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Xyrem Enrollment Form. The rems program provides educational materials to the prescriber and the patient. Ad (calcium, magnesium, potassium & sodium oxybates) full prescribing info & boxed warning.
Web you musts be enrolled stylish the xywav and xyrem rems to receive xyrem. Download the xyrem prescription form: Print and sign the completed xywav or xyrem prescription form for your patient :. Web xyrem and xywav are available only through a rems program with restricted distribution. Save or instantly send your ready documents. 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. Review the xywav and xyrem prescribing information. Is xywav right for your patients? Web you must be enrolled in the xywav and xyrem rems to receive xyrem. All prescribers must be enrolled in to xywav and xyrem rems till prescriptions xywav.
Fax to xywav and xyrem rems: Web the online rems patient enrollment form can be found here. All prescribers must be enrolled in to xywav and xyrem rems till prescriptions xywav. Web complete enrollment form online with us legal forms. Learn about reducing your patients' sodium intake. Save or instantly send your ready documents. 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. Healthcare providers who prescribe xywav and xyrem must: Web you musts be enrolled stylish the xywav and xyrem rems to receive xyrem. Print and sign the completed xywav or xyrem prescription form for your patient :. 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.
