Start and complete the Prescriber and Healthcare Professional Training Module, including knowledge check questions and certification
Educate patient on
LUPIN-TOLVAPTAN
Co-sign PPAF with patient
Submit to Program
Provide prescription
and LFT orders
dose if required
and communicate to Patient Support Program
Receive, validate and store PPAF
Contact patient to confirm enrollment and understanding of CDP
Ship supply of LUPIN-TOLVAPTAN to pharmacy for dispensing if all PPAF conditions are met
Send blood test reminders to patient (as per patient preference)
Conduct follow-up for LFT result status with prescriber, using the LFT fax-back form
CDP=Controlled Distribution Program; LFT=Liver Function Test; PPAF=Patient-Prescribe Agreement Form.