 

(2) If patients need assistance with copayments, insurance, etc. please contact Profounda at 908-635-2326.

 

(3) Product is shipped for Next Day Delivery.

 

Have Questions? Get someone to call you by filling out the form above or calling Profounda at 908-635-2326.

 Impavido® (miltefosine) is an FDA-approved treatment for cutaneous,  mucosal and visceral leishmaniasis in patients 12 years of age and older. PLEASE SEE FULL PRESCRIBING INFO 

®

Contact Your Doctor or the CDC to Learn More about IMPAVIDO (miltefosine)

Impavido is a registered trademark of Knight Therapeutics Licensed exclusively to Profounda in the USA

© 2015 Profounda, Inc. 

For Emergencies
Call 911