Refill Generator

Check out this helpful starting guide:

Watch how to submit a refill request
▶

The Refill Generator will request contact information based on your selected communication preferences.

×
Important Update

Phothera Refill Process & Legacy Device Transition

Healthcare Provider Information
Patient Information
Refill Information

As part of Phothera’s ongoing efforts to modernize the home phototherapy experience and support improved treatment management, we are updating our refill process and legacy device support program.

Effective immediately, refill services will no longer be available for devices associated with the following legacy codes:

  • NatBio B-Code
  • NatBio Legacy CPT-1
  • Daavlin Legacy FlexRx Codes

Devices associated with these codes are now classified as legacy devices and are no longer eligible for refill services.

Phothera C-Code

Enter the three digits that follow “C” (for example, C123).

I understand that any falsification, omission, or unauthorized use of the refill code generator may subject me to civil or criminal liability. A copy of this order will be retained as part of Phothera’s records.