Prescriber

Healthcare Providers must be certified in the Clozapine REMS to prescribe for outpatient use.

To certify as a prescriber:

1

Review the Prescribing Information

Review each drug's Prescribing Information

2

Review the Guide for Healthcare Providers

Review the Clozapine and the Risk of Neutropenia: A Guide for Healthcare Providers

3

Complete the Knowledge Assessment for Prescribers

Successfully complete the Knowledge Assessment for Prescribers and submit it to the Clozapine REMS.

Online or Print

4

Complete the Prescriber Enrollment Form

Enroll in the Clozapine REMS by completing the Prescriber Enrollment Form and submitting it to the Clozapine REMS.

Online or Print

Prescriber Materials

Clozapine and the Risk of Neutropenia: A Guide for Healthcare Providers

Knowledge Assessment for Prescribers

Prescriber Enrollment Form

Patient Enrollment Form

Patient Status Form

ANC Lab Reporting Form

Prescriber Designee Enrollment Form

What’s Changed in the Clozapine REMS for Prescribers?