Sabril REMS Program Enrollment and Treatment Initiation, Step by Step
Review the Prescribing Information for SABRIL and complete the SABRIL REMS Program Prescriber Enrollment and Agreement Form. An e-mail will be sent to confirm your enrollment.
Counsel the patient/caregiver on benefits and risks associated with SABRIL and provide a copy of What You Need to Know About SABRIL Treatment: A Patient Guide. Complete the SABRIL REMS Program Patient/Parent/Legal Guardian–Physician Agreement Form.
Submit your patient's prescription for SABRIL in 1 of 2 ways:
- Complete a SABRIL prescription by calling 1-888-457-4273
- Search for a pharmacy certified to dispense SABRIL
For online enrollment, first sign up by creating an account and providing all requested contact information.
Report any adverse event suggestive of vision loss to the SABRIL REMS Program with all available information.