PT - JOURNAL ARTICLE AU - Marsh, Kathleen AU - Allickson, Kayla AU - Jesz, Amanda AU - Hanson, Cheryl AU - Newman, Donna AU - Martin-Macintosh, Erica TI - Logistics of Adopting <sup>177</sup>Lu-Vipivotide Tetraxetan Therapy in a Community-Based Hospital Setting AID - 10.2967/jnmt.124.268039 DP - 2025 Feb 05 TA - Journal of Nuclear Medicine Technology PG - jnmt.124.268039 4099 - http://tech.snmjournals.org/content/early/2025/02/05/jnmt.124.268039.short 4100 - http://tech.snmjournals.org/content/early/2025/02/05/jnmt.124.268039.full AB - Prostate cancer is a leading cause of cancer death in men. Advanced disease may progress to metastatic castration-resistant prostate cancer. In March 2022, 177Lu-vipivotide tetraxetan was U.S. Food and Drug Administration–approved for patients with prostate-specific membrane antigen–positive metastatic castration-resistant prostate cancer who have previously received other therapies, including androgen deprivation and taxane therapies. Methods: Although preliminary data for 177Lu-vipivotide tetraxetan has shown extension of overall survival of patients, there is little literature about realistically initiating 177Lu-vipivotide tetraxetan into non–academic-based clinical practices. Results: This article presents a multidisciplinary practice implementation workflow for 177Lu-vipivotide tetraxetan. It also highlights the challenges and considerations for initiating such a theranostics practice. Conclusion: The aim of this work is to help nontertiary medical centers improve patient accessibility for beneficial radiopharmaceutical therapies, specifically 177Lu-vipivotide tetraxetan.