How to Find Givlaari in Stock Near You (Tools + Tips)

Givlaari (givosiran) is unlike almost any other prescription drug you've encountered. It doesn't sit on pharmacy shelves waiting to be dispensed. It moves through a specialty distribution network to clinical administration sites where a healthcare professional gives you your monthly injection. That means finding it requires a completely different approach than searching for a common medication.

This guide walks you through exactly how to locate Givlaari, which pharmacies carry it, and what tools you can use to make the process easier.

Understand How Givlaari Gets to You

Givlaari is distributed through a limited specialty network. Here is the chain:

1. Your prescribing specialist submits a prescription and prior authorization documents to Alnylam Assist®.
2. Alnylam Assist® sends the prescription to either CVS Specialty or Accredo (the two in-network specialty pharmacies).
3. The specialty pharmacy ships Givlaari to an approved administration site (infusion center, physician office, or home nursing visit).
4. A healthcare professional gives you the monthly subcutaneous injection.

Understanding this chain is key: you are not looking for a pharmacy with Givlaari on a shelf. You are looking for a clinical site that is set up to receive and administer it.

Which Specialty Pharmacies Distribute Givlaari?

Only two specialty pharmacies are part of Givlaari's limited distribution network:

• CVS Specialty — Reachable at 1-800-237-2767; can ship to administration sites nationwide
• Accredo — A specialty pharmacy that partners with Express Scripts / Cigna and other insurers

McKesson Corporation is the exclusive specialty distributor that supplies these pharmacies. If your plan uses a different specialty pharmacy, you may need to request an out-of-network exception or formulary exception.

How to Find a Givlaari Administration Site Near You

Once Givlaari is approved and ordered, it needs to go somewhere for administration. Here is how to identify a site:

• Ask Alnylam Assist®: Call 1-833-256-2748. Alnylam Case Managers can search for sites of care near your geographic location.
• Your prescribing specialist's office: Porphyria specialist clinics often administer Givlaari in-office. Ask if they have this capability.
• Infusion centers: Hospital-affiliated infusion centers and independent infusion clinics can often administer subcutaneous specialty medications if they enroll in the distribution network.
• Home administration: For some patients, home nursing visits may be arranged so a trained nurse comes to your home to administer the injection. Ask Alnylam Assist® if this option is available in your area.

Use medfinder to Locate Givlaari Faster

One of the most effective tools for cutting through the confusion is medfinder. medfinder contacts specialty pharmacies and clinical sites on your behalf to find out which ones can fill your Givlaari prescription and schedule your monthly injection. Instead of spending hours on hold navigating specialty pharmacy phone trees, medfinder does the work for you and texts you the results.

Step-by-Step: How to Start Getting Givlaari

1. Get a prescription from a porphyria specialist (hematologist, hepatologist, or metabolic disease specialist).
2. Have your doctor submit prior authorization documents to your insurer (or enroll in Alnylam Assist® if uninsured).
3. Contact Alnylam Assist® at 1-833-256-2748 to enroll in the program and identify your site of care.
4. Your specialty pharmacy (CVS Specialty or Accredo) will coordinate delivery to your chosen administration site.
5. Schedule your monthly injection appointment at your administration site.

What to Do If There Are Delays

Access delays are common with Givlaari. If your dose is running late, immediately contact Alnylam Assist® about the Bridge Program, which can provide medication at no cost while insurance authorization is pending. Talk to your doctor about whether any interim measures (such as trigger avoidance or IV hemin for breakthrough attacks) are appropriate while you wait. Learn more about why access can be challenging in our guide on why Givlaari is hard to find.