BIVIGAM 5 g/50mL Injection, Solution
Also known as Immune Globulin Intravenous (Human) 10%. Coverage in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming (CMS PDP Region 25).
Not on any stand-alone Part D formulary in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming
None of the 11 stand-alone Part D (PDP) plans in CMS PDP Region 25 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
52 Medicare Advantage plans in IA, MN, NE, ND, SD, WY do cover it
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. IA: 18 plans · MN: 7 plans · NE: 12 plans · ND: 7 plans · SD: 6 plans · WY: 2 plans.