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  • Il Bcbs Intravenous Or Subcutaneous Immunoglobulin Request Form 2008

Get Il Bcbs Intravenous Or Subcutaneous Immunoglobulin Request Form 2008-2025

(Ig) Therapy (Including Intravenous [IVIg] and Subcutaneous Ig) Name of office or facility ___________________________________________ FAX # ____________________________ Contact Person ___________________________________________________Phone # ___________________________ (please print) Group # _________________________ Patient Name_______________________________________________________ Subscriber # ______________________Subscriber Name____________________________________________________ Refer.

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Intravenous immunoglobulin (IVIG) infusions are delivered directly into the person's vein, usually in a hospital day clinic. The infusion can take approximately 2 to 4 hours. The dose and frequency vary, and depend on the person's weight and immunoglobulin levels. Most people receive IVIg doses once every month.

IVIG usually is given in a doctor's office or hospital. In some cases, it may be given in the home, if proper arrangements are made, but this is not common.

IVIG is typically given every three-four weeks at a dose determined by the prescriber. Infusions can be given in various settings including an inpatient or outpatient infusion suite, physician office, or in the home.

Administer directly via the bottle provided by blood bank. Do not remove IVIg from the bottle and attempt to administer via a syringe driver. IVIg does not contain any antimicrobial preservative, therefore each bottle of IVIg must be administered within 6 hours from spiking the bottle.

Some of the diseases that intravenous immunoglobulin (IVIg) can treat include: Immune deficiencies like immune thrombocytopenia (ITP) Kawasaki disease. Guillain-Barre syndrome. Chronic inflammatory demyelinating polyneuropathy. Lupus. Myositis. Other rare diseases.

IVIG is given as an intravenous infusion (through the vein in the arm), which takes several hours to complete. Frequency of infusions vary ing to the patient's need. It may be given as a one-time infusion (such as for Kawasaki's disease).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232