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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
LIVMARLI BrochureLearn more about LIVMARLI and how it may help appropriate patients.
Mirum Access Plus (MAP) Resources for You
Patient Enrollment FormDownload and fax this form to MAP to prescribe LIVMARLI and/or enroll your patients in MAP support.
Rx to Fill GuideRefer to this step-by-step guide for more information on prescribing LIVMARLI.
Template Letter of Medical NecessityDownload and use this template letter of medical necessity to support the payer approval process with insurance plans.
Tips for Payer ApprovalKeep these tips and questions in mind to help with coverage determination for your patients.
Tips for AppealsThese are some steps that may help if your patients’ insurance plans’ prior authorization or medical exception are denied.
MAP MobileConsider this digital option to enroll your patients in MAP support, easily provide their insurance information, and e-sign documents to expedite processing.
LIVMARLI Resources for Patients
Patient WebsiteShare this website with your patients to explain LIVMARLI treatment in a patient-friendly manner.
Patient BrochureProvide this resource to your patients considering or receiving LIVMARLI treatment.
Discussion GuideA 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 MedicationThis resource helps explain to your patients the initial process of receiving LIVMARLI prescription and treatment.
MAP BrochureThis brochure summarizes the MAP support available to your patients.
Patient Consent FormPatients 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.
MAP MobileEncourage patients to visit the Patient Website to sign up for MAP support through their mobile phones.
Additional Resources for Patients
Teddy Activity BookAn educational children’s book about Alagille syndrome that can help patients understand the disease through storytelling and engaging activities.
Itch✓ AppItch✓ 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 JournalPatients and caregivers without an iPhone can still bring a detailed symptom journal to their next appointment with the Itch✓ Printable Journal.
Survey the
Battlefield
Outmatch the scratch with LIVMARLI—learn how to help keep itch at bay for your patients with Alagille syndrome.
See HowLIVMARLI 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 Outthe 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