Flebogamma

(immunoglobulin G)
10 ML immunoglobulin G, human 50 MG/ML Injection [Flebogamma]100 ML immunoglobulin G, human 50 MG/ML Injection [Flebogamma]
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Dosage & administration

For Intravenous Use Only

IndicationDoseInitial Infusion RateMaintenance Dose Rate (if tolerated)
PI300-600 mg per kg
every 3-4 weeks
0.01 mL per kg per minute
(0.5 mg per kg per min)
Increase to 0.10 mL per kg per minute
(5 mg per kg per min)

drug label

Flebogamma prescribing information

Need to report a Flebogamma issue?

ONLINE FORM
Report adverse event
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samples

Request Flebogamma samples

NOT PROVIDED BY BRAND
View Online Sample Form
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prior authorization

Flebogamma Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Flebogamma Financial assistance options

Co-pay savings program

commercial only

NOT PROVIDED BY BRAND
Enroll in Patient Savings Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
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patient education

Flebogamma Patient education

Getting started on Flebogamma

NOT PROVIDED BY BRAND
Instructions for Use: Primary Immune Deficiency (PID)

NOT PROVIDED BY BRAND
Instructions for Use: Autoimmune Disease

Patient toolkit

NOT PROVIDED BY BRAND
Not Provided By Brand
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Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.