If you'd like to prescribe CTEXLI for your patient, download the Patient Enrollment Form and Patient Authorization Form. Once you have filled out the forms, fax them to Mirum Access Plus at 1-855-282-4884.
Mirum Access Plus is available to help you, your office, and your patient not only get started with CTEXLI after you've prescribed it, but also to provide support throughout treatment.
Read on to learn about the details of Mirum Access Plus support available to you and your patients.
If you have any questions about Mirum Access Plus,
contact us at 1-855-MRM-4YOU (1-855-676-4968)
Monday through Friday, 8:00 AM through 8:00 PM ET.
Refer to this step-by-step guide for more information on prescribing CTEXLI
Ready, Set, Go
Getting Your Patients the Treatment They Need
Support and resources are available through Mirum Access Plus to help you and your office navigate insurance coverage, as well as assist your patients with treatment costs and prescription fulfillment.
Insurance Coverage and Access Support
Throughout the payer approval process, Mirum Access Plus works closely with you, your patients, and the insurance plan to help ensure patients get the treatment they need.
Financial Support for Patients
Mirum Access Plus Savings Program: Eligible patients with commercial or private insurance may pay as little as $0 out of pocket per fill for CTEXLI.*
Mirum Patient Assistance Program (PAP): Provides CTEXLI at no cost for up to 1 calendar year for patients without insurance coverage, with eligibility reviewed each year.†
Single-Source Specialty Pharmacy
Mirum Access Plus is a single-source specialty pharmacy that will ship CTEXLI directly to patients, provide 24/7 access to pharmacists, and proactively manage refills.
*Eligibility restrictions: This program is not available to individuals who use any state or federal government-funded health care program to cover a portion of medication costs, such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration, or any other state or federal government-funded health care program.
†Subject to program terms and conditions.
By Your Side at Every Turn
A Team Dedicated to Your Patient's Treatment Journey
Focus on what matters and leave the rest to our experienced and dedicated team at Mirum Access Plus, who will work with your office staff through the access process and assist your patients at every turn.
Mirum Access Plus Coordinators
Available to your office staff and your patients, Mirum Access Plus Coordinators are experts who specialize in the insurance coverage process and available financial support options.
Experienced Navigators
Navigators will connect with your patients to provide health education and the emotional support needed to address the difficulties of living with their medical condition.
Mirum Access PLUS
Even More to Help Patients Start and Stay on Therapy
In addition to helping your patients get the treatment they need, Mirum Access Plus offers educational resources and tools for patients who sign up for the program.
If your patients choose to enroll, they will have access to an even wider range of support services tailored to them:
Personalized support
Navigators can support all patients by answering questions about CTEXLI, the disease, or the access process. For patients who have provided their consent, navigators can help track treatment goals, develop a support network, and prepare for health care appointments.
Drive adherence
Navigators can help reinforce adherence. They will also encourage communication between patients and their physicians.
Mirum Is Your Partner in Patient-Centric Care
Mirum has a driven and focused team whose mission is to create transformative, life-changing medicine for patients with rare diseases. We have a strong understanding of the significant impact rare diseases have on quality of life for patients and caregivers. With 140+ industry veterans, scientists, and thought leaders, Mirum is backed by significant expertise in rare diseases and pharmaceutical development. We aim to always provide dedicated leadership and safe, effective treatments that you, your patients, and their caregivers can rely on.