BRIXADI REMS Online Enrollment Form

PLEASE NOTE: The BRIXADIREMS.com website will be undergoing planned maintenance over the weekend of September 5th. Starting at 5pm, September 5th, enrollment forms submitted through the

Certification Portal will not be accepted.

Faxed enrollment forms, sent to 1-833-274-8597, can still be submitted and will be processed Monday, September 8th.*