Prescriber Certification

Prescribers must be certified in the SILIQ REMS Program to prescribe SILIQ.

To complete prescriber certification:

READ the SILIQ REMS Program Prescribing Information, to understand the risks of SILIQ and to learn about the SILIQ REMS Program
COMPLETE a SILIQ REMS Program Prescriber Enrollment Form

To complete enrollment for SILIQ patients:

EDUCATE & COUNSEL all patients about the risks of SILIQ and how to monitor them
SIGN a SILIQ REMS Program Patient-Prescriber Agreement Form for each new patient before prescribing SILIQ and submit the completed form to the SILIQ REMS Program and store a copy in the patient's records.