KEVZARA
RESOURCES

KEVZARA offers a library of helpful downloadable resources for you and your patients.

RESOURCES FOR HEALTHCARE PROVIDERS

  • Dosing and Administration Guide
  • Download
  • Medication Guide/Instructions for Use
  • Download

ESSENTIAL FORMS AND TEMPLATES FOR KevzaraConnect®

This form is designed to be easily completed by you and your patients. Once the entire enrollment form is completed and signed by you and your patient, fax pages 1 through 4 to 1-844-538-8960.



  • Sample Letter Template: Medical Necessity
  • Download
  • Sample Letter Template: Appeals
  • Download

KEVZARA sample letters are included to help provide the type of information that may be useful when responding to a health plan. These letters provide an example of the types of information that may be provided when responding to a request from a patient’s health plan to provide either a letter of appeal or a letter of medical necessity for KEVZARA. Use of the information in these letters does not guarantee that the health plan will cover KEVZARA and is not intended to be a substitute for or an influence on the independent medical judgment of the physician.


Three convenient options for enrolling your patients in KevzaraConnect.

KevzaraConnect® TOOLS

  • Patient Support Program Brochure
  • Download
  • Prior Authorization Checklist
  • Download