Development and Review of a Standardised Clozapine Initiation
Clozapine Patient Status Form. Web a new patient status form will document absolute neutrophil count (anc) monitoring for all outpatients. This form must be submitted monthly.
Development and Review of a Standardised Clozapine Initiation
Web the prescriber starts the prescriber enrollment form online by filling in information about themselves (e.g., npi, practice name, credentials, contact information). Web complete the prescriber enrollment form. To submit online, log into your account at www.clozapinerems.com and select themanage patient button. Web this form must be regularly completed for all patients treated with fintepla: Web submit decision to clozapine rems by either signing into the website, calling their contact center, or faxing patient status form. Web new patient status form to document monitoring for all outpatients. Enroll in the clozapine rems by completing the prescriber enrollment form and submitting it to the clozapine rems. Select the create or add buttons for the appropriate patient. • before the start of fintepla treatment • with completion of each echocardiogram every 6 months for the duration of fintepla treatment Patient monitoring must continue per the prescribing information.
Web this form must be regularly completed for all patients treated with fintepla: This form must be submitted monthly. Web a new patient status form will document absolute neutrophil count (anc) monitoring for all outpatients. Web prescribers pharmacies report anc via the website or anc lab reporting form anc reporting frequency is dependent on patient’s monitoring frequency (e.g., weekly, biweekly, monthly)dispensing. Web the prescriber starts the prescriber enrollment form online by filling in information about themselves (e.g., npi, practice name, credentials, contact information). Make sure you understand what you need to do to take part in the clozapine rems. • before the start of fintepla treatment • with completion of each echocardiogram every 6 months for the duration of fintepla treatment Patient monitoring must still continue per the prescribing information. Web complete the prescriber enrollment form. To submit online, log into your account at www.clozapinerems.com and select themanage patient button. Select the create or add buttons for the appropriate patient.
