Frequently Asked Questions

Prescriber and Patient Enrollment

The XYWAV and XYREM Risk Evaluation and Mitigation Strategy (REMS) is a program to manage known or potential serious risks associated with a drug product and is required by the FDA to ensure that the benefits of the drug outweigh its risk. Because of its risks of CNS depression and abuse and misuse, XYWAV is only available through this program.1,2

For more information, please visit www.XYWAVXYREMREMS.com.

References: 1. XYWAV® (calcium, magnesium, potassium, and sodium oxybates) oral solution, 0.5 g/mL total salts (equivalent to 0.413 g/mL of oxybate) Prescribing Information. Palo Alto, CA: Jazz Pharmaceuticals, Inc. 2. Risk Evaluation and Mitigation Strategies. REMS. Food and Drug Administration website. https://www.fda.gov/drugs/drug-safety-and-availability/risk-evaluationand-mitigation-strategies-rems. Updated May 16, 2023. Accessed November 17, 2023.

There are 3 required forms that must be submitted to the Certified Pharmacy to complete the enrollment process and initiate the prescription:

Once the 3 required enrollment forms above are submitted, enrollment is verified by the Certified Pharmacy for completion. Enrollment in the XYWAV and XYREM REMS is required 1 time.

For more information, please visit www.XYWAVXYREMREMS.com.

It is highly recommended that your patients enroll in JazzCares. JazzCares provides patients with access to nursing and pharmacy support, financial assistance programs for eligible patients, and resources and support tools throughout their treatment journey. Your patients can enroll via the online JazzCares Patient Authorization Form.

For more information, please watch Video 3: Insurance Matters, Video 5: Ongoing Support, or download the JazzCares Suite of Services Flashcard.

Once the patient submits the JazzCares Patient Authorization Form, the Certified Pharmacy does not require a new authorization—it is a one-time requirement.

First Shipment of XYWAV

Once enrollment in XYWAV and XYREM REMS is complete and the prescription has been submitted, your patient will receive 2 calls: 1 from the JazzCares Nurse Case Manager and 1 from the pharmacist at the Certified Pharmacy. Your patient must answer these calls to receive their first shipment of XYWAV.

If your patient misses the calls, the pharmacy will make several attempts to reach them before informing you that the patient is unreachable. The counseling call with the pharmacist is required for shipment.

For more information, please watch Video 2: Calls to Expect, contact the JazzCares nursing support team, 1-866-997-3688, Monday-Friday, 8 AM-9 PM ET, or the Certified Pharmacy (24/7) at 1-866-997-3688.

Once the REMS enrollment and prescription forms are complete, the patient can expect to hear from the Nurse Case Manager by the next business day. A pharmacist from the Certified Pharmacy will then contact the patient for counseling once the benefits investigation is complete, the claim is processed, and the medication is ready to be shipped.

For more information, please contact the JazzCares nursing support team, 1-866-997-3688, Monday-Friday, 8 AM-9 PM ET, or the Certified Pharmacy (24/7) at 1-866-997-3688.

If your patient’s contact information changes, you or the patient can contact the Certified Pharmacy to update their information.

For more information, please contact the Certified Pharmacy (24/7) at 1-866-997-3688.

XYWAV will be shipped directly from the Certified Pharmacy to your patient’s specified address. A signature is required upon delivery. If your patient misses the delivery, they should contact the Certified Pharmacy to reschedule or arrange an alternative delivery.

For more information, please watch Video 4: First Shipment or contact the Certified Pharmacy (24/7) at 1-866-997-3688.

XYWAV is dispensed only by the Certified Pharmacy. Patients cannot receive XYWAV from a local retail pharmacy.

For more information, please watch Video 4: First Shipment or contact the Certified Pharmacy (24/7) at 1-866-997-3688.

Once XYWAV has been shipped to your patient, they can find out the status of their shipment and receive a tracking number from the Certified Pharmacy. For each shipment, your patient can choose to receive text messages and emails with tracking information from the Certified Pharmacy. For more information, please contact the Certified Pharmacy (24/7) at 1-866-997-3688.

Additionally, the patient can download the myWAV App to link their information and receive tracking updates.

Insurance and Financial Assistance

Specific PA criteria may vary by health plan; however, forms may be found on the health plan’s portal or on platforms such as CoverMyMeds.

For more information, please watch Video 3: Insurance Matters or download:

Commonly required information for submitting a PA or responding to a denial includes patient’s diagnosis, current and past medications, attestation that potential conditions have been ruled out, and baseline test outcomes. You may also provide a Letter of Medical Necessity, peer-reviewed literature, and product information.

For more information, please watch Video 3: Insurance Matters or download:

The JazzCares team works with your office to verify each patient’s insurance coverage and offer financial assistance options for eligible patients.

For more information, please watch Video 3: Insurance Matters or download the JazzCares Financial Assistance Program Flashcard.

JazzCares is committed to finding financial assistance programs that fit your patient’s needs. The following programs are available to eligible patients: XYWAV Quick Start Voucher, XYWAV Coupon Program, XYWAV Bridge Program, and the Patient Assistance Program. Terms and Conditions apply.

For more information, please watch Video 3: Insurance Matters or download the JazzCares Financial Assistance Program Flashcard.

Ongoing Patient Support

Your patient can contact the Certified Pharmacy if they run out of medication. Patients can also sign up for personalized refill reminders via text and email through the Certified Pharmacy.

For more information, please contact the Certified Pharmacy (24/7) at 1-866-997-3688 or the JazzCares Nurse Educator at 1-866-997-3688, Monday-Friday, 8 AM-9 PM ET.

Once your patient has received their XYWAV prescription, the dedicated JazzCares team steps in to provide ongoing support:

  • The JazzCares Nurse Case Manager and JazzCares Nurse Educator work together to provide personalized support for your patients who have completed the JazzCares Patient Authorization Form
  • A pharmacist from the Certified Pharmacy is available 24/7 to answer your patients’ questions by phone
  • A Reimbursement Specialist, also from the Certified Pharmacy, verifies insurance coverage, provides reimbursement support, and assists with financial assistance
  • Your Jazz Access and Reimbursement Manager also helps you and your office navigate the insurance coverage process with your patients

For more information, please contact the JazzCares nursing support team at 1-866-997-3688, Monday-Friday, 8 AM-9 PM ET or download our JazzCares Nurse Educator Leave Behind. You can also contact the Certified Pharmacy (24/7) at 1-866-997-3688 or contact your Jazz Account Representative.

The JazzCares Nurse Case Manager will welcome your patient to the program and check in with them periodically to help address any challenges they face. The JazzCares Nurse Educator conducts personalized education with patients, monitors how their treatment is going, and helps them set goals for living with their condition.

For more information, please contact the JazzCares nursing support team at 1-866-997-3688, Monday-Friday, 8 AM-9 PM ET or download our JazzCares Nurse Educator Leave Behind.

The XYWAV Mentor Program connects your patient 1-on-1 with a XYWAV Mentor who has firsthand experience taking XYWAV. Register for a XYWAV Mentor by calling 1-866-539-3946 or filling out the online form:

Yes, after prescribing XYWAV to your patient, they can download the myWAV App, which helps patients get started and supports them throughout their treatment journey.

For more information, please download the myWAV App.

Yes, patients can sign up for personalized refill reminders via text and email through the Certified Pharmacy.

For more information, please contact the Certified Pharmacy (24/7) at 1-866-997-3688.

Contact Information

If you have additional questions or need more information, you can contact:

  
  
  
  
  
Contact Your Jazz Account Representative