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immune globulin intravenous

immune globulin intravenous
Drug Name Form Strength Non-Formulary Restricted TX Sub Notes
IVIG      
Octagam      
Flebogamma SOLUTION, INTRAVENOUS 5 gm/50 mL; 10 gm/100 mL; 20 gm/200 mL      
Display Antitoxins and Immune Globulins Class : 800400
Medication comments:

Refrigerator item 

Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
IV Immune Globulin (IVIG)
policy		 Y Y Y Y Y N Y Y N
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent Formulary Equivalent
immune glubulin IV (Octagam) immune globulin IV (Gamunex)
Last updated: Jan. 17, 2025
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Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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