ParagonRx offers a continuum of services to support the strategy, design, development, documentation, approval, and implementation of risk management programs or REMS, including:

Evidence-Based Analysis

  • An evidence-based analysis (RxFMEA®) of the medication delivery process to identify specific points in the care process at which interventions will be most effective and least disruptive to care
  • Benefit-risk analysis to determine which risks can be addressed by labeling and which require interventions beyond labeling
  • Strategy tradeoff analysis for identified stakeholders

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REMS Planning & Design

  • REMS strategy development considering regulatory, health care provider, and patient stakeholders
  • Collaborative design with stakeholders, using ethnography and other methods, to ensure program elements are feasible and acceptable
  • On-site REMS Coordination Office to support the planning and internal/external REMS coordination process

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Regulatory Preparations

  • REMS documentation for internal and regulatory review
  • Advisory Committee preparations
  • Contingency planning and preparing for FDA/EMEA negotiations
  • 90-day pre-PDUFA date action planning

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Implementation Readiness

  • On-site REMS Coordination Office to assist in the implementation of your REMS program
  • Project management services to maximize program success

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Operations & Assessment

  • Defining REMS assessment protocols, creating survey instruments and specifying performance thresholds
  • Program operations and periodic internal/regulatory assessment/reporting

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