Resources

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

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.

Healthcare Provider Checklist

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

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.

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.

Sample Letter of Medical Necessity

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

Full Prescribing Information

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

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

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.

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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