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2024 PRIOR AUTHORIZATION REQUEST FORM Individual and Family PlansXyrem/Byway Fax back to: (833) 6054407 Phone: (215) 9914300 Jefferson Health Plans manages the pharmacy drug benefit for your patient.
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Sodium oxybate xywav calcium is generally prescribed to individuals who have been diagnosed with narcolepsy. Narcolepsy is a chronic sleep disorder characterized by excessive daytime sleepiness, sudden loss of muscle tone (cataplexy), hallucinations, and sleep paralysis. Sodium oxybate xywav calcium can help to improve both the quality and quantity of sleep in individuals with narcolepsy, leading to better overall functioning and reduced symptoms.
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Sodium oxybate, marketed as Xywav, is a medication used to treat narcolepsy, specifically cataplexy and excessive daytime sleepiness. Xywav is a formulation that includes both sodium oxybate and calcium.
Healthcare providers who prescribe sodium oxybate, as well as manufacturers and pharmacies that handle the medication, are typically required to comply with specific regulatory filings.
Filling out sodium oxybate Xywav calcium typically involves providing patient information, prescribing details, and ensuring compliance with state and federal regulations regarding controlled substances.
The primary purpose of sodium oxybate Xywav calcium is to treat narcolepsy symptoms, such as excessive daytime sleepiness and cataplexy, aiding in improving the quality of life for patients.
Information that must be reported includes dosage instructions, patient data, physician details, prescription dates, and any adverse effects experienced by the patient.
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