Jynarque Rems Patient Status Form
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Spravato Rems Patient Enrollment Form Enrollment Form
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Web Find A Rems Form At Jynarquerems.com Learn About Copay Assistance Important Safety Information And Indication For Jynarque ® (Tolvaptan) Serious Liver Problems.
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Web Perform Ongoing Patient Monitoring, Evaluate Liver Testing At 2 Weeks, 4 Weeks And Monthly For The First 18 Months Of Treatment And Every 3 Months Thereafter.
Web get the jynarque patient status form you require. *indicates required field patient information first name*: Jynarque can cause serious liver problems that can lead to the need for a liver transplant or can lead to death. Involved parties names, addresses and numbers etc.
You Can Work With Your Doctor’s Office To Enroll In The Rems Program.
The jynarque rems program was set up for your safety. Complete a patient status form for each patient every 3 months for the first 18 months of treatment and every 6 months thereafter. Change the blanks with smart fillable fields. For more information on the required blood work while taking jynarque, go to jynarquerems.com.
Prescriber Information Serious Adverse Event Reporting
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