Livtencity
Generic: maribavir
Manufacturer: Takeda · Program: Takeda Patient Support Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Primarily commercially insured for co-pay program; patient assistance eligibility investigated via soft credit check
Residency
US residents and Puerto Rico
Uses soft credit check; additional documentation may be required; eligibility requirements apply
Program Information
Processing Time
2–8 weeks
Delivery Method
shipped to patient via specialty pharmacy
Application Method
Multiple
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Patient Start Form
- Prescription
- Proof of income or financial information for PAP eligibility
Indicated For
CMV refractory transplant, post-transplant cytomegalovirus infection
About This Medication
# Takeda Patient Support Patient Assistance Program Patient Guide: How to Get Livtencity (maribavir) at Low or No Cost Livtencity (maribavir) is an antiviral medication used to treat cytomegalovirus (CMV) infection in adults who have had a stem cell or organ transplant and whose infection does not respond to other antiviral treatments. The **Takeda Patient Support Patient Assistance Program** helps eligible patients with financial need access Livtencity at low or no cost, especially if you lack insurance or face high out-of-pocket expenses.[1][2][3] ## Who Qualifies for the Program? This program targets patients experiencing financial difficulties who have limited or no insurance coverage. Key eligibility factors include: - A valid prescription for Livtencity for an FDA-approved indication, such as post-transplant CMV infection resistant to other therapies.[1][3] - Enrollment in Takeda Patient Support, which is the gateway to assistance options.[2][8] - A **soft credit check** to assess financial need; no strict federal poverty level (FPL) thresholds are publicly specified, but additional documentation may be required based on your situation.[7] The program uses a flexible approach rather than fixed income limits, making it accessible for those with demonstrated hardship. If you're commercially insured, you may qualify for co-pay help instead, paying as little as $0 per prescription. Government-insured patients (like Medicare) can explore options, though primary focus is on uninsured or underinsured.[1][3][8] ## About Livtencity (maribavir) **Livtencity** is a first-in-class antiviral specifically for treating refractory CMV retinitis or viremia in transplant recipients. Unlike traditional drugs like ganciclovir, it targets the viral kinase enzyme, offering a new option for patients with resistance. It's taken as tablets (400 mg twice daily) with food and is dispensed through specialty pharmacies. Common side effects include taste disturbance, nausea, diarrhea, and fatigue—discuss with your doctor.[1][6] Takeda Patient Support provides education on your condition, medication use, and access, connecting you with resources via phone or online portals.[5][6][9] ## Income Eligibility Breakdown Specific income thresholds (e.g., 400% FPL) are not detailed publicly; eligibility relies on a **soft credit check** and supporting financial proof. This means Takeda reviews your overall financial picture without a hard credit pull that affects your score. | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Not specified | Soft credit check; proof of income required[7] | | Couple | Not specified | Additional docs may be needed[7] | | Family of 3 | Not specified | Eligibility requirements apply[7] | | Family of 4 | Not specified | Flexible assessment[7] | **Tip**: Gather recent tax returns, pay stubs, or benefit statements to strengthen your application. No FPL percentage is fixed, allowing case-by-case approval.[7] ## Insurance Requirements - **Primarily for uninsured or financially needy**: The Patient Assistance Program (PAP) suits those without coverage or with high costs after insurance.[7][8] - **Commercially insured**: Access co-pay assistance for $0 out-of-pocket (terms apply, annual caps exist).[3][8] - **Government insurance (Medicare/Medicaid)**: Benefits investigation checks options; Quick Start may bridge delays.[1][2] Takeda conducts a **benefits investigation** to confirm coverage and prior authorization needs, coordinating with your insurer.[2][8] ## Step-by-Step Application Process Applying is straightforward with multiple methods. Expect coordination via specialty pharmacy. 1. **Get Prescribed**: Ensure your doctor prescribes Livtencity via the **Patient Start Form**, which doubles as prescription and enrollment.[2][3] 2. **Enroll in Takeda Patient Support**: - **Online**: Visit **tps-hcp.iassist.com** (healthcare providers) or iassist.com.[2][7][8] - **Phone**: Call **(855) 268-1825** (Mon-Fri, 8 AM-8 PM ET) for help.[1][6] - **Fax**: Send Start Form to **1-855-268-1826**.[1][2] 3. **Submit Documents**: - Patient Start Form - Prescription - Proof of income/financial info (e.g., tax returns, W-2s)[7] 4. **Soft Credit Check**: Takeda reviews eligibility automatically.[3][7] 5. **Approval & Shipment**: Once confirmed, medication ships to you via specialty pharmacy.[1][2] **Quick Start Option**: For insurance delays, eligible patients get 7 days free while coverage is pursued (commercially/government-insured, FDA indication).[1][3][4] ## Timeline and Delivery Processing varies; Quick Start offers immediate 7-day access.[1][3] Standard PAP approval may take days to weeks post-review. Delivery is **shipped directly to your home** by a specialty pharmacy after verification—no pharmacy pickup needed.[1][2][7] Track via iAssist portal or phone updates.[3] ## Alternatives if Denied - **Appeal**: Provide more financial docs or updated info.[7] - **Co-Pay Program**: If commercially insured.[8] - **Quick Start/Emergency Access**: Up to 60 days for urgent needs.[3] - **Other Options**: Takeda explores insurance appeals, prior auth help, or formulary exceptions (sample letters available).[2][4] - **External Aid**: Check NeedyMeds, RxAssist, or state programs. ## Disclaimer This guide is for informational purposes only and not a guarantee of eligibility or approval. Program terms, including annual benefit maximums, apply—visit takedapatientsupport.com for details. Consult your healthcare provider or Takeda at (855) 268-1825 for personalized advice. Eligibility can change; data current as of program details provided. Always verify with Takeda directly.
Program information last verified: March 30, 2026
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