Thursday, March 21, 2024 6:48:44 PM
It has a boxed warning , not recommended for eGFR < 45 , some time demanding monitoring requirements plus warnings .
Because its an expensive Brand drug the push back from the insurers via prior authorization requisitions ( did your patient try and fail Benylsta ...please document etc or the generics ...etc ) creates huge paper work for Nephrologists and their PA's
The Nephrologist and their PA's are under an intense work load already and to fight thru all the paper work / prior authorization document , monitor the drugs affect etc is more then what most want to deal with unless its almost the last chance for their LN patient to prevent decline into need for dialysis.
My wife knows of only 2 patients on Lupkynis ...largely because of the issues mentioned above .
The Ceo , from an earlier post , seems to be bailing .
I doubt any BP is interested .
JMO
Good luck
Kiwi
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