Accessible via Azure's Key Vault API using the Azure KMS Adapter, and a key management service is available that allows you to use symmetric keys.
See
Refer to below for key management services for which symmetric keys are available.
https://learn.microsoft.com/en-us/azure/key-vault/keys/about-keys#key-types-and-protection-methods
Refer to below for Azure key management services.
https://learn.microsoft.com/en-us/azure/security/fundamentals/key-management#azure-key-management-services