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Get HI Specialty Pharmacy Subcutaneous Immune Globulin/Allergy 2017-2024
Ne: Email: Soc. Sec #: Date of Birth: PATIENT INFORMATION: PHYSICIAN INFORMATION: State: Alternate Phone: Zip: Weight: kg lbs Height: ft cm Sex: Male Female BMI: PHYSICIAN INFORMATION: Physician Name: Address: City: Phone: Office Email: State: Zip: Fax: Key Office Contact: State LIC # NPI # DEA# INSURANCE INFORMATION: DEMOGRAPHIC SHEET UNIVERSAL CLAIM FORM INSURANCE CARDS (front + back) *Please include demographic sheet along with Univer.
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Patientrxstartform FAQ
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SCIg Products ® - CSL Behring. Evogam® - CSL Behring. Cuvitru® - Takeda.
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SCIG is treated to kill the viruses that cause AIDS (HIV), Hepatitis B, and Hepatitis C. Will I have side effects or reactions? Side effects are not common, but may include; headache, fever, nausea, diarrhea, sore throat, rash, increased cough and pain.
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The results of cost-effectiveness analysis revealed that the total cost of IVIG and SCIG per year was $1370 and $121, respectively. The cost items were the costs of hospital, personnel, and medical supplies; however, the cost of Ig dose was not taken into account due to similar doses used in both methods.
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IVIG is used to treat various autoimmune, infectious, and idiopathic diseases. IVIG is an approved treatment for multifocal motor neuropathy, chronic lymphocytic lymphoma, chronic inflammatory demyelinating polyneuropathy, Kawasaki disease and ITP.
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Immune globulin is made from pooled plasma collected from thousands of donors and treated to remove contaminants to ensure product safety and integrity.
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For the most part, both SCIg and IVIg products are equivalent in antibody activity. However, there are some differences that may make one particular preparation more suitable than another for a given individual.
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