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PATIENT ENROLLMENT FORM AND PRESCRIPTION FORM (sodium oxybate) Oral Solution 500 mg/mL Prescriber Information Prescriber s Name: Office Contact: Street Address: City: Phone: Fax: License Number: Zip:.

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can cause central nervous system (CNS) depression in some people. In fact, belongs to a class of medications called CNS depressants. And has a boxed warning from the FDA regarding the risk of CNS depression.

is available only through restricted distribution, the REMS Program.

The cost for oral liquid (500 mg/mL) is around $5,344 for a supply of 180 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans. is available as a brand name drug only, a generic version is not yet available.

GHB is a Schedule I controlled substance under the Controlled Substances Act. FDA-approved products containing sodium oxybate, including and now the generic version of , are controlled under Schedule III.

Discussion. Weight loss, to a certain extent, is a known adverse effect of SXB. A 2008 retrospective multicenter study included 54 patients who had been using SXB for at least 3 months and found an average weight loss of 7.5 pounds, with patients with cataplexy having the most significant loss in weight [2].

® is distributed through Express Scripts Specialty Distribution Services, Inc.

is not available at your local pharmacy. As part of the XYWAV and REMS, is available only through a Certified Pharmacy. It is the only pharmacy in the United States permitted to fill the prescription and send directly to patients.

[12-17-2012] The U.S. Food and Drug Administration (FDA) is reminding healthcare professionals and patients that the combined use of (sodium oxybate) with alcohol or central nervous system (CNS) depressant drugs can markedly impair consciousness and may lead to severe breathing problems (respiratory depression).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232