Having trouble accessing Relyvrio? Let us know

We are excited that Relyvrio is now available to people living with ALS. However, we have heard that some people have been denied access to it, and others who have been approved are having trouble getting it due to high copays, etc. We want to help remove barriers to access for you and all people living with ALS. To do that, we need information about your experience. 

If you or someone you know has had trouble accessing Relyvrio, please tell us about it in this form. 

If you would like assistance accessing Relyvrio and getting it covered, please click the last checkbox on the form.

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