BECOME A CONFIRMED TIKOSYN PRESCRIBER

To become a TIKOSYN prescriber, you must first complete the TIKOSYN Education Program. The objective of this program, developed by Pfizer, is to make TIKOSYN available only to prescribers and hospitals that have confirmed their participation in a designated TIKOSYN Education Program (referred to as "confirmed participants"). The program provides comprehensive education about the importance of in-hospital treatment initiation and individualized dosing.

A list of all confirmed participants of a TIKOSYN Education Program is maintained. The drug is available from mail-order pharmacies, and enrolled retail pharmacies. These pharmacies will verify prescribers and hospitals against this list before TIKOSYN is provided to patients or hospitals.

There are 2 ways to complete this program.

1. To request the TIKOSYN CD-ROM.
Please call 1-877-TIKOSYN to obtain a copy of the CD-ROM. Once you have studied the information, complete the Confirmed Education Prescriber Form and fax it to 1-800-788-2637. You can also mail the completed form to:

TIKOSYN Education Program Enrollment
PO Box 917
1 Broad Avenue,
Fairview, NJ 07022

2. To view the content through this Web site, click here. Once you have viewed the content, complete the Confirmed Education Prescriber Form and submit.

Complete and Submit Confirmed Education Prescriber Form

On receipt of your “Confirmation of Education Form for Prescribers,� your name will be added to the TIKOSYN prescriber list. Only then will pharmacies be authorized to fill prescriptions for your patients. Within 5 business days, you will receive a letter of confirmation.

Please call 1-877-TIKOSYN for more information.