YARALDirect

How YARALDirect Works 

A simple, two-step process connects you with UpScriptHealth and its independent licensed healthcare providers.

Why This Matters

By bringing trusted generic medicines into this digital care option gives patients convenient access to treatment and affordable generic prescription options.

Save Time
Connect with independent licensed clinicians online – often from home – making it easier to get care when it’s needed

Convenient Access
Getting care shouldn’t be complicated. Telehealth lets patients access treatment without unnecessary delays

Affordable Options
Access trusted generic medicines with affordable prescription options at a cash price

Licensed Providers
All prescriptions are issued by independent licensed clinicians

Products Available Through YARALDirect

Diclofenac Epolamine Topical System 1.3%

Prescribing Information, Including Boxed Warning

Important Safety Information

Lidocaine Patch 5%

Prescribing Information

Important Safety Information

Frequently Asked Questions

Common questions about YARALDirect and telehealth access

What is YARALDirect?
YARALDirect expands patient access to YARAL Pharma’s select prescription medicines through telehealth. The program connects eligible patients with licensed healthcare providers via UpScriptHealth for online consultations.

How does telehealth prescribing work?
Patients complete an online medical intake form and consultation through the UpScriptHealth platform. A licensed healthcare provider reviews the information and determines if treatment is appropriate. If a prescription is issued, the medication is dispensed and shipped directly to the patient.

Who determines eligibility for treatment?
A licensed healthcare provider reviews each patient’s medical information during the online consultation. The provider determines if treatment is appropriate based on the patient’s specific situation and medical history.

Do I need insurance to use YARALDirect?
Insurance is not accepted for the cost of YARAL Pharma’s medication. Coverage and payment options for telehealth consultations may vary. Patients should visit UpScriptHealth for the most current information regarding telehealth payment options and insurance acceptance.

Our Commitment to Patients

YARAL Pharma is committed to quality, affordability, and access. Exploring new ways to deliver care—like telehealth—helps us meet patients where they are while maintaining the same high standards behind every YARAL Pharma product.

Get Started

Visit UpScriptHealth to learn more and see if telehealth is right for you.

Start via UpScriptHealth

You are about to leave the YARAL site.
Do you want to leave?

To stay on the YARAL site, click the X in the upper right to close this window.

Take me to the UpScriptHealth page.

Use & IMPORTANT SAFETY INFORMATION for Diclofenac Epolamine Topical System 1.3%

USE

DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% is prescription medication that is applied to the skin to treat acute pain from minor strains, sprains, and contusions (bruises) in adults and pediatric patients 6 years and older. DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% contains diclofenac epolamine (a non-steroidal anti-inflammatory drug or NSAID).

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3%?

DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% is a nonsteroidal anti-inflammatory drugs (NSAID). NSAIDs can cause an increased risk of heart attack or stroke that can lead to death. This may happen early in treatment and may increase with increasing doses of NSAIDs and with longer use of NSAIDs.

Do not take DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% right before or after a heart surgery called “coronary artery bypass graft” (CABG). Avoid taking NSAIDs after a recent heart attack, unless your healthcare provider tells you to. You may have an increased risk of another heart attack if you take NSAIDs after a recent heart attack.

NSAIDs can cause an increased risk of bleeding, ulcers, and tears (perforation) of the esophagus, stomach, and intestines:

• at any time during treatment
• without warning
• may cause death.

The risk of getting an ulcer or bleeding increases with:

• a history of stomach ulcers, or stomach or intestinal bleeding with the use of NSAIDs
• taking medicines called “corticosteroids”, “anticoagulants”, “SSRIs”, or “SNRIs”
• increasing doses of NSAIDs
• longer use of NSAIDs
• smoking
• drinking alcohol
• older age
• poor health
• advanced liver disease
• bleeding problems

NSAIDS should only be used:

• exactly as prescribed
• at the lowest dose possible for your treatment
• for the shortest time needed

Who should not take DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3%?

• Do NOT take DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% if you have a known hypersensitivity reaction to diclofenac or any component of the drug product.
• Do NOT take DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% if you have had an asthma attack, hives, or other allergic reactions to aspirin or any other NSAID medicine.
• DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% should never be used right before or after heart bypass surgery.
• Do NOT apply DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% to open wounds, cuts, burns, infected, or damaged skin.

Before taking NSAIDS, tell your healthcare provider about all of your medical conditions, including if you:

• have liver or kidney problems
• have high blood pressure
• have asthma
• are pregnant or plan to become pregnant. Taking NSAIDs at about 20 weeks of pregnancy or later may harm your unborn baby. If you need to take NSAIDs for more than 2 days when you are between 20 and 30 weeks of pregnancy, your healthcare provider may need to monitor the amount of fluid in your womb around your baby. You should not take NSAIDs after 30 weeks of pregnancy.
• are breastfeeding or plan to breast feed.

Tell your healthcare provider about all of the medicines you take, including prescription or over-the-counter medicines, vitamins, or herbal supplements. NSAIDs and some other medicines can interact with each other and cause serious side effects. Avoid using DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% with other NSAIDs or salicylates (e.g., diflunisal, salsalate). NSAIDs may be available as over-the-counter medications for treatment of colds, fever, or insomnia. Do not start taking any new medicine without talking with your healthcare provider first.

Especially tell your doctor if you take:

• aspirin–Do not use low dose aspirin with DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% until you talk to your healthcare provider.
• any anticoagulant medicine such as warfarin
• steroid medications including corticosteroids
• antidepressant medicines including “SSRIs” or “SNRIs”

Know the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.

What are the possible side effects of NSAIDs?

See ” What is the most important information I should know about DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% ?

NSAIDs can cause serious side effects, including:

• new or worse high blood pressure
• heart failure
• liver problems including liver failure
• kidney problems including kidney failure
• low red blood cells (anemia)
• life-threatening skin reactions
• life-threatening allergic reactions
• Other side effects of NSAIDs include: stomach pain, constipation, diarrhea, gas, heartburn, nausea, vomiting, and dizziness

The most common side effects of DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% were itching and nausea in adults, and headache and itching in pediatric patients.

Get emergency help right away if you get any of the following symptoms: shortness of breath or trouble breathing, slurred speech, chest pain, swelling of the face or throat, or weakness in one part or side of your body.

Stop taking your NSAID and call your healthcare provider right away if you get any of the following symptoms:

• nausea
• vomit
• blood
• more tired or weaker than usual
• there is blood in your bowel movement, or it is black and sticky like tar
• diarrhea
• itching
• unusual weight gain
• your skin or eyes look yellow
• skin rash or blisters with fever
• indigestion or stomach pain
• swelling of the arms, legs, hands, and feet
• flu-like symptoms

If you take too much of your NSAID, call your healthcare provider or get medical help right away.

These are not all the possible side effects of DICLOFENAC EPOLAMINE TOPICAL SYSTEM 1.3% or NSAIDs. For more information, ask your healthcare provider or pharmacist about NSAIDs or for advice about side effects.

You are encouraged to report side effects to YARAL Pharma Professional Information Service at 1-866-218-9009 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see additional Important Safety Information throughout and accompanying full Prescribing Information, including BOXED WARNING at www.yaralpharma.com/diclofenac-pi

REF-1353-v3

 USE & IMPORTANT SAFETY INFORMATION for Lidocaine Patch 5%

USE & IMPORTANT SAFETY INFORMATION

What is Lidocaine Patch 5%?
Lidocaine Patch 5% is a prescription medicine used for relief of pain associated with post-herpetic neuralgia. It is not known if Lidocaine Patch 5% is safe and effective in children.

Do NOT use Lidocaine Patch 5%:

• If you have a known history of sensitivity, such as allergic reactions, to local pain medicines (anesthetics) or to any of the ingredients in Lidocaine Patch 5%.
• On broken or inflamed skin as it may result in higher blood concentrations of lidocaine from increased absorption. Apply Lidocaine Patch 5% on intact skin only.

Before using Lidocaine Patch 5%, tell your healthcare provider about all your medical conditions, including if you:

• Are pregnant, plan to become pregnant, or are breastfeeding — Lidocaine Patch 5% is excreted in breast milk.  Because Lidocaine Patch 5% has not been studied in pregnant women or in labor and delivery, it should only be used if clearly needed and total amount of pain medicine must be considered.
• Have liver disease – Patients with liver disease are at greater risk of developing toxic levels of lidocaine in their blood.
• Are allergic to medicines that contain para-aminobenzoic acid or have a history of being sensitive to different medicines.

Tell your healthcare provider about all the medicines you take, including other lidocaine containing products and any other prescription and over-the-counter medicines, vitamins, and herbal supplements. Certain medicines used to treat an irregular heartbeat and certain pain medicines can interact with Lidocaine Patch 5% and lead to side effects. 

What should I avoid while using Lidocaine Patch 5%?

• When handling Lidocaine Patch 5%, avoid touching your eyes.  If eye contact occurs, immediately wash out your eye with water or saline and protect the eye until sensation returns.
• Do not place external heat sources such as heating pads or electric blankets over Lidocaine Patch 5% as this may increase blood concentrations of lidocaine.

What are the possible side effects of Lidocaine Patch 5%?
Lidocaine Patch 5% may cause serious side effects including:

• Methemoglobinemia – Use of local anesthetics may cause methemoglobinemia which can be life-threatening and must be treated promptly. Stop use of Lidocaine Patch 5% and seek medical attention immediately if your skin, lips, or nails turn pale, gray, or blue colored or if you experience headache, rapid heart rate, shortness of breath, lightheadedness or unusual tiredness. Symptoms of methemoglobinemia may occur immediately or a few hours after being exposed to a local anesthetic.
• Accidental Exposure – Small children or pets could suffer serious adverse effects from chewing or ingest­ing a new or used Lidocaine Patch 5%.  Store and dispose of Lidocaine Patch 5% properly and keep out of reach of children, pets and others.
• Overdose – Applying Lidocaine Patch 5% for a longer length of time or applying more than the recommended number of patches can lead to serious side effects. Use Lidocaine Patch 5% exactly as directed by your healthcare provider. Apply the prescribed number of patches (maximum of 3) only once for up to 12 hours within a 24-hour period. Seek medical attention if lidocaine overdose is suspected.

Lidocaine Patch 5% may cause side effects such as:

• Application Site Reactions – Skin reactions such as blisters, bruising, burning or abnormal sensation, changing or loss of color of your skin, redness, itching, swelling, dryness, flaking, irritation, forming of small bumps, red or brown spotting, may occur where Lidocaine Patch 5% is applied. These reactions are generally mild and go away on their own within a few minutes to hours.
• Allergic Reactions – While a serious allergic reaction to Lidocaine Patch 5% is rare, they may occur.  Seek medical attention right away if you have swelling of the face, lips, tongue or throat, chest tightness, difficulty breathing or swallowing, rash, itching and redness of the skin, sudden drop in blood pressure or severe dizziness.

These are not all of the side effects that may occur with use of Lidocaine Patch 5%.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088, or contact Yaral Pharma, Inc. at 1-866-218-9009.

Please see Full Prescribing Information for Lidocaine patch 5% at: www.yaralpharma.com/lidocaine-pi.

REF-1499-v1