Account Creation:

Please provide all required fields.

The pharmacy National Provider Identifier (NPI) that you have entered is not enrolled in the ZILBRYSQ REMS Program. Please provide the National Provider Identifier (NPI) associated with the pharmacy that is enrolled in the ZILBRYSQ REMS Program.

The email address that you've provided is already associated with an account in the ZILBRYSQ REMS Program. Please confirm the email address entered, and select "Forgot Password" to reset your password if needed.

Thank you for submitting a request to create an account. The information has been submitted, and, once reviewed, an additional notification will be sent to the email address provided.