Pharmacies:
All pharmacies that dispense ZILBRYSQ must be certified in the REMS.
To become certified and maintain certification, pharmacies must:
1 - Designate
Designate an Authorized Representative to:
- Carry out the certification process
- Oversee implementation and compliance with the REMS on behalf of the pharmacy
2 - Review
Review the ZILBRYSQ REMS material:
3 - Submit
Submit the completed Pharmacy Enrollment Form by either:
- Clicking "Start Online Pharmacy Enrollment" below; or
- Scanning and emailing to ZILBRYSQREMS@ppd.com; or
- Faxing to 1-877-411-3609
4 - Verify
Verify prescriber certification online:
- Create an account by clicking "Sign Up / Login"
- Access to secure look-up tool for certified prescribers in the ZILBRYSQ REMS
