1. ZYPREXA RELPREVV Patient Care Program Instructions Brochure It is the responsibility of the pharmacy service provider representative to assure that all staff involved with dispensing ZYPREXA RELPREVV have reviewed the ZYPREXA RELPREVV Patient Care Program Instructions Brochure prior to submitting one of the registration forms below.
Pharmacy Registration Form
OR
Buy & Bill Pharmacy Service Provider* Registration Form

* Buy & Bill Pharmacy Service Provider - a licensed healthcare provider that purchases pharmaceuticals through a licensed distributor for its own use in the treatment of a patient and then includes the cost of the pharmaceutical in its billing of patients and third-party payers.