Get the free Xyrem sodium oxybate - Prior Authorization Form Addendum

Texas Medicaid/CHIP Vendor Drug Program Texas Standard Prior Authorization Form Addendum Xylem (sodium oxalate) In addition to the Texas Standard Prior Authorization Request Form for Prescription

How to fill out xyrem sodium oxybate

How to fill out Xyrem sodium oxybate:

1. Make sure to carefully read and follow the instructions provided by your healthcare provider or pharmacist. They may also provide a medication guide that you should review before starting the process.
2. Xyrem sodium oxybate comes in a liquid form and is taken orally. The bottle should be properly labeled with your name and dosage instructions.
3. Use the measuring device provided with the medication or a syringe to accurately measure the prescribed dose. Do not use any other type of measuring device to prevent dosing errors.
4. Xyrem sodium oxybate is typically taken at bedtime and then again 2.5 to 4 hours later. It is important to take the medication exactly as directed by your healthcare provider.
5. Shake the bottle well before each use to ensure proper suspension of the medication.
6. Open the bottle carefully and pour the prescribed dose into a separate container. Avoid drinking directly from the bottle to prevent contamination.
7. Mix the medication with exactly the amount of water indicated by your healthcare provider. It is important to use the right amount of water to ensure the proper concentration of the medication.
8. Drink the mixture immediately after preparing it. Do not save any remaining mixture for later use.
9. After taking the first dose, secure the bottle in a safe place away from the reach of children or anyone who should not have access to it.
10. If you miss a dose, do not take a double dose to make up for it. Instead, continue with your regular dosing schedule.
11. It is important to store Xyrem sodium oxybate at room temperature, away from direct sunlight and moisture. Do not freeze the medication.

Who needs Xyrem sodium oxybate:

1. Xyrem sodium oxybate is a medication approved by the FDA to treat narcolepsy in adults. Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep.
2. It is specifically indicated for the treatment of cataplexy, a condition associated with narcolepsy that involves sudden muscle weakness or loss of muscle control triggered by strong emotions.
3. Xyrem sodium oxybate is prescribed for individuals who have been diagnosed with narcolepsy and experience cataplexy episodes that disrupt their daily functioning and quality of life.
4. The decision to prescribe Xyrem sodium oxybate is usually made by a healthcare provider with expertise in sleep medicine after a thorough evaluation and diagnosis of narcolepsy.
5. It is important to note that Xyrem sodium oxybate is a controlled substance due to its potential for abuse and misuse. Therefore, it is only available through a restricted program called the Xyrem Success Program.

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What is xyrem sodium oxybate?

Xyrem sodium oxybate is a medication used to treat excessive daytime sleepiness and cataplexy in patients with narcolepsy.

Who is required to file xyrem sodium oxybate?

Healthcare providers and pharmacies are required to file xyrem sodium oxybate.

How to fill out xyrem sodium oxybate?

To fill out xyrem sodium oxybate, healthcare providers and pharmacies must provide information on the patient, prescribing doctor, and usage of the medication.

What is the purpose of xyrem sodium oxybate?

The purpose of xyrem sodium oxybate is to help patients with narcolepsy manage their symptoms of excessive daytime sleepiness and cataplexy.

What information must be reported on xyrem sodium oxybate?

The information that must be reported on xyrem sodium oxybate includes the patient's name, date of birth, diagnosis, prescribing doctor, dosage instructions, and usage history.