Home
Forms Library
Patient Prescription Form - the REMS program

Get the up-to-date Patient Prescription Form - the REMS program 2025 now

Patient Prescription Form - the REMS program Preview on Page 1

Show details

4 out of 5

46 votes

The document is a patient prescription form for REVLIMID (lenalidomide), detailing the necessary information for prescribing the medication, including patient and prescriber details, recommended dosages for various conditions, insurance information, and instructions for processing the prescription through certified pharmacies. It also outlines steps for healthcare providers to follow in order to obtain authorization and ensure proper patient education.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Patient Prescription Form - the REMS program in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting paperwork with our feature-rich and intuitive PDF editor is straightforward. Make the steps below to fill out Patient Prescription Form - the REMS program online quickly and easily:

Log in to your account. Log in with your email and password or register a free account to try the product prior to choosing the subscription.
Import a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Patient Prescription Form - the REMS program. Quickly add and highlight text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your document.
Get the Patient Prescription Form - the REMS program completed. Download your modified document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to quickly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

What is required in a REMS program?

The REMS program is required if it is determined that specific safety measures are needed to ensure that a drugs benefits outweigh the risks, either during the initial product review or at any point in the post-marketing period.

What does REM mean drug?

Drugs that block monoamine reuptake initially suppress rapid eye movement (REM) sleep in the cat and other species. Less is known about the effects of repeated drugs administration.

What does REM stand for in medical terms?

Rapid eye movement (REM) sleep is the stage of sleep where most dreams happen. Its name comes from how your eyes move behind your eyelids while youre dreaming. During REM sleep, your brain activity looks very similar to brain activity while youre awake. REM sleep makes up about 25% of your total time asleep.

What does REM stand for in pharmacy?

The most common role(s) of each of the key participants in the Risk Evaluation and Mitigation Strategy (REMS) (e.g., patients, health care providers, pharmacists and health care settings that dispense or administer the drug) are further described below.

How many drugs require REMS?

The FDA requires a REMS program for about 70 drugs. In six of these cases, the REMS covers an entire class of drugs (shared REMS). About half of currently approved REMS programs include Elements to Assure Safe Use (ETASU).

Who has the authority to put a medication in REMS?

The Food and Drug Administration (FDA) has the authority to require a REMS as part of product approval as well as at any time after approval, and to require the inclusion of specific elements to assure safe use.

What drugs are on the REMS list?

The branded and generic drug products subject to this REMS include all the following: Oral dosage forms containing: codeine and codeine analogs, hydrocodone, hydromorphone, levorphanol, meperidine, morphine, oxycodone, oxymorphone, pentazocine, tapentadol, tramadol. Intranasal butorphanol.

What is a REMS program?

Risk Evaluation and Mitigation Strategies (REMS) is a program of the US Food and Drug Administration for the monitoring of medications with a high potential for serious adverse effects. REMS applies only to specific prescription drugs, but can apply to brand-name or generic drugs.

Get the up-to-date Patient Prescription Form - the REMS program 2025 now

Here's how it works