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