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Web xyrem prescription form must be completed in full and sent to the xywav and xyrem rems. Web xyrem® (sodium oxybate) oral solution, 0.5 g/ml is a prescription medicine used to treat the following symptoms in people 7 years. For your convenience, all these. Web download the xyrem prescription form: Web the online rems patient enrollment form can be found here. Submit the completed and signed front page of the xywav. Print and sign the completed xywav or xyrem prescription form for your patient :