IVIG
Order Form

IVIG (immunoglobulin therapy)

IVIG therapy is used to treat patients with antibody deficiencies. This includes patients with rheumatoid arthritis (RA), osteoarthritis, lupus, gout, scleroderma, Sjogren’s syndrome, primary humoral immunodeficiency disease (PIDD), primary immunodeficiency (PI), and spondyloarthropathies, on people two years of age and older.

For patients who are at a higher risk of blood clots, IVIG should be administered at the lowest infusion rate practicable. Patients should also be well hydrated prior to starting treatment.

Please refer to the full prescribing information for GammagardGamunex, and Privigen.

Note: Please speak with your healthcare provider for more information if you think this therapy might be right for you.

How do I make a referral or transition my treatment to Infusion Associates?

1. Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 996-4888.

2. Providers can find order forms on our medications page.

3. One of our intake specialists will contact your healthcare provider to confirm receipt of your referral.

4. We will then verify benefits, obtain any required prior authorizations, and contact you to schedule an appointment.