Clozapine Patient Status Form. This form must be submitted monthly. Patient monitoring must still continue per the prescribing information.
Clozapine CAS 5786210 P212121 Store
Web complete the prescriber enrollment form. To submit online, log into your account at www.clozapinerems.com and select themanage patient button. You recently discontinued your patient's clozapine prescription and they're now presenting with a fever of 102˚f. This form must be submitted monthly. 3 get your blood tested get your blood tested as directed by your doctor. Web submit decision to clozapine rems by either signing into the website, calling their contact center, or faxing patient status form. Web 1 talk with your clozapine doctor review a guide for patients and caregivers: Web the prescriber starts the prescriber enrollment form online by filling in information about themselves (e.g., npi, practice name, credentials, contact information). Patient monitoring must continue per the prescribing information. Select the create or add buttons for the appropriate patient.
Web submit decision to clozapine rems by either signing into the website, calling their contact center, or faxing patient status form. You recently discontinued your patient's clozapine prescription and they're now presenting with a fever of 102˚f. Web new patient status form to document monitoring for all outpatients. Patient monitoring must still continue per the prescribing information. • before the start of fintepla treatment • with completion of each echocardiogram every 6 months for the duration of fintepla treatment Web 1 talk with your clozapine doctor review a guide for patients and caregivers: Make sure you understand what you need to do to take part in the clozapine rems. 3 get your blood tested get your blood tested as directed by your doctor. To submit online, log into your account at www.clozapinerems.com and select themanage patient button. Patient monitoring must continue per the prescribing information. Enroll in the clozapine rems by completing the prescriber enrollment form and submitting it to the clozapine rems.
