Xyrem is a medication prescribed to treat the following symptoms of narcolepsy: But Xyrem's active drug, sodium oxybate, is a form of gamma-
Each prescription includes one bottle of Xyrem with attached press in bottle The active ingredient of XYREM is a form of gamma-hydroxybutyrate (GHB)
Write prescriptions using either the XYREM Prescription Form or the XYWAV Prescription Form (general prescription forms will not be accepted)
Prescription Form of GHB. In July 2024 the U.S. Food and Drug Administration (FDA) approved Xyrem, a Schedule III prescription form of GHB, for treating
XYREM PRESCRIPTION FORM XYREM (sodium oxybate) oral solution 0.5 g/mL Form available online at www.XYWAVXYREMREMS.com. Either submit online, OR print, sign, and: Fax to XYWAV and XYREM REMS: (toll free) OR mail to XYWAV and XYREM REMS, PO Box , St. Louis, MO .
side influence, CNS depression, misuse. Xyrem Prescription Form to your patients, including one XYWAV and XYREM REMS Prescription
XYREM comes in the following dosage forms: Oral solution: 500 XYREM prescription. c. Fill a measuring cup with about a quarter (¼)
Prescribers are required to complete and sign the Prior Authorization Drug Attachment for Xyrem and Xywav form, Enter the date that the prescription was
form agreeing to the use of Xyrem. This needs to be done during a face-to Your doctor can now write your Xyrem prescription and will provide the
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