Relyvrio

(phenylbutyrate / taurursodiol)
sodium phenylbutyrate 3000 MG / taurursodiol 1000 MG Powder for Oral Suspension [Relyvrio]
NO BLACK BOX WARNING

Dosage & administration

drug label

Relyvrio prescribing information

Need to report a Relyvrio issue?

ONLINE FORM
Report adverse event
Learn More

prior authorization

Relyvrio Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
Learn More

Benefits investigation

Relyvrio Enrollment Form – Amylyx Care Team (ACT) Support Program
Learn More

Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
Learn More

financial assistance

Relyvrio Financial assistance options

Co-pay savings program

commercial only

NOT PROVIDED BY BRAND
Enroll in Patient Savings Program
Learn More

Bridge program

commercial only
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Learn More

patient education

Relyvrio Patient education

Getting started on Relyvrio

Instructions For Use: ALS
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Patient toolkit

What To Expect With Relyvrio
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Relyvrio FAQs

FAQ Data Source

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.