ZORYVE® (roflumilast) is a once-daily and steroid-free prescription topical
PATIENT ACCESS SUPPORT

ZORYVE DIRECT
for AFFORDABLE
PATIENT ACCESS

The ZORYVE Direct Savings Card is available

One ZORYVE Direct Savings Program helps eligible, commercially
insured patients get access and start ZORYVE treatment quickly and easily*

Scan the QR code or text SAVE to:
440-4ZORYVE (440-496-7983)

ZORYVE Direct

Savings
Program

Patient Access
Support

Adherence
Support

Eligible patients with commercial drug insurance may
pay as little as $0 for ZORYVE.

*Prescriptions will be delivered to the patient 1–2 days after processing.

Subject to eligibility criteria and maximum program limitation. This offer is not valid for patients without commercial drug insurance or whose
prescription claims are eligible to be reimbursed, in whole or in part, by any government program. Please see Terms and Conditions.

Get patients started on ZORYVE

ZORYVE can be dispensed by a ZORYVE Direct pharmacy or any pharmacy. For easier access to ZORYVE, consider including the following information, if clinically relevant:

Atopic Dermatitis  

Possible ICD-10 Codes16‡:

L20.0: Besnier’s prurigo (atopic dermatitis)

L20.8: Other atopic dermatitis

L20.9: Atopic dermatitis, unspecified

1 or 2 medications tried and failed, if any17‡:

Topical corticosteroids

Topical calcineurin inhibitors

Special treatment locations(s), if any:

Face/eyelids and skin folds

Seborrheic Dermatitis  

Possible ICD-10 Codes16‡:

L21.8: Other seborrheic dermatitis

L21.9: Seborrheic dermatitis, unspecified

1 or 2 medications tried and failed, if any18‡:

Topical corticosteroids

Topical antifungals

Topical calcineurin inhibitors

Special treatment location(s), if any:

Face/eyelids, genitals, and skin folds

Plaque Psoriasis  

Possible ICD-10 Codes16‡:

L40.0: Psoriasis vulgaris

L40.8: Other psoriasis

L40.9: Psoriasis, unspecified

1 or 2 medications tried and failed, if any19‡:

Topical corticosteroids

Topical vitamin D analogs

Topical calcineurin inhibitors

Combination therapy

Special treatment location(s), if any:

Face/eyelids, genitals, and skin folds

Atopic Dermatitis  

Seborrheic Dermatitis  

Plaque Psoriasis  

Possible ICD-10 Codes16‡:

L20.0: Besnier’s prurigo (atopic dermatitis)

L20.8: Other atopic dermatitis

L20.9: Atopic dermatitis, unspecified

1 or 2 medications tried and failed, if any17‡:

Topical corticosteroids

Topical calcineurin inhibitors

Special treatment locations(s), if any:

Face/eyelids and skin folds

Always add relevant clinical information for your specific patient based on your own professional judgment. This information is not intended nor should it be construed as a guarantee of reimbursement or coverage for any claims being submitted on behalf of a patient. These decisions rest solely with the payer.

Arcutis Cares

Arcutis CaresTM Patient Assistance Program is available for financially eligible patients
who are uninsured or underinsured.§

For additional program and application information, visit arcutiscares.com.

§Subject to financial eligibility requirements. Other terms and restrictions apply.