PDF Forms for the BEXXAR Therapeutic Regimen

• The BEXXAR Therapeutic Regimen Order Form
• The BEXXAR Therapeutic Regimen Referral Form

Dose Preparation

• The BEXXAR Therapeutic Regimen Dose Preparation Form

Dosimetry

• The BEXXAR Therapeutic Regimen Worksheet #1 - Equipment Settings/Evaluation
• The BEXXAR Therapeutic Regimen Worksheet #2A -Determination of Iodine-131 Activity for the Therapeutic Dose of BEXXAR
• The BEXXAR Therapeutic Regimen Graph 1

Outpatient Release

• The BEXXAR Therapeutic Regimen: Evaluation of Patient's Living and Working Conditions - FORM A
• The BEXXAR Therapeutic Regimen: Determination of Patient Releasability - FORM B
• The BEXXAR Therapeutic Regimen: Instructions to Releasable Patient - FORM C

 

Click here for Important Safety Information about BEXXAR

 

Click here for Detailed Safety Information

 

Complete Prescribing Information for
BEXXAR (Tositumomab and Iodine I 131 Tositumomab)
 

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