Step 1
Select pharmacy in your EMR's dropdown list or by sending scripts by phone or fax
Prescribing Qlosi
BlinkRx
Phone: 1-866-799-2523
Fax: 1-866-585-4631
Location: 12639 W Explorer Dr, Suite 100 Boise, ID 83713
NPI #: 1891461885
NCPDP #: 1310488
Medvantx
Phone: 1-866-349-3022
Fax: 1-866-860-2646
Location: 1860 Outer Loop STE 348, Lousiville, KY, 40219
eRx Info:
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Write prescriptions for Qlosi as follows:
Sig: 1 drop in each eye up to twice daily (2-3 hours apart)
Quantity: 60 vials or 30 vials quantity (2)
Refills: 11
Include the following patient information: Patient date of birth, mobile number, contact phone number, and email address.
Inform patient on what to expect
The selected pharmacy will contact the patient via SMS to confirm the prescription, and collect payment and shipping information.
Shipping is free and will be shipped directly to the patient’s home in 5–7 days.
Qlosi Starter Packs make it easy for eligible presbyopia patients to experience Qlosi-clear moments without needing to wait for their prescription to be filled and shipped.
Each Starter Pack includes 10 single-use vials, designed for flexible dosing during a patient’s first 5
days of use.
Contact your Qlosi representative to request Starter Packs for your practice. Additional option: Order through MySampleCloset.com for qualified ECPs. No insurance paperwork required. Shipping is free and delivered directly to your office.
Help patients know what to expect during their first week with Qlosi.
Starter Packs help patients to:

This kit will help patients get the most out of their Qlosi experience from their first week and after.


| Home delivery options make access even easier |
| 1 box or 2—presbyopia patients can choose |
Though presbyopia is a common part of aging, there is a lot of frustration and embarrassment that comes with this transition. Eye care professionals can play a key role in helping presbyopia patients through this.2
Inform your patients that Qlosi can help by improving the eye's natural ability to focus on nearby objects. Qlosi is the only FDA-approved eye drop with the lowest effective concentration of pilocarpine for patients with presbyopia. It was optimally designed to enhance clear near vision with minimal side effects.1,3,4
Presbyopia patients will discover the benefits of flexible dosing and how Qlosi can fit into their lifestyle.
The first week, Qlosi Clear Start Week, helps eyes adjust to Qlosi. It is taken 2x a day for 7 days that first week. After that, they can choose 1 drop or 2 drops each day.1
After their Clear Start Week, presbyopia patients can use 1 drop of Qlosi in each eye in the morning. This dose can be repeated a second time after 2 to 3 hours for an effect up to 8 hours.1
With contact lenses
While taking other eye drops
Patients can take Qlosi with them on the go
On a daily basis, or as needed, up to twice each day
Important Safety Information
Indication and Usage
QlosiTM is indicated for treatment of presbyopia in adults.
Important Safety Information
Contraindications
Hypersensitivity
Warnings and Precautions
Advise patients to not drive or operate machinery if vision is not clear (e.g., blurred vision). Exercise caution in night driving and other hazardous occupations in poor illumination.
Rare cases of retinal detachment have been reported with miotics. Examination of the retina is advised in all patients prior to initiation of therapy. Advise patients to seek immediate medical care with sudden onset of flashes of lights, floaters, or vision loss.
Qlosi is not recommended to be used when iritis is present.
Qlosi should not be administered while wearing contact lenses. Remove lenses prior to the instillation of Qlosi and wait 10 minutes before reinsertion.
Avoid touching the tip of the vial to the eye or any other surface.
Adverse Reactions
The most common adverse reactions (5% to 8%) are instillation site pain and headaches.
Please see full Prescribing Information: here
References