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.

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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
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Bridge program

Bridge Program
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Foundation programs

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

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