Resources

Below is a comprehensive resource list to help you and your patient get access to XYWAV.

  
  
  
  
  
Results Found: 11
XYWAV and XYREM REMS Patient Enrollment Form
  • XYWAV and XYREM REMS
  • Patient-specific

Prescribers enroll their patients in the XYWAV and XYREM REMS by completing and submitting this required, one-time form. Both the prescriber and the patient or caregiver are required to sign this form.

e-ENROLL VIEW DOWNLOAD
JazzCares Patient Authorization Form – English
  • JazzCares Enrollment
  • Patient-specific

It is highly recommended that your patients enroll in JazzCares to access nursing and pharmacy support, financial assistance programs, and resources available throughout their treatment journey.

e-ENROLL VIEW DOWNLOAD
JazzCares Patient Authorization Form – Spanish
  • JazzCares Enrollment
  • Patient-specific

It is highly recommended that your patients enroll in JazzCares to access nursing and pharmacy support, financial assistance programs, and resources available throughout their treatment journey.

VIEW DOWNLOAD
Getting XYWAV – Cataplexy and/or EDS in Narcolepsy
  • First Shipment of XYWAV
  • Patient-specific

Offers additional information to prepare your patients with cataplexy and/or EDS in narcolepsy for their first shipment of XYWAV.

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Getting XYWAV – Idiopathic Hypersomnia
  • First Shipment of XYWAV
  • Patient-specific

Offers additional information to prepare your patients with idiopathic hypersomnia for their first shipment of XYWAV.

VIEW
Patient Assistance Program Application
  • Patient-specific
  • Insurance and Financial Assistance

Eligible patients who are uninsured or don’t have coverage for XYWAV may receive treatment for free by submitting this application.

e-ENROLL VIEW DOWNLOAD
XYWAV Mentor Program – Cataplexy and/or EDS With Narcolepsy
  • Ongoing Support
  • Patient-specific

Connects your patients with cataplexy and/or EDS with narcolepsy 1-on-1 with a peer who is also taking XYWAV.

VIEW
XYWAV Mentor Program – Idiopathic Hypersomnia
  • Ongoing Support
  • Patient-specific

Connects your patients with idiopathic hypersomnia 1-on-1 with a peer who is also taking XYWAV.

VIEW
REMS=Risk Evaluation and Mitigation Strategy.

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