Sign In
Coverage
Check coverage
Home
Octagam 10%
Samaritan Health Plans
Samaritan Health Plans Coverage for Octagam 10%
All
3
Commercial
2
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Octagam 10%
Check medication interactions
Find savings
Get prior authorization forms
Get patient education materials