ZYPREXA RELPREVV

Order Educational Materials

To order, please complete the information below and click submit.

Requestor Information

First Name: * MI: Last Name: *

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City: * State: * Zip: *

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Please indicate the number of items requested in the blanks below.

Training Materials Kit for Prescriber* and Healthcare Facility

Kit includes:

ZYPREXA RELPREVV Patient Care Program Instructions Brochure
Reconstitution & Administration Poster & Training Video (DVD)
Healthcare Professional Training Recorded Presentation (DVD) with Participant Guide
PDSS Case Study Video (DVD)
Medication Guide
Prescribing Information

*Note: Patient Materials will automatically ship to a prescriber after prescriber registration is complete.

Training Material for Pharmacy Service Providers

(traditional pharmacy operation or buy & bill prescriber)

ZYPREXA RELPREVV Patient Care Program Instructions Brochure

Training Materials Available as Individual Items

ZYPREXA RELPREVV Patient Care Program Instructions Brochure

Reconstitution & Administration Poster

Reconstitution & Administration Training Video (DVD)

Healthcare Professional Training Recorded Presentation (DVD) with participant guide

PDSS Case Study Video (DVD)

Patient Materials
10 Wristbands

10 ID cards

Forms Available as Individual Items

Single Patient Injection Form - tear-off pad of forms (25 forms/pad)

Multiple Patient Injection Form - tear-off pad of forms (25 forms/pad)

PDSS Form - 3 forms/pack

Patient Registration Form - 5 patient forms/pack

I understand that any personal information provided on this form will be used to provide educational materials only. For further privacy information please see the Privacy Policy.

Submit

Please see Prescribing Information for full details about the risks of ZYPREXA RELPREVV, including Boxed Warnings.

This site is intended for U.S. residents age 18 and over.
For more information about ZYPREXA RELPREVV, contact your doctor or other healthcare professional.