What You Will Need to Get Started
When you and your doctor choose to begin treatment with GIVLAARI® (givosiran), the first step is to complete the Start Form together.
Before you begin this process with your doctor, please take a few minutes to review the types of information you will need to fill out for your sections of the Start Form:
This includes basic information like your name, date of birth, current mailing address, email, and phone number.
Primary Insurance Information
This includes information found on your insurance card, if you have one. You will need your plan name, policy number, and group number, so be sure to have your insurance card available.
In order to get started with Alnylam Assist®, your doctor is required to initiate your enrollment in the program and provide their information.
How to Begin the Start Form
The first step towards getting started with the program is to complete the Start Form with your doctor.
Your doctor has options on how to do this. Doctors will either 1) complete the form with you present, or 2) begin the form by filling out their physician information, then share with you via email to complete your portion.
Then, your doctor will submit the form to Alnylam Assist®. Upon receipt of the Start Form, your dedicated Alnylam Case Manager will reach out to you and your doctor within 1-2 business days.