REMS PROGRAMS
PKU
STAKEHOLDERS
OPERATIONS
WILD CARD
100

Risk Evaluation and Mitigation Strategy

What is REMS?

100

A rare metabolic disorder

What is PKU?

100

1. Establish processes and procedures to ensure that the drug is distributed only to certified pharmacies

2. Train all relevant staff involved in distributing on the REMS Program requirements. 

3. Distribute only to certified pharmacies and maintain records of all distributions

4. Comply with audits carried out by BioMarin or a third party acting on behalf of Biomarin to ensure that all processes and procedures are in place and are being followed. 

What is a wholesaler

100

855.758.7367 

What is the REMS program call center phone number? 

100

Pharmacy recertification

If a new authorized representative is designated by completing and submitting the pharmacy enrollment form. 

200

To ensure the benefits of a drug continue to outweigh its risks. 

What is REMS objective? 

200

Indicated to reduce blood phenylalanine concentrations.

What is PALYNZIQ?

200

1. Review the drug's prescribing information

2. Review: Prescriber Guide & REMS Program Overview

3. Successfully complete the Prescriber Knowledge Assessment

4. Enroll in the REMS by completing the prescriber enrollment form. 

What is prescriber certification? 

200

A validated, secure database of all REMS participants who are enrolled and/or certified in the PALYNZIQ REMS. 

Where is stakeholder information kept? 

200

What is the REMS program website? 

300

Sixty

The number of active REMS programs

300

Anaphylaxis

What is the most important risk of PALYNZIQ? 

300
A designated pharmacy staff member who becomes certified, trains staff and complies with the REMS requirements. They verify the prescriber is certified and the patient is authorized to receive PALYNZIQ and the patient has auto-injectable epinephrine. 

What is an authorized representative? 

300

Two business days

Time period to notify prescribers, patients and pharmacies that they have become certified in the REMS program. 

300

Show this to all of your doctors or emergency responders involved in your medical treatment, even if it is not for your PKU. 

What is the patient wallet card? 

400

To mitigate the risk of anaphylaxis associated with PALYNZIQ

What is the goal of the PALYNZIQ REMS?

400

One of the essential amino acids, essential for life, but our bodies cannot make. 

What is phenylalanine? 

400

Prescribing information, REMS program overview, prescriber guide, prescriber knowledge assessment and prescriber enrollment form. 

What are prescriber materials? 

400

What is the program's website?

400

Fainting, dizziness, sudden confusion, trouble breathing, chest discomfort, swelling of face, flushed skin, rash, itching, nausea, vomiting. 

What are symptoms of anaphylaxis? 

500

The government agency overseeing REMS programs

What is the FDA? 

500

Missing or deficient enzyme

What is phenylalanine hydroxylase (PAH)?

500

1. Review the Patient Guide, Safety Video and Wallet Card

2. Enroll in the REMS by completing the Patient Enrollment Form with the prescriber.

3. Receive counseling from the prescriber on how to recognize and respond to signs and symptoms of anaphylaxis, and having auto-injectable epinephrine with you at all times using the Patient Guide, Safety Video and Wallet Card. 

4. Adhere to the safe use conditions including obtaining auto-injectable epinephrine. 

What is a PALYNZIQ patient? 

500

866.713.8421

What is the Palynziq REMS fax number? 

500

An adult who can be present with the patient during and at least one hour after PALYNZIQ injection and is able to recognize signs and symptoms of anaphylaxis, call for medical support and administer auto-injectable epinephrine as required. 

What is an observer?