Approved Hospital Formulary
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Approved Hospital Formulary
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immune globulin intravenous

immune globulin intravenous
Brand names: Gammagard, Gamunex-C, Octagam, Privigen
Form Strength
INJECTION
LIQUID ; 5 gm, 10 gm
SOLUTION


Comments:

Note January 2023: We are transitioning from Octagam to Privigen as our formulary agent for IVIG. This change is expected to occur over the next 1-2 months as dictated by current Octagam supply.

Dosing weight: IBW, or Adjusted Body Weight for patients 20% over IBW.

Privigen Administration Rates

Octagam Administration Rates

For Gamunex C, see Therapeutic Restrictions to Outpatient Locations


Last updated: Jan. 25, 2023


Pharmacy Phone Numbers
Memorial Pharmacy (Glenwood) 423-495-8380
Memorial Hixson Pharmacy 423-495-7137
Stat 423-495-7470
Outpatient 423-495-8981
Chemo 423-495-7475
Surgery 423-495-8779

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