Get her started on Vyleesi
The code for HSDD: F52.0
Vyleesi may have a prior authorization with some payors. If you have diagnosed your patient with HSDD, the proper diagnosis code in ICD-10-CM is F52.0.1*
2 ways to prescribe Vyleesi
by choosing one of two
exclusive specialty pharmacies in
your EHR system:
Save with Vyleesi
Each Vyleesi prescription includes no more than 4 autoinjectors2
Vyleesi can be prescribed PRN.2
Patients should not administer more than 1 dose in 24 hours, and no more than 8 doses per month.2
HSDD=hypoactive sexual desire disorder.
ICD-10-CM=International Classification of Diseases, Tenth Revision, Clinical Modification; EHR=electronic health record.
*Any decision regarding specific coding is at the discretion of the HCP. Provision of this information does not guarantee reimbursement.
†Each patient’s eligibility is evaluated on an individual basis. In compliance with federal regulations, patients insured by a government-funded program (Medicaid, TRICARE, etc.) are not eligible. Patients must be 18 or older to qualify. These programs and any assistance provided may be discontinued or modified at any time based on eligibility, state and local laws, and program availability.
Financial assistance applies to the patient’s copay, coinsurance, or deductible for patients receiving Vyleesi. AMAG contributions against patient deductible and/or out-of-pocket maximums are subject to possible health plan restrictions. AMAG Pharmaceuticals will help lower the out-of-pocket cost to a $0 copay for the patient’s first prescription. AMAG will also provide copay assistance to lower the out of pocket cost for refills to a maximum copay of $99 per 4-pack. AMAG copay assistance will only apply to 2 fills every 30 days. Enrollment into the program cannot be retroactive.