Dailymed bivigam immune globulin intravenous human 10% liquid. Reintroducing bivigam adma is focused on what matters most. Cpt codes and descriptions are not public property and must always be used in compliance with law. Package insert bivigam pdf 245kb supporting documents. Ivig injection, for personal, rs 8000 piece, om health care. Characteristics of immunoglobulin products used to treat. The effect of ivig is seen typically in less than a week, and the benefit can last for three to six weeks. Bivigam human immunoglobulin g injection, solution. Deficiency diseases in the home medicare benefit policy manual, chapter. Find patient medical information for bivigam intravenous on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Characteristics of immunoglobulin products used to treat primary immunodeficiency diseases licensed for use in the united states product name bivigam carimune nf cuvitru flebogamma dif gammagard liquid gammagard sd gammaked gammaplex gamunex c hizentra hyqvia3 octagam privigen manufacturer.
Data sources include ibm watson micromedex updated 28 feb 2020, cerner multum updated 2 mar 2020. Emblemhealth specialty pharmacy program emblemhealth. Given the wellestablished and robust network of distributors associated with kedrion biopharma, patients who require bivigam will now have. Baxalta us inc gammagard liquid is indicated as replacement therapy for primary humoral immunodeficiency pi in adult and pediatric patients two years of age or older. Pain and tenderness at the injection site muscle pain, lower back pain. Intravenous immunoglobulin ivig contains the pooled immunoglobulin g igg immunoglobulins from the plasma of. Aug 09, 2018 what are the side effects of intravenous immunoglobulin therapy ivig. J1556 injection, immune globulin bivigam, 500 mg j1557 injection, immune globulin, gammaplex, intravenous, nonlyophilized e.
Carimune nf is a human immune globulin injection indicated for the maintenance treatment of patients with. Ivig is used to quickly reverse an exacerbation of myasthenia. Ivig for the treatment of autoimmune mucocutaneous blistering diseases must be used only. An attempt to stop the ivig infusion when clinically appropriate for the. Certain medical benefit injectable drugs require prior approval from emblemhealth. Get best price and read about company and get contact details and address. We are a sole proprietorship organization that is enthusiastically committed towards providing our prestigious patrons with premium quality. Update on the clinical use and mechanisms of action of. Pdf a new intravenous immunoglobulin bivigam for primary. Intravenous immune globulin ivig bivigam, carimune nf, flebogamma dif, gammagard liquid, gammagard sd, gammaked, gammaplex, gamunexc, octagam, panzyga, and privigen. Pain and tenderness at the injection site muscle pain, lower back pain 36. Answer most people handle ivig well, but side effects can include lowgrade fever, muscle or joint aches, and headaches just. Gammaked is an immune globulin injection human, 10% liquid indicated for treatment of. If the patient is an infant or baby and it is not known if they are able to break down sucrose or fructose.
Bivigam is a human immune globulin injection indicated for the treatment of primary inherited immunodeficiency pid. Characteristics of immunoglobulin products used to treat primary immunodeficiency diseases licensed for use in the united states product name bivigam carimune nf cuvitru flebogamma dif gammagard liquid gammagard sd gammaked gammaplex gamunex c hizentra hyqvia3 octagam privigen. Ivig addressed in this policy are specified in the. Human intravenous immunoglobulin ivig replacement therapy. What do i need to tell my health care team before i start ivig replacement therapy. Initiation or continuation of ivig therapy based solely on a low igg value, or for patients with mild sinopulmonary disease, or for those that do not demonstrate a lack of ability to produce an antibody to protein or carbohydrate antigens. Update on the use of immunoglobulin in human disease aaaai. Jul 17, 2019 bivigam contains 100 10 mgml protein, of which not less than 96% is human immunoglobulin obtained from source human plasma. Immune globulins are manufactured from human plasma and might slow down or stabilize the ms disease process. Thrombosis may occur following treatment with igiv products, including bivigam. Intravenous immunoglobulin ivig contains the pooled immunoglobulin g igg immunoglobulins from the plasma of approximately a thousand or more blood donors. Gamunexc immune globulin injection official site for. Mar 05, 2018 package insert bivigam pdf 245kb supporting documents.
Om healthcare is a well known and reliable manufacturer, trader and supplier of a qualitative assortment of examination gloves, dental equipments, injector syringes, dental chair, hand gloves, human albumin, ivig injection, disposable syringe, etc. Manufacturing process optimization of adma biologics intravenous. The addition of bivigam to the kedrion biopharma portfolio expands the companys immunoglobulin portfolio in the united states. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If side effects occur, the infusion should be slowed or stopped until the symptoms subside. Gamunex c immune globulin injection human, 10% caprylatechromatography purified is indicated for the treatment of primary humoral immunodeficiency disease pidd in patients 2 years of age and older, idiopathic thrombocytopenic purpura itp in adults and children, and chronic inflammatory demyelinating polyneuropathy cidp in adults. Carimune nf powder for injection 3 g, 6 g, 12 g bottles. Intravenous immune globulin ivig is a solution of human immunoglobulin specifically prepared for intravenous infusion. Om health care offering ivig injection, for personal at rs 8000piece in surat, gujarat.
The restriction for ivig use has been altered to include use by transplant staff physicians for the treatment of antibodymediated rejection with allograft dysfunction or treatment of highly hlasensitized patients prior to transplantation. Pharmacy medical policy intravenous immunoglobulin. Immunoglobulin contains a broad range of antibodies that specifically act against bacterial and viral antigens. Bivigam is a human immune globulin injection indicated for the. Intravenous immune globulin ivig therapy for the treatment of the following is considered medically necessary if. Ivig products are used in the treatment of multiple conditions. Persons with disabilities having problems accessing any of these files may call cbers consumer affairs branch 301. Clinical policy immune globulins page 4 of 12 some of the common or proposed uses for ig lack good quality evidence of clinical benefit.
The treatment will take place at the mellen center every day for one to five days. Inform the team if you are allergic to any drugs like this one, or any other drugs, foods, or other substances i. Two intravenous immunoglobulin products, bivigam and asceniv, are manufactured by a modified cohnoncley fractionation method. The following are immunoglobulins requiring prior authorization. Thrombosis, renal dysfunction and acute renal failure measles exposurethrombosis may occur with immune globulin products, including privigen. Do not give bivigam immune globulin injection iv to your child if this is the case. Package insert bivigam pdf 245kb supporting documents persons with disabilities having problems accessing any of these files may call cbers consumer affairs branch 3018271800 for assistance. Oct 19, 2016 baxalta us inc gammagard liquid is indicated as replacement therapy for primary humoral immunodeficiency pi in adult and pediatric patients two years of age or older. Update on the clinical use and mechanisms of action of ivig. These highlights do not include all the information needed to use bivigam safely. Use and interpretation of diagnostic vaccination in primary. Asceniv, bivigam, flebogamma, gammagard, gammagard sd.
Intravenous immune globulin ivig therapy for the treatment of the following is considered medically necessary if the medical appropriateness criteria are met. Csl behring immune globulin intravenous human, 10% liquid privigen us package insert july 2007 page 4 version 10. Kedrion biopharma expands immunoglobulin therapies portfolio. Ivig is initiated within one month of symptom onset. Iv immune globulin treatment ivig cleveland clinic. The combination of premedication and welldefined clinical, ivig infusion policies may reduce the incidence of highdose ivig adverse reactions administered in a homebased setting in patients with neuroimmunological disorders. Persons with disabilities having problems accessing any of these files may call cbers consumer affairs branch 3018271800 for assistance.
It is formulated in water for injection containing 0. Highlights of prescribing information these highlights do not include all the information needed to use privigen safely and effectively. Kedrion biopharma expands immunoglobulin therapies. Talk with the team about whether to get certain vaccines, as injection of vaccines at the same time ivig therapy is being administered.
The intent of the intravenous immune globulin ivig drug policy is to ensure appropriate. Jul 05, 2018 immune globulin products from human plasma were first used in 1952 to treat immune deficiency. The ama owns the on the cpt codes and descriptions. Pharmacy medical policy intravenous immunoglobulin table of contents policy. Immune globulin intravenous human, 10% liquid privigen. There is also an intramuscular injection deep into the muscle form of the product. Ivig injection, for personal, rs 8000 piece, om health. Management of pi is a lifelong process and we want every patient who starts treatment with bivigam to know we will be there for them every step of the way. This includes, but is not limited to, common variable immunodeficiency cvid. Bivigam is contraindicated in patients who have had an anaphylactic or severe systemic reaction to the administration of human immune globulin and in igadeficient patients with antibodies to iga and history of hypersensitivity. Intravenous immune globulin ivig wellmark blue cross and blue. C9 hcpcs code injection, ivig bivigam hcpcs registry.
They contain more than 95% unmodified igg but only trace amounts of iga andor igm. We are proud to offer bivigam to the many patients living with primary immunodeficiency pi. Rapidpush protocols that are manual and do not require infusion. The most recent development in immunoglobulin therapy.
Ivig products used to treat patients with neuroimmunological disorders. Oct 17, 2019 along with its needed effects, immune globulin intravenous the active ingredient contained in bivigam may cause some unwanted effects. Highdose ivig may temporarily modify the immune system and suppress autoantibody production to improve severe myasthenia gravis symptoms. Intravenous immune globulin l33610 links in pdf documents are not guaranteed to work. The statutory coverage criteria for intravenous immune globulin ivig addressed in this policy are specified in the. Iv immune globulin treatment ivig your neurologist has ordered i. Sections or subsections omitted from the full prescribing information are not listed. Bivigam, immune globulin off label indication bivigam, immune globulin medical j9040. These highlights do not include all the information needed to use gammaked safely and effectively. Bivigam human immunoglobulin g injection, solution dailymed. Yes, through navitus immune globulin gamunex, ivig, immune globulin off label indication. Dailymed bivigam immune globulin intravenous human 10%. Intravenous immunoglobulin ivig preparations have improved over the years and have evolved from immune serum globulin that is injected. Dailymed bivigam human immunoglobulin g injection, solution.
Immune globulin ivig and scig page 2 of 36 unitedhealthcare commercial medical benefit drug policy effective 02012020 proprietary information of unitedhealthcare. Ivig therapy 18 and on the lymphocytes of gbs patients one week after infusion with ivig. Intravenous immune globulin ivig page 1 of 4 unitedhealthcare medicare advantage policy guideline approved 04102019. Carimune nf is a human immune globulin injection indicated for the maintenance treatment of patients with pid, for acute immune thrombocytopenic purpura itp, or for chronic itp requiring a rapid rise in platelet.
Immune globulin ivig and scig page 2 of 33 unitedhealthcare oxford clinical policy effective 02012018 19962018, oxford health plans, llc special considerations continued j2792. As of 20, this field contains the consumer friendly descriptions for the ama cpt codes. What are the side effects of intravenous immunoglobulin therapy ivig. Ivig intravenous immunoglobulin asceniv, bivigam, flebogamma. Apr 22, 2019 bivigam contains 100 10 mgml protein, of which not less than 96% is human immunoglobulin obtained from source human plasma. Bivigam immune globulin intravenous human j1556 botox botulinum toxin type a j0585 carimune nf ivig immune globulin lyophilized and non. Ivig has not been shown to be superior to plasmapheresis.
This is not a list of all drugs or health problems that interact with bivigam immune globulin injection iv. Bivigam is an immune globulin intravenous human, 10% liquid, indicated for the treatment of patients with primary humoral immunodeficiency pi. Bivigam contains 100 10 mgml protein, of which not less than 96% is human immunoglobulin obtained from source human plasma. J1556 injection, immune globulin bivigam, 500 mg j1557 injection, immune globulin, gammaplex, intravenous, nonlyophilized. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Privigen immune globulin intravenous human, 10% liquid. Cuvitru is a readytouse liquid medicine that is given under the skin subcutaneously to treat primary immunodeficiency pi in people 2 years and older. Although not all of these side effects may occur, if they do occur they may need medical attention. What are the side effects of intravenous immunoglobulin. Yes, through navitus immune globulin flebogamma, immune globulin, ivig off label indication. Carimune nf powder for injection 3 g, 6 g, 12 g bottles flebogamma dif 5% 50 mgml in 10 ml, 50 ml, 100 ml, 200 ml.
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