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In order for you to receive xywav, your healthcare provider will have you sign an enrollment form and will send the form to the rems. More information about the rems can be found at www.xywavxyremrems.com. You must verify that you have been. Web find resources to help manage your xywav® (calcium, magnesium, potassium, and sodium oxybates) narcolepsy patients including videos,.

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Download Instructions for Form F01430 Prior Authorization Drug

Xyrem® (sodium oxybate) oral solution 0.5 g/ml. Fax to xywav and xyrem rems: Web the xywav prescription form or xyrem prescription form is provided through jazz pharmaceuticals and is available to download online at xywavxyremrems.com. Web because of the serious risk of central nervous system depression, abuse, and misuse associated with xyrem, it is available only through enrollment in a.

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In order for you to receive xywav, your healthcare provider will have you sign an enrollment form and will send the form to the rems. More information about the rems can be found at www.xywavxyremrems.com. Web all patients must be enrolled in the xywav and xyrem rems to receive xywav. Web there are 3 required forms that must be submitted to the certified pharmacy to complete the enrollment process and initiate the prescription:

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Web Because Of The Serious Risk Of Central Nervous System Depression, Abuse, And Misuse Associated With Xyrem, It Is Available Only Through Enrollment In A Restricted Program.

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