Xywav Enrollment Form. Web form available online at www.xywavxyremrems.com. Xywav and xyrem rems, po box 66589, st.
Xywav Enrollment Form Enrollment Form
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 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: Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either: Web form available online at www.xywavxyremrems.com. You must be enrolled in the xywav and xyrem rems to receive xyrem. For more information, please call the xywav and xyrem rems at 1. Web because of the serious risks associated with xyrem, it is available only through a restricted distribution program called the xywav and xyrem rems. Xywav and xyrem rems, po box 66589, st. Jazzcares for xywav offers you access to information, resources, and programs that can help support you while you are taking xywav.
Choose one of the two methods described below. Choose one of the two methods described below. Web 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: Web the enrollment process for prescribers is quick, easy, and secure. Sudden onset of weak or paralyzed muscles (cataplexy) excessive daytime sleepiness (eds) For best results please use adobe acrobat to fill out the forms. Web because of the serious risks associated with xyrem, it is available only through a restricted distribution program called the xywav and xyrem rems. Fax to xywav and xyrem rems: For more information, please call the xywav and xyrem rems at 1. Jazzcares for xywav offers you access to information, resources, and programs that can help support you while you are taking xywav. You must be enrolled in the xywav and xyrem rems to receive xyrem.