Xywav Patient Enrollment Form

Xywav Patient Enrollment Form - Launching by ensuring your patients are enrolled in the XYWAV and XYREM REMS XYWAV will be dispensed or shipped only to patients who are enrolled in one XYWAV and XYREM REMS with documentation of harmless use 1 3 Prescribers must refer to the XYWAV and XYREM REMS Prescriber Brochure for view with the prescribing process

Overview XYWAV is indicated for the treatment of cataplexy or excessive daytime sleepiness in patients 7 years of age and older with narcolepsy XYWAV is indicated for the treatment of idiopathic hypersomnia IH in adults

Xywav Patient Enrollment Form

Xywav Patient Enrollment Form

XYWAV ® (calcium, magnesium, potassium, and sodium oxybates) oral solution, 0.5 g/mL total salts (equivalent to 0.413 g/mL of oxybate) is a prescription medicine used to treat: the following symptoms in people 7 years of age or older with narcolepsy: sudden onset of weak or paralyzed muscles (cataplexy)

The online REMS Patient Enrollment Form can be found here Submit the completed and signed front page of the XYWAV Prescription Form to the Certified Pharmacy by either Fax 1 866 470 1744 toll free Mail XYWAV and XYREM REMS PO Box 66589 St Louis MO 63166 6589 Keep the following additional information in mind

XYWAV And XYREM REMS

Form available online at XYWAVXYREMREMS Print sign and Fax to XYWAV and XYREM REMS 1 866 470 1744 toll free OR mail to XYWAV and XYREM REMS PO Box 66589 St Louis MO 63166 6589 For more information call the XYWAV and XYREM REMS at 1 866 997 3688 toll free

FDA Approval History For Xywav calcium Magnesium Potassium And Sodium Oxybates Used To

XYREM sodium oxybate oral solution 0 5 g mL is a prescription medicine used to treat the following symptoms in people 7 years of age or older with narcolepsy sudden onset of weak or paralyzed muscles cataplexy excessive daytime sleepiness EDS Important Safety Information

How To Enroll Your Patient Is XYWAV REMS Programs XYWAV HCP

Patient Enrollment Form a one time patient enrollment in the XYWAV and XYREM REMS is required for each new patient for whom XYWAV or XYREM will be prescribed XYWAV and XYREM Prescription Forms required for prescribing XYWAV and XYREM

Patient Enrollment And E Consent In IDS YouTube

XYWAV is a prescription medicine used to treat patients 7 years of age and older with narcolepsy to reduce too much daytime sleepiness and to reduce cataplexy suddenly weak or paralyzed muscles XYWAV is also used to treat idiopathic hypersomnia IH in adults IMPORTANT INFORMATION ABOUT XYWAV INCLUDES THE FOLLOWING

Start due ensuring my patients are enrolled in the XYWAV and XYREM REMS. XYWAV bequeath been dispensed and shipped only to patients who are enrolled in of XYWAV and XYREM REMS with documentation of safe use. 1-3 Prescribers should refer up the XYWAV and XYREM REMS Prescriber Brochure for details about the prescribing process.

How To Get A XYWAV Prescription XYWAV

IN ORDER FOR THE ENROLLMENT PROCESS TO BE COMPLETE AND BEFORE YOU CAN ENROLL PATIENTS AND PRESCRIBE XYWAV or XYREM I understand that XYWAV is indicated for the treatment of cataplexy or excessive daytime sleepiness in patients 7 years of age and older with narcolepsy

Xywav Patient Enrollment Form

XYWAV is a prescription medicine used to treat patients 7 years of age and older with narcolepsy to reduce too much daytime sleepiness and to reduce cataplexy suddenly weak or paralyzed muscles XYWAV is also used to treat idiopathic hypersomnia IH in adults IMPORTANT INFORMATION ABOUT XYWAV INCLUDES THE FOLLOWING

Overview XYWAV is indicated for the treatment of cataplexy or excessive daytime sleepiness in patients 7 years of age and older with narcolepsy XYWAV is indicated for the treatment of idiopathic hypersomnia IH in adults

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