Resources

Resources to help start your patient on LIVTENCITY® (maribavir)

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Start Form

Complete to get your patients started on LIVTENCITY® (maribavir) and enrolled in Takeda Patient Support. You can also complete the Start Form online.

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Healthcare Provider Checklist

Reference when completing the Start Form for detailed instructions and common errors.

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Quick Start Postcard

Helps eligible patients who are experiencing insurance delays get immediate access to 7 days of LIVTENCITY®¶§ (maribavir)

Must meet eligibility requirements.

§Additional terms and conditions may apply.

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Sample Formulary Exception Letter

Customize this template if you need to submit a letter to your patient's insurance provider in the case of coverage rejection.

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Sample Letter of Medical Necessity

Customize this template if you need to submit a Letter of Medical Necessity to your patient’s insurance provider.

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Full Prescribing Information

Explore the Full Prescribing Information for LIVTENCITY® (maribavir), available in English and Spanish.

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Resources to help your patients learn more about LIVTENCITY® (maribavir)

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LIVTENCITY® (maribavir) Patient Brochure

This brochure helps patients and caregivers learn more about CMV and LIVTENCITY® (maribavir).

The brochure is available in English and Spanish.

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Full Prescribing Information

Patients can explore the Full Prescribing Information for LIVTENCITY® (maribavir), available in English and Spanish.

Need support with your patient’s access or starting treatment with LIVTENCITY® (maribavir)?

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