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program resources

  • Fact Sheet
  • Prescriber Enrollment Form
  • Prescription Authorization Form
  • Pediatric Patient Guide and Patient-Prescriber Acknowledgement Form
  • Adult Patient Guide and Patient-Prescriber Acknowledgement Form
  • Pharmacy Enrollment Form

For additional information about JUXTAPID REMS, please call 1-85-JUXTAPID (1-855-898-2743)

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PP-J-0029 V2.0 02/2026
Reference ID: 5752468
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