Yrem Prescription Form

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Web by this proposed modification: Fill out & sign online | dochub. Submit the completed and signed front page of the xywav prescription form to the certified pharmacy by either: Web sign the patient authorization.

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Web Xyrem® (Sodium Oxybate) Oral Solution, 0.5 G/Ml Is A Prescription Medicine Used To Treat The Following Symptoms In People 7 Years Of Age Or Older With Narcolepsy:

1 the prescription form is used for initial prescriptions and for. Web xyrem® (sodium oxybate)—now approved for use in adults and children ages 7 and older to help treat cataplexy and excessive daytime sleepiness (eds) in narcolepsy. Web each prescription form is valid for 6 months from the date written (initial fill plus 5 refills per prescription). Xyrem® (sodium oxybate) oral solution 0.5 g/ml.

Web By This Proposed Modification:

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