EPS/Safety
AE
PQC/user error/CMO-CRO
Consumer
HCP
100

Patient returning a call from EPS agent and reached med info

What is callers name (first & last name), telephone number, city and state

100

Caretaker calling to report AE during business hours

What is reporter name, phone#, city and state, transfer to Safety 

100

Infusion center calling to report that they cannot read the exp date on the vial

What is caller name, phone#, prof designation, name of facility, address, phone#, email. Report PQC.

100

Consumer calling to get information on side effects of Leqembi

What is your name, phone#, city or state 

100

HCP's office manager calling to get a resource sent 

What is the requestors name, HCP name and specialty, institution name, address, phone#, HCP email address

200

Medical Assistant calling on behalf of one of their patients who would like to start on Leqembi and is inquiring about coverage/price information

What is caller name, phone#, city and state

200

NAS from Inizio calling to report an AE (after hours) that they heard over the weekend, from a family member about Dayvigo

What is NAS name, phone #, reporter name, phone#, address, email, permission for Safety to call back, document event.

200

Infusion center calling to report that Besse delivered the product and temperature excursion happened over the weekend and would like to know if they can get a replacement/credit

What is caller name, facility name, address, phone#, email, Besse address, phone#. Document event, review SMR 013 information. Transfer to EPS for replacement request, provide SR number.

200

Daughter calling on behalf of a family friend, who would like some information on Halaven  and about patient assistance program

What is callers name, phone#, city, state and email address, warm transfer to Oncology if during business hours.

200

Someone calling from HCP's office - you said the introduction and what will be your next response

What is your name, professional title, phone #, name of facility, HCP name at facility, address, email  

300

Agent from Safety calling stating that caller/consumer have medical questions

What is callers name, phone number, city/state

300

Pharmacist calling (during business hours) requesting for manufacturer coupon for Dayvigo, and he would like to get this coupon ASAP, because one of his patients missed several doses of the medication and are having trouble sleeping.

What is Pharmacist's name, phone number, city and state. You can provide the Dayvigo Savings card phone number-855-699-8815 and then transfer to Safety to report AE.

300

If photos of the affected product can be sent, what do you provide the reporter with?

Provide the reporter with the email esi_medinfo@eisai.com and the SR number to put in the subject line.

300

Daughter calling to get information on activating her mother's Dayvigo savings card

What is the caller's name, phone#, city, state and email address. Provide Dayvigo phone number.

300

Pharmacy student calling from hospital pharmacy requesting for Dossier

What is callers name, Supervising Pharmacist's name, phone#, facility name, address, HCP email.

400

What would you do if a caller refuses to give you the city and state?

Verify that the consumer is calling from the United States at least.

400

Caretaker calling to inquire what are infusion related reactions with Leqembi, and when explained IRR, she mentions her husband experienced chills just for an hour and it went away

What is callers name, phone #, patient name, address, email, take AE if after hours, transfer to Safety if not.

400

NAS calling to report about black floating crystals found in Leqembi vial for one of their clients 

What is NAS name, phone# and reporter name, prof designation, phone#, facility name, address, & email. Complete PQC per protocol.

400

Husband calling on behalf of wife who started on Leqembi 3 months ago. Had no issues getting the infusion so far and would like to know what will happen if they missed a dose while they are on vacation

What is callers name, phone# city or state

400

Nurse calling from specialty pharmacy requesting for SDS

What is caller's name, phone#, address, email 

500

You are collecting the spelling of a consumer's first and last name, phone number, city and state. What would you do while collecting the information provided?

Recap the spelling of names, recap phone number, recap spelling of city and state.

500

An HCP is reporting an AE, the agent collects the HCP name, phone number, Institution name, street address, city, state, zip code and specialty. What two pieces of information are missing?

Name of Medication and Professional Designation.

500

A consumer called to report an AE, the MIS collected the Name of Medication, First and Last Name, Best telephone number, Email Address, City, State and Zip Code, what does the MIS still need to collect?

Street Address

500

Consumer calling after hours and is asking about a dose that was supposed to be administered on Monday, and the infusion center rescheduled the appointment for Wednesday.

What is caller name, phone#, address, email - AE b/c patient/caller missed the dose.  

500

Retired HCP calling to get information on Leqembi side effects, scheduling of MRI, because his wife who is getting Leqembi had experienced severe HA after the 2nd infusion.  

What is caller/reporter First/Last name, phone#, address, email, patient name. Provide answer to medical inquiries and then transfer to Safety for AE. 

M
e
n
u