Healthcare settings that dispense DSUVIA must:
To become certified to dispense
Download and complete the enrollment form
to submit it 1 of 3 ways:
AcelRx Pharmaceuticals, Inc.
Attn: REMS Administrator
25821 Industrial Blvd, Suite 400
Hayward, CA 94545
Your healthcare setting must designate an Authorized Representative to coordinate the certification process and oversee implementation of and compliance with the DSUVIA REMS. To enroll your healthcare setting, the Authorized Representative must complete, sign, and submit the Healthcare Setting Enrollment Form to the DSUVIA REMS.
By signing the Healthcare Setting Enrollment Form, the Authorized Representative agrees to comply, on behalf of your healthcare setting, with the following REMS requirements:
Limitations of Use
AcelRx Pharmaceuticals, Inc. is committed to patient safety. To report suspected adverse reactions with DSUVIA, please contact: