VACCINATION REQUIREMENTS
ZILBRYSQ REMS and vaccination requirements
Before starting treatment with ZILBRYSQ, you must complete or update your meningococcal vaccine(s).
ZILBRYSQ is only available through a restricted program called the ZILBRYSQ REMS (Risk Evaluation and Mitigation Strategy).

Before you can receive ZILBRYSQ, your healthcare provider must:
- Counsel you about the risk of serious meningococcal infection
- Give you a Patient Guide and Patient Safety Card which explains the signs and symptoms and risk of serious meningococcal infection
- Make sure you have completed your meningococcal vaccinations at least 2 weeks prior to your first dose of ZILBRYSQ
- Provide a prescription for antibiotics at least 2 weeks prior. You should receive the required vaccine(s) as soon as possible and you should also receive antibiotics to take for as long as your healthcare provider tells you
If you have had meningococcal vaccines in the past, your healthcare provider may decide that you need to get revaccinated. Talk to your healthcare provider about which vaccinations are needed to begin treatment with ZILBRYSQ.
PANTHERx Rare and ONWARD® are here to help you every step of the way
ONWARD, a UCB-sponsored patient support program, can provide you with a dedicated care coordinator to help you know what to expect from your treatment. Once enrolled, you can learn more about coverage and potential financial assistance options that may be available to you.
The ONWARD team works closely with PANTHERx Rare, the specialty pharmacy that will dispense your medication and can help facilitate your access to REMS required vaccines prescribed by your healthcare provider.
ONWARD Care Coordinators do not provide medical advice and will refer you to your healthcare professional for any questions related to your treatment plan. ONWARD may be amended or canceled at any time without notice. Some program and eligibility restrictions may apply.


Once you are prescribed ZILBRYSQ, you will automatically be signed up with PANTHERx Rare. A RxARECARE team member will be readily available to assist you as needed.
Steps to take before starting ZILBRYSQ:
Steps to take before starting ZILBRYSQ:
IDENTIFY your vaccination status
Your healthcare provider can check your vaccination records. PANTHERx Rare may also help by contacting your healthcare provider to document your vaccination history.
COMPLETE or UPDATE your vaccinations
PANTHERx Rare will monitor all aspects of your patient journey as it relates to accessing vaccines needed for REMS requirements. If needed, they can help identify local resources that can administer the required vaccines.
CONFIRM completion of vaccinations
Once your vaccination requirements are officially complete, talk to your healthcare provider about when you can begin your treatment.

Keep your Patient Safety Card with you at all times
Your healthcare provider will give you a Patient Safety Card that explains the risk of serious meningococcal infection.
Carry your card with you at all times during treatment and for 2 months after your last ZILBRYSQ dose.
- Your risk of meningococcal infection may continue for several weeks after your last dose of ZILBRYSQ
- It is important to show the card to any healthcare provider who treats you. The information will help them diagnose and treat you quickly

Get everything you may need for your vaccination requirements

Vaccination Requirements Guide
Make sure you have the information you need about the vaccinations required before starting ZILBRYSQ.

Vaccination Education Guide
Understand the risks of meningococcal disease and the importance of getting the vaccine.

Vaccination Tracking Card
Keep a record of the required vaccinations you've received.