Drugs Not Covered in Outpatient Setting

Starting March. 1, 2020

BIVIGAM

HIZENTRA

CARIMUNE NF

HYQVIA

CUVITRU

INFLECTRA

FLEBOGAMMA 5&10%

OCTAGAM

GAMMAGARD LIQUID

PANZYGA

GAMMAGARD S-D

PRIVIGEN

GAMMAKED

REMICADE

GAMMAPLEX

RENFLEXIS

GAMUNEX-C