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Get answers to questions about prescribing, dosing, the registry
and more. Read the FAQs.

Click on one of the following sections to find out how to use the Clozapine Patient Registry.

How to Register Patients

Patients must be registered with the Teva Clozapine Patient Registry prior to dispensing Teva Clozapine. Patients must also be assigned to a dispensing pharmacy and a treating physician. Registration can be done online, by phone, fax or mail.

A valid User ID is required to register patients online.If you do not have a valid User ID, click here.

Enter your User ID and Password from the home page. You will then see your patient list.

Select the "New Patient" option and follow the prompts to enter patient, pharmacy and physician data. The information will be assessed to determine status. If the patient does not meet requirements for activation you will be notified of the pending status. Registry staff will then verify the data and confirm the registration.

The patient will appear on your patient list with an Active or Pending status. If not, call the Teva Clozapine Patient Registry at 1-800-507-8334.

Enter the patient SSN and Date of Birth. The system will search the database. If the patient is found, the system will display current data. If not found, you will be prompted to enter the following information.

Patient Information
Social Security # Required
Patient Initials Initials Required; Full Name Optional
Date of birth Required
Gender Required
Zip code Default to Zip of Pharmacy if Unknown
Race Default to Other if Unknown
Monitoring Frequency Default to Weekly if Unknown
Clozapine Experience Select "Yes" if the patient is continuing therapy with no interruptions; as in a switch from one manufacturer to another, and if there are no other contraindications.

Select "No" or "Unknown" if the patient is new to clozapine, restarting clozapine or if experience is not known.
Current Monitoring Frequency Select current monitoring frequency from list
Recent lab values Optional. Enter the most recent WBC count, ANC value and total daily dose if known.

The next step in the registration process is assigning the physician and pharmacy to the patient to create a Treatment Team. The system will prompt you to enter DEA numbers. If found, the system displays current data. If not found you will be prompted to enter the following information:

Dispensing Pharmacy and Treating Physician Information
DEA/ID Number Required
Full Name of Provider Required
Facility Name Required
Mailing Address Required
Phone Required
Fax Optional

The next step will display all the data used to register the patient. If correct, you will be prompted to agree to a set of responsibilities. If you agree to the responsibilities, the system will display a message indicating registration status: Active or Pending. The patient will be displayed in your patient list. If not, call the Registry at 800-507-8334.

How to Obtain a User ID and Password

Click here to fill out an electronic User ID request form. You will be asked to provide your contact information, make a user id and password selection, enter responses to a challenge question in case you need to retrieve log in information and agree to a set of responsibilities.

To see your patients you will need to associate your USER ID to your DEA number. If you are not the owner of the DEA number associated to your USER ID, you will be asked to certify that you have appropriate permission to act as a proxy for the owner of the DEA number which allows you to have access to patient information. A member of the Registry staff may contact you or the owner of the DEA number after submission for verification of the DEA assignment.

To activate your USER ID and Password the following information will be needed. You will also be prompted to acknowledge your understanding of the prescribing and dispensing guidelines.

Dispensing Pharmacy and Treating Physician Information
DEA/ID Number Required
Full Name of Provider Required
Facility Name Required
Mailing Address Required
Phone Required
Fax Optional
Email Optional

For assistance call the Registry Help Desk at 1-800-507-8334.

Register a Physician or Pharmacy

On the home page, click the link that says "New User" or "Register Pharmacy and Physicians". The system will prompt the user to enter relevant information about the pharmacy or physician and will require the user to agree to the prescribing guidelines.

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How to Enter WBC count reports and ANC values 

The display of lab data is provided for user convenience. It is the responsibility of users to take appropriate action based on the results of blood tests and any result entered by a user. To view actions associated with lab counts,Click Here.

  1. Login with your User ID and Password.
  2. For data entry on a single patient find the patient and click on the "Lab Entry For Patient" button located on the Patient's record.
  3. For data entry on multiple patients it is recommended you first group and sort the patient list according to your preferences. The system will remember your grouping and sorting preferences.
  4. For data entry on all groups in your patient list click on "Enter lab for list".
  5. For data entry on a specific group, go to that group and click on "Enter lab for Group".
  6. When the data entry screen is displayed, enter the data as shown in the table below:
    Lab report data entry process
    Date of blood test Use 4 digit year format: mm/dd/yyyy.
    WBC count Format is 103/mm3 (e.g., 3,500 is entered as 3.5).
    ANC value Format is 103/mm3 (e.g., 900 is entered as 0.9).
    Therapy status Select Active, Interrupted, Discontinued or Pretreatment.
    Total Daily Dose Format is total milligrams per day(Optional).
    Date Dispensed Leave blank if unknown(Optional).
    Teva Dispensed Was Teva Clozapine dispensed? Choices are yes, no, unknown.
    Monitoring Frequency Current monitoring frequency is displayed. Change if needed.
  7. At the bottom click "Next". A confirmation screen will be displayed.
  8. The entered data will be grouped by safety issue if a low WBC or ANC was entered. You will be asked to respond to three questions.
  9. If all data is acceptable click "Save". If not acceptable click "Edit" or "Back" to change data.
  10. Other functions available from data entry screen:
    • Click on Lab History to see list of labs on selected patient.
    • Click on Patient Notes to enter any comments.

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How to view lab history and graph results

The display of lab history and graphs are provided for user convenience. It is the responsibility of users to take appropriate action based on the results of blood tests and any result entered by a user. To view actions associated with lab count, Click Here.

  • From any patient record, click "Lab history".
  • Lab history for the selected patient displays a graph depicting the lab history over time and projects the next three blood draw dates.
  • From the "lab history" page you can Print a Report, Enter a lab, Add/View Patient Notes posted and edit patient, physician or pharmacy information.
  • The graph defaults to a display of the last 3 months. Alternate start and end dates can be entered to redraw the graph.

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How to enter and view your patient notes

  • From any patient record in the patient list or during data entry, click on "Patient Notes".
  • The patient notes page allows you to select a standard note, enter free text and view previous notes.
  • A standard note is made by selecting any one of several predefined comments, such as patient hospitalized, discharged, deceased, transferred, etc.
  • Enter free text in the space provided (about 5 lines) to add more details.
  • Click "Save" or "Cancel".
  • Only notes entered by you are displayed. If another User has the same patient in their patient list, they will NOT see your notes. They will see all the lab data.

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How to change patient and group name information

  • From any patient record click on "Team Info".
  • Patient, Physician and Pharmacy Information for the selected patient will appear.
  • Click on "EDIT" in the patient section.
  • In the Patient Information section, patient and group name fields will change color.
  • Add or edit the first and last name for the selected patient.
  • To assign the patient to a group, click on the drop down arrow and choose from the list. If an item you need is not there, click in the "ADD GROUP" box and enter the name of the group you want to add to the drop down list. Click on "Add". Go back to the drop down arrow and highlight your selection.
  • To change a patient's group assignment, select another item from the drop down.
  • To delete an item, click "Delete".

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How to change physician or pharmacy information

This feature allows you to assign the patient to a different physician or pharmacy.

  • From any patient record, click on "Team Info".
  • Patient, Physician and Pharmacy Information for the selected patient will appear.
  • Click on "Change" in the section you want to change.
  • In the Physician or Pharmacy section, using the drop down arrow, select from a list of associated providers.

If a DEA # is not listed, enter relevant data as follows:

  • DEA/ID
  • Physician or Pharmacist Name
  • Facility Name
  • Address
  • Phone
  • Fax
  • Click "Save" to submit all changes.

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How to determine blood test due dates

Run the Print List Report from the Patient List screen. On the Patient List screen, from Select Report drop down, select the Print List Report. This report will show the next due date based on the date of the last blood test and the patients current monitoring frequency.

From any patient record, click "lab history". The lab history screen shows patient information, lab history for the selected patient and a graph depicting the lab history over time and projects the next three blood draw dates.

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How to calculate ANC values

For the ANC Calculator, Click here.

The ANC calculator and the ability to record ANC results is provided for user convenience. It is the responsibility of users to take appropriate action based on the results obtained from the ANC calculator or any results entered by a user. To view actions associated with lab counts, Click Here.

ANC equals the Total WBC count multiplied by the total percentage of neutrophils (segs plus bands).(Mosby's Diagnostic and Laboratory Test Reference, 6th ed. 2003. White blood cell count and differential, page 942.

Example 1:
WBC = 4.3
Segs = 48%
Bands = 2%

4300 x (0.48 + 0.02) = 4300 x 0.5 = ANC of 2,150

Example 2:
WBC = 2.4
Neutrophils = 34%

2400 x .34 = ANC of 816

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How to obtain extra medication for special situations

Patients traveling to destinations where clozapine supply is not available (e.g., islands or on cruise ships) may, at the pharmacist's and physician's discretion, receive an extra one week emergency supply of Teva clozapine tablets. Before the patient receives the extra week supply, the treating physician and dispensing pharmacist should ensure that the patient's lab counts are within normal limits over the past month with no treatment interruptions. If the patient plans on traveling for a longer period of time, the Teva Clozapine Patient Registry will assist (upon request of the health care provider) in setting up a temporary treatment team at the patient's destination.

Vacations/Extended Travel
For patients on vacation or extended travel, provisions must be made for the patient to obtain Teva Clozapine. The Teva Clozapine Patient Registry staff (1-800-507-8334) is available to help the Treatment Team physician in locating an eligible pharmacy in the area of the patient's destination. A temporary Treatment Team will be set up for the duration of the patient's travel. In the event the physician elects to have WBC/ANC testing performed for the patient while on vacation, the results could be sent to the Treatment Team physician and delivery of medication may be arranged by the health care provider.

Relocation
To ensure continuity of treatment, the Treatment Team physician should contact the Teva Clozapine Patient Registry staff (1-800-507-8334) regarding patients who are relocating. The Teva Pharmaceuticals Clozapine Patient Registry staff can provide names of eligible physicians and pharmacies in the relocation site.

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How to apply for the Patient Assistance Program

  1. Register the patient with the Teva Clozapine Patient Registry by calling 1-800-507-8334.
  2. After registration, please request transfer to the Clozapine Patient Assistance Program Manager or complete and fax the enrollment form. To download the paper form, Click here.
  3. Provide the Program Manager with the patient initials, average daily dosage, social security number, and the Teva eligibility code.
  4. Please allow two weeks for processing the request.

How to practice using the registry with test data

Information displayed in the Demo patient list is fictitious. Nothing entered during a practice session is saved.

Go to Home page and click on the Demo link

Prescribing Reminders / Actions Associated with Lab Values

  • Patients must be registered with the Teva Clozapine Patient Registry prior to dispensing Teva Clozapine. Call 800-507-8334 for assistance
  • A current and acceptable WBC count and ANC value is required prior to dispensing clozapine and for 4 weeks after discontinuation of treatment.
  • A current and acceptable lab count is defined as WBC greater than or equal to 3,500/mm3 and ANC greater than or equal to 2,000/mm3 and no older than 7 days from the dispense date.
  • Submit WBC/ANC lab reports to the Teva clozapine registry within 7 days of the blood test.
  • A one, two or four week supply can be dispensed depending on the patient's monitoring frequency.
  • Patients are monitored weekly for the first six months. If there are no low counts the patient can be monitored every two weeks for an additional six months. Afterwards, the patient may qualify for every 4 week monitoring.
  • Every 4 week monitoring requires:
    • Physician Authorization (For a copy of the Monthly Monitoring Request Form, Click here).
    • Clozapine treatment for at least 1 year,
    • Every 2 week monitoring for at least the past 6 months,
    • Acceptable WBC and ANC values over the past year

    • Transitions to reduce frequency of monitoring to every 4 weeks only permitted if all labs within the past year are acceptable (WBC counts >= 3,500/mm3 and ANC values >= 2,000/mm3).
  • Refer to the Clozapine Package Insert to determine actions associated with lab values. Click here for a copy.
  • Refer to the Clozapine Package Insert to determine monitoring frequency after an interruption in therapy. Click here for a copy.

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How to request help:

Teva Clozapine Patient Registry
50 NW 176th Street
Butler Building, Second Floor
Miami, Florida 33169

Phone 1-800-507-8334
Fax 1-800-507-8339

Email:Clozapine.Registry@TevaUSA.com

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