Create an Account
For prescribers, pharmacies and pharmacy staff only. To create your web account for the Bosentan REMS Program, please complete the fields below. The Username you specify must be unique within the Bosentan REMS Program Website.
First Name
Last Name
Email Address
Confirm Email Address
Phone Number
Username
 
 Use Email Address as Username  
 Suggest Username

Password

Password must:

Must not include three consecutive identical characters
Must not be the same as the username
Confirm Password
 
 
Cancel

For additional information about the Bosentan REMS Program, please call 1-866-359-2612.