Forms & Resources
Alnylam Assist® provides you and your patients with helpful forms and educational resources throughout the treatment journey.
AMVUTTRA® (vutrisiran) Start Form
Find 3 different options to get your patients started.
Together with Your Patient
Available in Other Languages
Find informational resources for the treatment journey.
AMVUTTRA Coverage, Coding, and Reimbursement
AMVUTTRA Billing & Coding Guide - Hospital Outpatient
Provider Readiness Guide
AMVUTTRA Billing & Coding Guide - Physician Office
AMVUTTRA Product Characteristics Sheet
AMVUTTRA Copay Reimbursement Submission Guide
AMVUTTRA Sample Letter of Medical Necessity
Sample Letter of Medical Necessity
This sample letter template is provided for informational purposes only. It provides an example of the form and types of information that may be provided when responding to a request from a patient’s insurance company to provide supporting clinical documentation or a letter of medical necessity for AMVUTTRA. Use of the information in this letter does not guarantee that the health plan will provide reimbursement for AMVUTTRA and is not intended to be a substitute for or to influence the independent medical judgment of the physician
Alnylam Assist® Program Resources
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