Treatment Access Resources for Clinicians

This page provides resources to support clinicians in helping patients overcome access barriers to treatment. Here, you’ll find tools such as medical necessity letter templates and appeal guidance.

MEDICAL FOODS

• Template of a letter a physician can use to appeal on behalf of a patient.
  This template references the following attachments:
  • • Definition and description of EGIDs
    • Summary of consensus guidelines on the diagnosis and treatment of eosinophilic esophagitis
    • Definition of medical foods (copy and paste from this page, see above. Or, print out the information from the FDA website)
    • Insurance coverage of medical foods

EOHILIA

• Letter of Medical Exception

• Letter of Appeal

• Prior Authorization Overview

• EOHILIA PI