Otsuka’s JYNARQUE™ (tolvaptan) Approved by U.S. FDA as the First
Jynarque Rems Patient Status Form. Web get the jynarque patient status form you require. Complete a patient status form for each patient every 3 months for the first 18 months of treatment and every 6 months thereafter.
Otsuka’s JYNARQUE™ (tolvaptan) Approved by U.S. FDA as the First
Prepare the patient enrollment form for your patient to sign by completing the hcp section first, either online at jynarquerems.com or by downloading a paper copy that can be submitted by fax. Web get the jynarque patient status form you require. *indicates required field patient information first name*: Open it up with online editor and start editing. Web the patient status form should still be submitted per the regular schedule outlined in the rems. For more information on the required blood work while taking jynarque, go to jynarquerems.com. Complete a patient status form for each patient every 3 months for the first 18 months of treatment and every 6 months thereafter. Involved parties names, addresses and numbers etc. Prescriber information serious adverse event reporting Web perform ongoing patient monitoring, evaluate liver testing at 2 weeks, 4 weeks and monthly for the first 18 months of treatment and every 3 months thereafter.
Change the blanks with smart fillable fields. Complete a patient status form for each patient every 3 months for the first 18 months of treatment and every 6 months thereafter. Web find a rems form at jynarquerems.com learn about copay assistance important safety information and indication for jynarque ® (tolvaptan) serious liver problems. Web get the jynarque patient status form you require. Web jynarque® (tolvaptan) rems patient status form phone: Prescriber information serious adverse event reporting Web jynarque rems program patient enrollment. *indicates required field patient information first name*: Web correct, sign, furthermore exchange jynarque rems status form virtual. The jynarque rems program was set up for your safety. Jynarque can cause serious liver problems that can lead to the need for a liver transplant or can lead to death.
