Starting Imaavy (nipocalimab-aahu)Your first 90 days with generalized myasthenia gravis: the steps, the dates and who to call

How you take it

An infusion into a vein at a clinic, office or home. You get a larger first dose, then a smaller dose every 2 weeks, starting 2 weeks later.

Before your first dose

• Your vaccines are brought up to date before your first infusion. Live vaccines are not recommended while you are on Imaavy.
• Tell your doctor about any recent infection, and whether you have ever had shingles or mono.
• Your doctor's office sends a form to IMAAVY withMe, the drugmaker's support program, with your weight, because the dose depends on it.
• Your insurance approves the medicine. If a private plan takes more than 5 business days or says no, the program may give it to you free. That help lasts up to 3 years, or until the plan covers it.
• A nurse from the program calls within 1 to 2 business days. For patients under 18, the nurse works with a caregiver. Caller ID shows Navigator withMe. Plan on about an hour or longer for each visit. The drugmaker suggests having someone drive or travel with you.

The first 90 days

1. Before the first infusionSign up with the support program, insurance check
2. Once approvedApproval, then booking the infusion
3. Day 1First infusion, the 30mg/kg starting dose
4. Days 1 to 3Days 1 to 3: watch for reactions after the infusion
5. Day 15Day 15: the smaller every-2-weeks dose starts
6. Day 29Maintenance infusion 2
7. Day 43Maintenance infusion 3
8. Day 57Maintenance infusion 4
9. Day 71Maintenance infusion 5
10. Day 85Maintenance infusion 6