FormWeb • immune globulin intravenous and subcutaneous

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

Search by class Show Therapeutic Classes

SDS Online Do Not Crush OHS Pharmacy Contact Louisiana Poison Control
(800) 222-1222

Add Formweb to your mobile device

Android iOS

Ochsner Health COVID-19 SharePoint Site "Safety On Site" Click here to enter an S.O.S.

Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

Search results for:

immune globulin intravenous and subcutaneous

immune globulin intravenous and subcutaneous

Ambulatory: Outpatient Infusion Center Available

Drug Name	Form	Strength	Infusion Center Available	Restricted	Non-formulary	Ambulatory Available	Interchange	REMS
Gammagard Liquid	SOLUTION, INJECTABLE	10%
Gamunex-C	SOLUTION, INJECTABLE	10%

VIEW MORE Antitoxins and Immune Globulins
CLASS

Additional Information and Links

Inpatient: available to order in Epic via order set

Privigen (all sites)
Gamunex-C (use restricted to Terrebonne)

Outpatient: available to order in Epic via therapy plans:

Privigen
Gamunex-C
Gammagard liquid 10%
Gammagard S/D

Last updated: Jul. 22, 2025

Black Box Warning: Renal dysfunction, acute renal failure

This site is intended for the staff of Ochsner Health. While others may view accessible pages, Ochsner Health makes no warranty, express or implied, as to the use of this information outside of Ochsner Health.