In a young patient who was vaccinated to chickenpox as a child (no previous varicella infection) should the patient receive a shingles vaccine prior to starting Rinvoq?   

Yes. The vaccines are different and current vaccine is to prevent zoster for patients who have been previously exposed to varicella or vaccinated for varicella.

No, the vaccine is adequate coverage to prevent shingles in a patient on a Jak inhibitor. We give the varicella vaccine to older people who may not have received vaccine or had chicken pox years ago that would not be protective against shingles.