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)

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 or Regular pharmacy can order) 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