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Xyrem Rems Prescription Form. Fax to xywav and xyrem rems: Fax to xywav and xyrem rems:
Web form available online at www.xywavxyremrems.com. Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either: Fax to xywav and xyrem rems: Print and sign the completed xywav or xyrem prescription form for your patient : Web download the xyrem prescription form: Web the prescription form is used for initial prescriptions and for patients who are reinitiating xyrem after a lapse in therapy of 6 months or longer. 1 the prescription form can also be used for refills and renewals. Web the online rems patient enrollment form can be found here. Web form available online at www.xywavxyremrems.com. Fax to xywav and xyrem rems:
Fax to xywav and xyrem rems: Web the online rems patient enrollment form can be found here. Web download the xyrem prescription form: Web the prescription form is used for initial prescriptions and for patients who are reinitiating xyrem after a lapse in therapy of 6 months or longer. Fax to xywav and xyrem rems: 1 the prescription form can also be used for refills and renewals. Web form available online at www.xywavxyremrems.com. Fax to xywav and xyrem rems: Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either: Print and sign the completed xywav or xyrem prescription form for your patient : Web form available online at www.xywavxyremrems.com.
