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LEMTRADA Referral Form Fax completed form to: 8339081122anPATIENT INFORMATIONPatient Name: Address: Home Phone: Secondary Contact: Patient Diagnosis & ICD10: Allergies:Date of Birth:Physician Name:
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What is lemtrada rems patient enrollment?
Lemtrada REMS (Risk Evaluation and Mitigation Strategy) patient enrollment refers to the process of registering patients for treatment with Lemtrada, a medication used to treat multiple sclerosis.
Who is required to file lemtrada rems patient enrollment?
Healthcare providers who are prescribing Lemtrada are required to file the REMS patient enrollment for their patients.
How to fill out lemtrada rems patient enrollment?
Healthcare providers can fill out the Lemtrada REMS patient enrollment online through the designated website or by contacting the drug manufacturer for assistance.
What is the purpose of lemtrada rems patient enrollment?
The purpose of Lemtrada REMS patient enrollment is to monitor and ensure safe and appropriate use of the medication, as well as to collect data on its efficacy and safety.
What information must be reported on lemtrada rems patient enrollment?
Information such as patient demographics, medical history, current medications, and reasons for prescribing Lemtrada must be reported on the REMS patient enrollment form.
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