First there is a national shortage of Rheumy's. Every long Covid problem is an auto-immune problem and that puts it in the Rheumy's wheelhouse. That said I really like the NP that my Rheumy has - she is great, explains a lot and really listens as well. BTW - there was a shortage prior to Covid, Covid just made it worse.

I was recently placed on a bio-logic. They initially mentioned Actemra, but I discovered that in 2026 the Formulary lists were changing. Actemra lost its patten and Tyenne is the bio-similar drug that is now on the Formulary list. Bio-similar is the generic form for bio-logics. Just wanted you to know jic they go that way with you. I am now using self-injectables at home and not going to an infusion center for my weekly Tyenne treatment.

Each journey is a little different and the decisions are yours.