Xywav prescription form

XYWAV PRESCRIPTION FORM XYWAV (calcium, magnesium, potassium, and sodium oxybates) 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 .

The XYWAV Prescription Form or XYREM Prescription Form is provided through Jazz Pharmaceuticals and is available to download online at XYWAVXYREMREMS.com. If a patient who has been taking XYREM is switching to XYWAV, a XYWAV Prescription Form is required to be filled out and sent to the Certified Pharmacy.

form below. Email. 0 Because of these risks, you have to go through the XYWAV and XYREM REMS to have your or your child's prescription for XYWAV filled.

Call the Certified Pharmacy at ; Fax the completed XYWAV Prescription Form to ; Submit the refill or renewal electronically; Mail

If you are currently prescribed XYWAV, the XYWAV Mentor Program connects you 1-on-1 with a XYWAV Mentor who has firsthand experience taking XYWAV. Register for a XYWAV Mentor call by filling out the form or by calling .

A Prescription Form is also required for oxybate-naïve patients. Refer to the XYWAV and XYREM Prescriber Brochure or full. Prescribing

Submit the refill or renewal electronically; Mail the completed XYWAV Prescription Form to XYWAV and XYREM REMS, PO Box , St. Louis, MO

risks and proper use of Lumryz, Xyrem and Xywav, and the required prescription form. Once it is documented that the patient has read and/or

Learn how to prescribe XYWAV for narcolepsy and idiopathic hypersomnia and enroll your patients in the XYWAV and XYREM REMS. Find the prescription form, dosing and titration information, and safety warnings for XYWAV.