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Xyrem prescription form

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The document is a Patient Enrollment and Prescription Form for Xyrem® (sodium oxybate) Oral Solution, detailing sections for prescriber and patient information, insurance details, dosing instructions, refills, and special instructions. It emphasizes the importance of patient education on medication preparation and dosing.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I get a prescription for XYREM?

For more information please call the XYWAV and XYREM REMS toll free at 1-866-997-3688. To prescribe XYWAV and XYREM, both prescriber and patient must be enrolled in the XYWAV and XYREM REMS.

What doctors can prescribe Xyrem?

Because Xyrem contains sodium oxybate (GHB), a known street drug with a high potential for abuse and serious side effects, the FDA has restricted who can prescribe it and who can dispense it. Doctors must become certified in the Xyrem REMS program before they can prescribe Xyrem.

What pharmacies can dispense Xyrem?

XYWAV and XYREM will be dispensed only by the REMS Certified Pharmacy.

Can any doctor prescribe XYWAV?

Healthcare Providers who prescribe XYWAV are specially certified. XYWAV will be dispensed only by the central pharmacy that is specially certified. XYWAV will be dispensed and shipped only to patients who are enrolled in the XYWAV and XYREM REMS with documentation of safe use.

Is generic XYREM available?

Has a generic version of Xyrem been approved? An Authorized Generic version of Xyrem has been approved.

xyrem rems prescription form

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Where can I get sodium oxybate?

Sodium oxybate is available only through a restricted distribution program called the Xywav and Xyrem REMS Program or the Lumryz REMS Program. These are special programs to distribute the medication and provide information about the medication.