WELCOME TO THE (RESOURCE) LIBRARY
Support for You and Your Practice Is Just a Click Away
Several resources are available to help you prescribe and access LIVMARLI for your patients. Patient-friendly resources are also available to share and discuss with your patients.
LIVMARLI Resources for You
Learn more about LIVMARLI and how it may help appropriate patients.
Patient Profiles Brochure
Take a closer look at who may be appropriate for LIVMARLI.
Mirum Access Plus (MAP) Resources for You
Patient Enrollment Form
Download and fax this form to MAP to prescribe LIVMARLI and/or enroll your patients in MAP support.
Rx to Fill Guide
Refer to this step-by-step guide for more information on prescribing LIVMARLI.
Template Letter of Medical Necessity
Download and use this template letter of medical necessity to support the payer approval process with insurance plans.
Tips for Payer Approval
Keep these tips and questions in mind to help with coverage determination for your patients.
Tips for Appeals
These are some steps that may help if your patients’ insurance plans’ prior authorization or medical exception are denied.
Consider this digital option to enroll your patients in MAP support, easily provide their insurance information, and e-sign documents to expedite processing.
Additional Resources for You
Itch Severity Tool
Learn how you can utilize clinically validated tools to rate itch severity over time.
LIVMARLI Resources for Patients
Share this website with your patients to explain LIVMARLI treatment in a patient-friendly manner.
Provide this resource to your patients considering or receiving LIVMARLI treatment.
Offer this guide to teenagers who are ready to take charge of their treatment.
Provide this resource to caregivers who are considering LIVMARLI treatment for their child or children.
Guide for Taking LIVMARLI and Managing Side Effects
Nurses can share this brochure with patients and caregivers to discuss treatment with LIVMARLI and possible side effects.
A short, simple list of questions to help your patients discuss LIVMARLI with you and gain more knowledge about and confidence in getting started.
Mirum Access Plus Resources for Patients
Steps to Getting Medication
This resource helps explain to your patients the initial process of receiving LIVMARLI prescription and treatment.
This brochure summarizes the MAP support available to your patients.
Patient Consent Form
Patients can enroll in the support program by texting ENROLL to 1-833-MAP-4YOU (1-833-627-4968). Or, they can download and sign the Patient Consent Form to sign up.
Encourage patients to visit the Patient Website to sign up for MAP support through their mobile phones.
Additional Resources for Patients
Teddy Activity Book
An educational children’s book about Alagille syndrome that can help patients understand the disease through storytelling and engaging activities.
Itch✓ is an app that makes it simple for patients and caregivers to track symptom patterns over time. The app generates customized reports to share at appointments.
Itch✓ Printable Journal
Patients and caregivers without an iPhone can still bring a detailed symptom journal to their next appointment with the Itch✓ Printable Journal.
Apple App Store® is a registered trademark of Apple Inc.
Battle the bile monster with LIVMARLI—learn how to help keep itch at bay for your patients with Alagille syndrome.See How LIVMARLI Works
Encourage patients to download the Itch✓ app to help them track symptom patterns over time and generate customized reports to share at appointments.Check Out the Itch✓ App
MAP assists both you and your patients at every turn, helping you navigate the payer approval process—and beyond—with ease.Learn More About MAP