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. 2023 Mar 8;12:e43091. doi: 10.2196/43091

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©Laurie Fraticelli, Julie Freyssenge, Emilie Promé-Combel, Eléonore Agnellet, Yesim Dargaud, Valérie Chamouard. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 08.03.2023.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.

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New organization of the dispensation circuit of emicizumab since June 15, 2021, in France. The black arrows indicate the routine dispensing organization, including emergency management of bleeding episodes. The gray arrows represent the setting up of the organization for the first time initiated by the patient, whose steps are numbered in the order of implementation. The patient indicates his/her chosen community pharmacy to one of the 33 care centers. The care center requests the connexion codes for the e-learning course "HEMOPHAR" from the reference center for hemophilia, and the community pharmacist is invited to follow the training. To facilitate the relationships between hospital and community pharmacists, practical information sheets are shared, including a contact sheet, checklist for dispensing emicizumab, and liaison sheet between the community pharmacist and the care center. The hospital pharmacy is informed by the care center about the transition of dispensing emicizumab in community pharmacy.