Starting Voyxact (sibeprenlimab)Your first 90 days with IgA nephropathy: the steps, the dates and who to call

How you take it

One shot under the skin every 4 weeks, from a prefilled syringe you keep in the refrigerator. You or a caregiver give it at home after training.

Before your first dose

• A check that you do not have an infection right now.
• Any live vaccine you need, done at least 30 days before your first shot. Ask your doctor which of your vaccines are live ones.
• Your doctor's office sends a start form to PANTHERx Rare, the specialty pharmacy. You sign it too, which signs you up for Otsuka Patient Services, the drugmaker's support program.
• Your insurance approves the medicine. With private insurance, you may pay as little as $0, and Otsuka may cover a few doses while your plan decides.
• PANTHERx Rare calls you to set up delivery, so answer calls from numbers you do not know that week. A Care Navigator from Otsuka can help you learn to give the shot.

The first 90 days

1. A month beforeLast day for live vaccines, 30 days before your first shot
2. 2 weeks beforeStart form sent and insurance approval requested
3. Days beforePANTHERx Rare calls
4. Day 1First injection, 400mg
5. Day 29, then every 28 daysNext shot and a new box, every 4 weeks
6. Day 84Three months in