Xembify

(immunoglobulin G)
Xembify 20 % (1 GM in 5 ML) InjectionXembify 20 % (10 GM in 50 ML) Injection
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Dosage & administration

For subcutaneous infusion only.

Before switching to XEMBIFY, obtain the patient’s serum IgG trough level to guide subsequent dose adjustments.

Dose ( 2.1)

Administration
Infusion sites: up to 6 infusion sites simultaneously, with at least 2 inches (5 cm) between sites avoiding bony prominences. Rotate sites for each administration

drug label

Xembify prescribing information

prior authorization

Xembify prior authorization resources

Most recent Xembify prior authorization forms

View By Payer
Verified: Dec 01, 2023Blue Cross Blue Shield of Michigan - FEP Immune Globulin Replacement Therapy SC Prior Authorization Form (Medical Benefit)
Verified: Nov 27, 2023Cigna - Intravenous Immune Globulin (IVIG) -SCIG Prior Authorization Form
Verified: Nov 25, 2023Blue Cross Blue Shield of Michigan - IVIG Prior Authorization Form (Medical Benefit)
Verified: Nov 20, 2023Aetna - Xembify Prior Authorization Form
Verified: Nov 19, 2023Aetna - Medicare Part B Immunoglobulin Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
Formulary Exception Letter
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Benefits investigation

Xembify Connextions - Prescription Referrral Form
Xembify Connexions Program Patient Authorization Form - Online
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pharmacy

Xembify preferred pharmacy

Pharmacy List

financial assistance

Xembify financial assistance options

Co-pay savings program

commercial only
Xembify Connexions Program Patient Authorization Form - Online
Enroll in Patient Savings Program
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Foundation programs

under insured
no insurance
goverment insurance
65+
Xembify Connextions Patient Assistance Program Application
Patient Assistance Program – Prescriber Therapy Attestation
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patient education

Xembify patient education

Getting started on Xembify

Instructions For Use: Primary Humoral Immunodeficiency Disease (PIDD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

About Xembify
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Xembify Infusion
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Xembify Patient Connextions Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
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people also ask

Xembify FAQs

How is the dosage of Xembify?Xembify is available in 4 dosages, including 200 mg/ml Injection 10 ml, 200 mg/ml Injection 20 ml, 200 mg/ml Injection 5 ml and 200 mg/ml Injection 50 ml
What does Xembify treat?Xembify treats Immunologic Deficiency Syndromes
How Is Xembify Administered?Xembify is administered as a Injectable
FAQ Data Source