Vibrant VA Ordering Guide
How to order the Vibrant System® for Veterans through the VA, dispensed by MedOptions Rx.
Product Identifiers
| NDC | GTIN-14 | Product |
|---|---|---|
| 60009-0189-80 | 860009189805 | Vibrant Capsules (20) |
| 60009-0189-82 | 860009189829 | Vibrant Starter Kit (1) |
Vendor & Contracting
Vibrant Gastro, Inc.
9600 Great Hills Trail, Suite 150W, Office 133
Austin, TX 78759
FSS Contract # 36F79725D0174 | UEI GDBXXGNGXH75 | CAGE 9TXD2
Dispensing Partner: MedOptions Rx
Phone: 866-359-7532 | Secure e-fax: 844-956-5987
Doctor-Focused Ordering
From referral to refill — how Vibrant moves through the VA with MedOptions Rx.
Submit the required forms
For new patients, enter a Prosthetics consult for the Vibrant Starter Kit (Activation Pod, Adapter, USB cable, 20 capsules).
Complete the VA Referral Form and send it to your VA Pharmacy.
NPPSC: Prosthetics supplies the Starter Kit; Pharmacy dispenses capsules.
Pharmacy review & secure e-fax
VA Pharmacy reviews the referral and e-faxes to MedOptions Rx at 844-956-5987 for processing.
Payment (handled by Pharmacy)
Purchase Order (PO): Issue PO to Vibrant Gastro, Inc. (not MedOptions Rx). MedOptions Rx submits an e-invoice via Tungsten on Vibrant's behalf.
Credit card: Available upon request; MedOptions Rx will contact the VA Pharmacy to collect details.
Refills
The specialty pharmacy contacts the VA Pharmacy 3–4 business days before the next refill is due to confirm dispensing and payment authorization (PO). If paying by card, MedOptions Rx reconfirms payment details.
Product fulfillment
Typical shipment: 2–5 business days to the Veteran's home or the VA Pharmacy (as designated on the referral form).
If delayed, MedOptions Rx notifies the Pharmacy's clinical contact 3–4 business days in advance and provides delivery confirmation for direct-to-patient shipments.
For Procurement / Prosthetics
Vibrant is located under Specialty Distribution Medications. If it's not visible at your station, contact Pharmacy or Prosthetics.
For educational and administrative use by VA staff. The Vibrant System® is FDA-cleared for the treatment of chronic idiopathic constipation in adults. MedOptions Rx is the dispensing partner — Phone 866-359-7532 · Secure e-fax 844-956-5987. ©2026 Vibrant Gastro, Inc.
References
Satish S.C. Rao et al. Randomized Placebo-Controlled Phase 3 Trial of Vibrating Capsule for Chronic Constipation. Gastroenterology, volume 164, issue 7, p1202-1210.E6, June 2023
Lembo A et al. The colonic biological clock and predictability of time of bowel movements during treatment with a vibrating capsule (vibrant®) in patients with severe chronic idiopathic constipation. Oral abstract presentation, DDW conference, May 2023
National Institute of Diabetes and Digestive and Kidney Diseases: “Symptoms and Causes of Constipation,” “Eating, Diet, and Nutrition for Constipation,” “Definition and Facts for Constipation.”
Gabrio Bassotti et al. Chronic Idiopathic Constipation in Adults: A Review on Current Guidelines and Emerging Treatment Options. Clin Exp Gastroenterol. 2021; 14: 413–428.
Quigley EMM, Horn J, Kissous-Hunt M, Crozier RA, Harris LA. Better Understanding and Recognition of the Disconnects, Experiences, and Needs of Patients with Irritable Bowel Syndrome with Constipation (BURDEN IBS-C) Study: Results of an Online Questionnaire. Adv Ther. 2018 Jul;35(7):967-980.