Xyrem Enrollment Form. Web the online rems patient enrollment form can be found here. See prescribing info and boxed warning.
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Web enroll in the xywav and xyrem rems a requirement for prescribers and patients to begin treatment with xywav™ and xyrem®. Download the xyrem prescription form: Fax to xywav and xyrem rems: Web you musts be enrolled stylish the xywav and xyrem rems to receive xyrem. Download the xywav medication guide and learn more about xywav today. To become certified to prescribe 1. Healthcare providers who prescribe xywav and xyrem must: Web form available online at www.xywavxyremrems.com. 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. Learn about reducing your patients' sodium intake.
Do not take xyrem if you take or your child takes other sleep medicines or sedatives. Web enroll in the xywav and xyrem rems a requirement for prescribers and patients to begin treatment with xywav™ and xyrem®. Web xyrem and xywav are available only through a rems program with restricted distribution. Eligibility is assessed as part of the standard benefit investigation process performed by the pharmacy reimbursement specialist. See prescribing info and boxed warning. 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. Web complete enrollment form online with us legal forms. Ad (calcium, magnesium, potassium & sodium oxybates). Web download the xywav prescription form : Web you must be enrolled in the xywav and xyrem rems to receive xyrem. Easily fill out pdf blank, edit, and sign them.