Livtencity(maribavir)
LIVTENCITY 200 MG Oral Tablet
NO BOXED WARNING

Dosage & Administration

400 mg (two 200 mg tablets) orally twice daily with or without food.

Get Your Patient on Livtencity

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
Insurance Carrier
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Livtencity Prescribing Information

Livtencity Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Formulary Exception Letter
Complete Letter of Medical Necessity

Benefits investigation

Liventicity Patient Start Form
Liventicity Patient Start Form - Online

Livtencity Financial Assistance Options

Copay savings program

Liventicity Patient Start Form
Enroll in Patient Savings Program
Liventicity Patient Start Form - Online
Learn More

Bridge program

Bridge Program
Learn More

Foundation programs

Liventicity Patient Start Form
Liventicity Patient Assistance Program
Liventicity Patient Start Form - Online
Learn More

Livtencity PubMed™ News

Livtencity Patient Education

Getting started on Livtencity

Instructions For Use: Post-Transplant Cytomegalovirus (CMV) Infection
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

Takeda Patient Support For Liventicity Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Livtencity FAQs