Xywav Enrollment Form - Web the enrollment process for prescribers is quick, easy, and secure. Complete and submit form online at www.xywavxyremrems.com, or scan. Web all patients must be enrolled in the xywav and xyrem rems to receive xywav. Fax to xywav and xyrem rems: Complete your enrollment form and submit it to the. Web form available online at www.xywavxyremrems.com. Web the online rems patient enrollment form can be found here. Choose one of the two methods described below. Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either:. More information about the rems can be found at www.xywavxyremrems.com.
Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either:. Web form available online at www.xywavxyremrems.com. Fax to xywav and xyrem rems: Web the enrollment process for prescribers is quick, easy, and secure. Web the online rems patient enrollment form can be found here. Web xywav and xyrem rems patient enrollment form. Choose one of the two methods described below. Complete and submit form online at www.xywavxyremrems.com, or scan. 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. Complete your enrollment form and submit it to the.