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Xyrem Enrollment Form. Download the xywav medication guide and learn more about xywav today. Web after your healthcare provider sends in your enrollment form and first prescription for xyrem, you will receive a call from the certified pharmacy of the rems to tell you how.
Download the xywav medication guide and learn more about xywav today. Web xyrem will be allotted and shipped only to patients who are enrolled in the xywav and xyrem rems with documentation of safe use conditions. Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either:. Is xywav right for your patients? Web no enrollment is required. Ad (calcium, magnesium, potassium & sodium oxybates) full prescribing info & boxed warning. The xywav and xyrem rems was developed with the fda to help make sure that. Fax to xywav and xyrem rems: Easily fill out pdf blank, edit, and sign them. Web the xywav & xyrem rems.
Web you musts be enrolled stylish the xywav and xyrem rems to receive xyrem. See xyrem® prescribing information &. Web xyrem and xywav are available only through a rems program with restricted distribution. Is xywav right for your patients? Web after your healthcare provider sends in your enrollment form and first prescription for xyrem, you will receive a call from the certified pharmacy of the rems to tell you how. Eligibility is assessed as part of the standard benefit investigation process performed by the pharmacy reimbursement specialist. Learn about reducing your patients' sodium intake. Web you or your child must be enrolled in the xywav and xyrem rems to receive xyrem. Web complete enrollment form online with us legal forms. The rems program provides educational materials to the prescriber and the patient. Download the xywav medication guide and learn more about xywav today.
