Support
Is Available

Hypothetical patient.

QIVIGY® copay program

Copay assistance is available for eligible patients on QIVIGY covered under both pharmacy and medical benefits.

Eligible patients can receive up to $10,000 per calendar year to use on out-of-pocket costs for QIVIGY.

The program covers the copay, deductible, and/or co-insurance associated with the cost of QIVIGY only. The program does not cover costs associated with administration or supplies.

Copay benefit

  • $10,000 per patient per year
  • Electronic processing; no patient cards necessary

Program and patient eligibility guidelines

  • Patients must be commercially insured
  • Patients must express a financial need
  • Patients' health plan permits members to participate in copay assistance programs

Program restrictions

  • Not valid for prescriptions eligible for reimbursement by any federal or state healthcare programs, such as Medicare, Medicaid, Medigap, Veterans Affairs, Department of Defense, TRICARE, or any other federal or state-funded programs

Visit QIVIGY.medmonk.com for full Terms and Conditions

QIVIGY offers comprehensive reimbursement support

A dedicated team of reimbursement specialists are ready to provide support

This support includes:

  • checkmarkPatient-specific benefit verifications claims
  • checkmarkPayer coverage and coding research
  • checkmarkAssistance with claims questions
  • checkmarkAppeal support for denied prior authorizations

To connect with a reimbursement specialist:

support phone888-262-8040

support emailreimbursementsupport@medmonk.com

Connect with patient advocacy organizations

The following list of patient advocacy groups can help support you on your journey with PI.

Immune Deficiency Foundation (IDF)

The Immune Deficiency Foundation (IDF) improves the diagnosis, treatment, and quality of life for every person affected by PI. The IDF fosters a community that is connected, engaged, and empowered through advocacy, education, and research.

Learn more

Jeffrey Modell Foundation

The Jeffrey Modell Foundation is a global nonprofit dedicated to early diagnosis, meaningful treatments and, ultimately, cures through basic and clinical research, physician and patient education, public awareness, government advocacy, patient support, newborn screening, and genetic sequencing.

Learn more

International Patient Organisation for Primary Immunodeficiencies (IPOPI)

The International Patient Organisation for Primary Immunodeficiencies (IPOPI) is an international nonprofit organization and the leading worldwide advocate for people with PI.

Learn more

Immunoglobulin National Society (IgNS)

The Immunoglobulin National Society (IgNS) is a professional organization dedicated to the advancement of Ig therapy practice across clinical indications and areas of practice.

Learn more

Ig, immunoglobulin; PI, primary immunodeficiency.

Important Safety Information

INDICATIONS AND USAGE

QIVIGY® (immune globulin intravenous, human-kthm) is a 10% immune globulin (Ig) liquid indicated for the treatment of adults with primary humoral immunodeficiency.

Important safety information

WARNING: THROMBOSIS, RENAL DYSFUNCTION, and ACUTE RENAL FAILURE

See full prescribing information for complete boxed warning.

  • Thrombosis may occur with immune globulin products, including QIVIGY.
  • Renal dysfunction, acute renal failure, osmotic nephrosis may occur with immune globulin intravenous (IGIV) products in predisposed patients. Such events require immediate medical intervention, if not recognized or managed appropriately, may result in persistent or significant disability or incapacity or lead to fatal outcome.
  • For patients at risk of thrombosis, renal dysfunction or failure, administer QIVIGY at the minimum dose available and the minimum infusion rate practicable. Ensure adequate hydration in patients before administration. Monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity.

CONTRAINDICATIONS

QIVIGY is contraindicated in patients who have had an anaphylactic or severe systemic reaction to the administration of human immune globulin and in IgA deficient patients with antibodies against IgA and history of hypersensitivity.

WARNINGS AND PRECAUTIONS

Severe hypersensitivity reactions, including anaphylaxis, may occur. In case of hypersensitivity, discontinue QIVIGY infusion and manage as appropriate.

Hyperproteinemia, hyperviscosity, and hyponatremia may occur in patients receiving IGIV treatment, including QIVIGY.

Aseptic meningitis syndrome may occur in patients receiving IGIV treatment, especially with high doses or rapid infusion.

Hemolysis can develop subsequent to IGIV treatment. Monitor patients for hemolysis.

Transfusion-related acute lung injury: Monitor patients for pulmonary adverse reactions.

Transmissible infectious agents: QIVIGY is made from human plasma and may carry a risk of transmitting infectious agents, eg, viruses, the variant Creutzfeldt-Jakob disease (vCJD) agent, and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent.

Interference with laboratory tests: After infusion of Ig, transitory rise of passively transferred antibodies may yield positive serological results, with potential for misleading interpretation.

ADVERSE REACTIONS

The most common adverse reactions occurring in ≥5% of patients treated were headache, fatigue, infusion-related reaction, Coombs direct test positive, nausea, sinusitis, dizziness, and diarrhea.

To report SUSPECTED ADVERSE REACTIONS, contact Kedrion Biopharma Inc. at 1-855-3KDRION (1-855-353-7466) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see full Prescribing Information for complete prescribing details, including Boxed Warning.