Imaavy

 

TwelveStone Health Partners provides Imaavy infusion treatment for adults and patients ages 12 and older with generalized myasthenia gravis who are positive for anti-AChR or anti-MuSK antibodies. Our infusion teams coordinate with your prescribing neurologist to support treatment in a professionally monitored outpatient setting. 

From referral through each infusion visit, our team helps coordinate scheduling, insurance requirements, and communication with your prescribing provider. Treatment takes place in private infusion suites with professional clinical monitoring and amenities designed to make your time at the center more comfortable. 

Contact our care team to discuss your Imaavy referral and scheduling

  • 35+ Years of Experience: Decades of community-based pharmacy and infusion care for patients with chronic and complex conditions. 
  • 30+ Infusion Center Locations: Private-suite infusion care available across TwelveStone’s Southeastern network. 
  • Private Treatment Suites: Comfortable spaces with personal recliners, high-speed Wi-Fi, and refreshments. 
  • Insurance Coordination: Support with benefits verification, prior authorization, and available financial assistance programs. 

How Imaavy Infusion Treatment Works for gMG 

Generalized myasthenia gravis (gMG) is an autoimmune neuromuscular condition in which certain antibodies interfere with communication between nerves and muscles. Imaavy is approved for patients ages 12 and older whose gMG is associated with anti-AChR or anti-MuSK antibodies. 

How Imaavy Targets IgG Autoantibodies 

Imaavy (nipocalimab-aahu) is an FcRn blocker that reduces circulating IgG antibodies, including the autoantibodies associated with gMG. By blocking the neonatal Fc receptor, Imaavy increases the clearance of IgG from the bloodstream, reducing the antibodies that can interfere with nerve-to-muscle communication. 

By lowering these circulating antibodies, Imaavy is designed to address an underlying immune mechanism involved in gMG. Your neurologist can explain how this mechanism relates to your symptoms, treatment goals, and other therapies in your care plan.

Imaavy Infusion Schedule: What to Expect 

Imaavy follows a scheduled intravenous dosing regimen. Treatment begins with an initial dose, followed two weeks later by maintenance infusions every two weeks. The medication administration time differs between the initial and maintenance doses.

Treatment Stage Recommended Dose Minimum Infusion Time Timing
Initial infusion 30 mg/kg IV At least 30 minutes Once at the start of treatment
Maintenance infusions 15 mg/kg IV At least 15 minutes Beginning two weeks later and continuing every two weeks
Post-infusion monitoring 30 minutes After every infusion

Your total appointment will take longer than the medication infusion itself because time is also needed for check-in, clinical preparation, IV placement, and post-infusion monitoring.

Although each visit may vary based on your prescribed treatment plan and clinical needs, a typical appointment includes the following:

  • Before Your Visit: Follow any instructions provided by your care team, arrive well hydrated unless your provider has advised otherwise, and bring your photo ID, insurance information, and current medication list. Comfortable layers and a personal device can also help during your visit.
  • Pre-Infusion Assessment: Your clinical team checks your vital signs and reviews any current symptoms or health changes that could affect treatment. Tell your care team if you have signs or symptoms of an infection before your infusion.
  • Infusion Administration: A member of your clinical team places or accesses your IV and administers Imaavy while you receive care in a private treatment suite.
  • Post-Infusion Observation: Your clinical team monitors you for 30 minutes after each infusion for signs or symptoms of hypersensitivity or an infusion-related reaction.

Imaavy infusions at TwelveStone are provided in private treatment suites with personal recliners, high-speed Wi-Fi, and refreshments. Your clinical team monitors you throughout treatment and coordinates with your prescribing provider as needed. For patients who would like spiritual support, chaplain services are also available upon request.

How to Start Imaavy Treatment at TwelveStone 

Infusion treatment room with recliner chair, IV stand, and comfortable seating at TwelveStone Health Partners facility

To begin Imaavy infusions at TwelveStone, your prescribing neurologist or specialist sends our team the treatment order or referral and supporting clinical records. Our intake team then works with your provider’s office to gather the information needed for insurance review and treatment scheduling. 

Our financial counselors verify your insurance benefits and manage prior authorization requirements before treatment begins. Because coverage requirements vary by plan, the process may include the following steps:

  1. Benefits Verification: Confirming your plan’s coverage requirements for Imaavy. 
  2. Prior Authorization: Coordinating the clinical documentation requested by your insurance plan and prescribing provider. 
  3. Financial Assistance: Identifying available manufacturer copay or support programs for eligible patients. 
  4. Scheduling: Coordinating your first infusion once the required clinical and insurance steps are complete. 

Your prescribing neurologist determines which gMG therapy is appropriate for your individual treatment plan. If you are researching other medications administered through TwelveStone, you can learn about Vyvgart or explore our complete infusion treatment directory. Once Imaavy has been prescribed, our team can help coordinate the referral, insurance review, and scheduling process. 

Frequently Asked Questions About Imaavy Infusion Treatment

Imaavy is FDA-approved for adults and patients ages 12 and older with generalized myasthenia gravis who are positive for anti-AChR or anti-MuSK antibodies. Your prescribing neurologist determines whether Imaavy is appropriate for your individual treatment plan.

After the initial infusion, Imaavy maintenance treatment begins two weeks later and continues every two weeks. The initial infusion is administered over at least 30 minutes, while maintenance infusions take at least 15 minutes, followed by 30 minutes of post-infusion monitoring. Your total visit will be longer to allow time for check-in, IV preparation, and other clinical needs.

The most common adverse reactions reported with Imaavy include respiratory tract infections, peripheral edema, and muscle spasms. Infusion-related reactions such as headache, flu-like symptoms, rash, nausea, fatigue, dizziness, chills, or skin redness have also occurred. Your clinical team monitors you during treatment and for 30 minutes after each infusion, and you should tell your healthcare provider about any new or concerning symptoms.

Seek immediate medical attention for symptoms of a serious allergic reaction, such as difficulty breathing or swelling of the face, lips, tongue, or throat. 

Yes. Imaavy may increase the risk of infection. Tell your care team if you have symptoms of an active infection because treatment may need to be delayed until the infection has resolved. Live vaccines are not recommended during Imaavy treatment, and your healthcare provider should review whether any age-appropriate vaccinations are needed before therapy begins.

Insurance coverage for Imaavy varies by plan and may require benefits verification and prior authorization. 

TwelveStone’s financial counselors work with your insurer and prescribing provider to manage authorization requirements and, when applicable, additional documentation or appeals after a coverage denial. We can also help eligible patients identify available manufacturer copay or financial assistance programs.

Yes. To begin Imaavy at TwelveStone, your prescribing neurologist or specialist must send the appropriate treatment order or referral. If you are transferring from another infusion provider, our team can coordinate the transfer of your current orders, clinical information, insurance requirements, and scheduling with your prescribing provider. Learn more about the care experience on our infusion center page.

View through glass into TwelveStone Health Partners reception and waiting area, with the logo and office hours printed on the door.

Ready to begin the coordination process? TwelveStone can help with your Imaavy referral, insurance verification, care transfer, and scheduling once the necessary clinical and coverage requirements are in place.