This is the route of administration-ROA for Qfitlia.
Subcutaneous- SubQ

This supply is used for the administration of Vyvgart Hytrulo SDV, not the PFS
What is a 25G Butterfly needle

This is the administration form that Hympavzi comes in.
What is a prefilled pen.
(it also comes in pre-filled syringe, but we do not carry that currently)

Andembry is used to help prevent attacks of this condition
What is hereditary angioedema (HAE)

Esperoct is used for treatment of bleeding episodes and this strategy to prevent bleeds before they occur.
What is prophylaxis or prophy
The conditions Skyrizi is indicated to treat
What is Plaque Psoriasis, Psoriatic Arthritis, Crohn’s Disease, Ulcerative Colitis
The disorder(s) Alhemo is used to treat
What is hemophilia A or B

The type(s) of Hemophilia Qfitlia is indicated for
What is Hemophilia Type A (factor VIII) and Type B (factor IX) deficiency
True or False- IV should verify nursing benefits before co-ordinating ongoing nursing for Vyvgart Hytrulo SDV patients.
What is True. Ongoing HHN is provided through WSP coordination (the manufacturer only covers HHN teach and train for PFS)
Hympavzi should NOT be used for this in Hemophilia patients
What are breakthrough bleeds or on demand.
(the patient may have another factor therapy prescribed for breakthrough bleeds)
Andembry is approved for adults and pediatric patients beginning at this age.
What is 12 years old?
Patients receiving Esperoct should be monitored for the development of this complication that can reduce the effectiveness of factor VIII replacement therapy.
What are factor VIII inhibitors?
The route of administration for Skyrizi
What is Intravenous (IV) or Subcutaneous (SubQ)

Alhemo is administered this way
What is a subq pre-filled pen in the abdomen or thigh
The type of Hemophilia treatment Qfitlia is indicated for
What is Prophylactic or prophy
True or False: For Vyvgart pre-filled syringes, any of these three subcutaneous needle sizes may be used: 23G, 25G, or 27G.
What is False. We can use the 25G safety needle with 5/8 inches in length, and thin wall type to administer.
(per manufacturer and RPh recommendation this is the standard for the PFS)

This is the recommended starting age for Hympavzi
What is 12 years and older? (for the 300mg loading dose and the 150mg weekly maintenance dose)
(Per the PI Hympavzi is also recommended for patients 6-12years for the 150mg loading and 75mg weekly maintenance dose)
After the initial loading dose, Andembry is administered at this dose and frequency.
What is 200 mg subcutaneously once monthly?
This clotting factor is deficient in patients who use Esperoct.
What is Factor VIII

This is a possible side effect(s) of Skyrizi
What are infections, headache, fatigue, injection site reaction, anemia, back pain, arthralgia (joint pain), fever, rash, and anaphylaxis reaction.
Alhemo is administered at this prescription frequency.
What is Daily
This is the target range for patient's antithrombin activity while receiving Qfitlia therapy.
What is 15% - 35%
True or False: An EpiPen must be sent for every patient living in a nursing home, even when the facility’s nurses are administering the medication.
What is false- EpiPen is not needed for patients that reside in nursing homes.
(Rationale: Not needed Per RPh, since nursing homes have crash carts in the facility)
A patient should do this if they mistakenly take a dose out of the refrigerator and it is now room temperature
The patient should NOT return the dose back to the fridge, it can be stored at room temp (up to 86 ° F) for up to 1 week
These three reactions are among the most commonly reported adverse reactions with Andembry.
What are injection-site reactions, abdominal pain, and nasopharyngitis?
Unlike products such as NovoSeven or SevenFact, Esperoct belongs to this treatment category.
What is a factor replacement product?
Patients taking Skyrizi should avoid receiving these types of vaccines
What are live vaccines (i.e. live flu vaccines, MMR, Varicella, etc.)

The Alhemo pen should be kept under these storage conditions to maintain its effectiveness.
What is in the refrigerator at 36-46 ℉. It can also be stored at room temperature ((below 86℉) for up to 4 weeks but must be discarded after 28 days.
An antithrombin activity level persistently below 15% is concerning because it may increase the risk of this serious complication.
What is thrombosis (blood clot formation)?
True or False: Medicare patients with high copays do not have access to any financial assistance programs.
What is False- If a patient has Medicare, they may qualify for assistance through the foundations. For MG they provide $10,100 and for CIDP they provide $9500.
This is how long can a patient go without a weekly maintenance dose before needing to restart the loading dose
What is up to 13 days
(Patients should take their dose as soon as possible. If more than 13 days passed since the last dose, the patient will need to restart the loading dose)
This is the recommended action if a patient misses a scheduled monthly dose of Andembry.
What is administer ANDEMBRY as soon as possible and resume monthly dosing from the date of the most recently administered dose
Esperoct's half-life is prolonged through this modification of the factor molecule.
What is PEGylation (attachment of polyethylene glycol)?
Skyrizi should be stored this way
What is in the refrigerator, in the original carton to protect it from light. Take out the therapy 15-30 mins and let it come to room temperature prior to administration
This is the proper action a patient should take if they miss a scheduled dose of Alhemo.
What is inform HCP and resume your once-daily dose.
(For 2-6 missed doses, take 2 doses asap then continue the daily dosage the next day. If 7+ doses missed, the patient will need to receive a new loading dose prior to starting the daily maintenance)