How to Prescribe Vibrant®

1

Select EVERSANA Life Science Services, Specialty Pharmacy

*All prescriptions should be sent to EVERSANA Life Science Services, our new Specialty Pharmacy Partnership. Process through your EHR by choosing EVERSANA Life Science Services.

Phone: 866-359-7532

Fax: 866-847-7049

NPI: 1548264591

17877 Chesterfield Airport Road, Chesterfield, Missouri 63005

Select Vibrant in your EHR

* New patients – select code 60009-0189-82

* Refills – select code 60009-0189-80

Please make sure you include in the prescription notes the patient’s ICD-10 diagnosis code(s) as well as any previous use of prescribed constipation medications.

2

If your patient has VA, TRICARE, or IHS Insurance, see below for more prescribing information:

Prescribing The Pod & Capsules
Prescribing Refill Capsules
Prescribing Through the VA

Additional Prescribing Information

Vibrant Starter Kit
NDC60009-0189-82
IndicationChronic idiopathic constipation
Dosage FormCapsule
Dispense Qty1
Unit1 ea Box
Supply1 Pod, 20 Capsules
Days Supply30 days
SIGTake once daily, up to 5x/week, before sleep
Pharmacist NotesInclude ICD-10 for CIC, prior treatment history
PharmacyEVERSANA – (866)-359-7532
Dosing Example:

Vibrant Starter Kit Oral Kit
DISPENSE: 1    UNIT: 1 ea Box    DAYS SUPPLY: 30
Vibrant Capsule (Refill)
NDC60009-0189-80
IndicationChronic idiopathic constipation
Dosage FormCapsule
Dispense Qty20
UnitCapsule
Supply20 Capsules
Days Supply30 days
SIGTake once daily, up to 5x/week, before sleep
Pharmacist NotesInclude ICD-10 for CIC, prior treatment history
PharmacyEVERSANA – (866)-359-7532
Dosing Example:

Vibrant Oral Capsule
DISPENSE: 20    UNIT: Capsule    DAYS SUPPLY: 30
Download Instructions for Use

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