Resources

DIACOMIT and Dravet Syndrome Resources

Explore downloadable DIACOMIT and Dravet syndrome resources for you, your office, and patients and their caregivers

Learn more about DIACOMIT to inform your treatment decisions.

DIACOMIT Drug Interactions Card

Recommendations for dosing with concomitant treatments

Download Card

DIACOMIT Dosing Considerations Guide

Information on dosing by age and weight

Download Card

DIACOMIT’s Mechanism of Action

How DIACOMIT is thought to work

Download forms or letters needed to complete payer requests.

DIACOMIT Access and Coverage Guide

How patients can start and save on treatment

Download Access Guide

Patient Enrollment Form

Required clinical information to start DIACOMIT

Download Enrollment Form

Patient Authorization Form

To approve disclosure of relevant health information

Download Auth. Form – English

Download Auth. Form – Spanish

Department of Veteran Affairs (VA) Enrollment Form

For patients using VA health insurance

Download VA Form

Sample Letter of Appeal

To appeal denied prior authorization, formulary exception, or claim

Download Letter of Appeal

Sample Letter of Medical Necessity

To explain the need for DIACOMIT to payers

Download Letter of Medical Necessity

Hear from Dravet syndrome expert physicians about their DIACOMIT experience.

Dr. Wheless’ Perspective

How Dr. Wheless reduced his patient’s overall medication burden with DIACOMIT

Dr. Sullivan’s Perspective

How Dr. Sullivan’s patient substantially reduced his seizures with DIACOMIT

Access caregiver and patient materials to share during treatment discussions.

Navigating Life With Dravet Syndrome Booklet

Detailed overview of Dravet syndrome developed by experts

Download Information Booklet

Caregiver’s Guide to DIACOMIT

To help caregivers understand treatment and access

Download Caregiver's Guide