Get your patients started with MYALEPT
Follow the 3 simple steps below to get a patient started with MYALEPT treatment
- If you haven’t already, enroll in the MYALEPT REMS Programa
- Visit MYALEPTREMS.com and review the MYALEPT Prescribing Information and Prescriber Training Module.
- Complete, sign, and fax the one-time MYALEPT REMS Program Prescriber Enrollment Form to 1-877-328-9682.
- Write the prescription
- Complete, sign, and fax the MYALEPT REMS Prescription Authorization Form to 1-877-328-9682. NOTE: You are required to submit a new MYALEPT REMS Prescription Authorization Form for each new prescription. Remember to check off the ancillary supplies on the bottom of page 2 of the form. Please be sure to fill out all sections of the form. Incomplete areas may delay the start of treatment.
- Let your patients know they will be receiving a call from ByMySide
- A ByMySide Coordinator will contact patients from a phone number they might not recognize to complete and fulfill their prescriptions for MYALEPT.
A ByMySide Coordinator will work with your patients to navigate their access and affordability options and coordinate their MYALEPT and supplies shipments directly to the patient or to your office.
To speak with a ByMySide Coordinator, call 1-855-6MYALEPT (1-855-669-2537), Monday through Friday, 8 AM to 8 PM ET.