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’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 Authorization Form
To approve disclosure of relevant health information
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 NecessityHear 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