How Assistance Works
Streamlining our patient’s specialty pharmacy experience with unmatched full-service convenience
-
1. Check Your Coverage/Benefits Verification
Our team of expert billers finds the best avenues of coverage that minimize out-of-pocket costs.
-
2. Transfer Prescription to AmeriPharma®
We process your prescription by working with your previous pharmacy or prescriber, making the transition quick and easy.
-
3. Prior Authorization
Our team of specialists obtains approval from your insurance companies within 24 to 72 hours.
-
4. Copay Assistance & Financial Aid
We secure financial aid and decrease copays, out-of-pocket expenses, and high deductibles. To date, AmeriPharma® Specialty Care has secured $55 million in financial assistance for our patients.
-
5. Nursing Care Coordination If Needed
AmeriPharma® puts your schedule and home environment first when scheduling and coordinating one of our specialized nurses for your in-home infusions.
-
6. Delivery Coordination
Medications are always delivered in strict compliance with the specific requirements for shipping. Next-day and overnight cold-chain deliveries are coordinated around your schedule.
What Is Bivigam?
Bivigam is an FDA-approved medication used to treat primary humoral immunodeficiency (PI) in adults and children (2 years and older). Learn about its mechanism of action, side effects, cost, and more.
Bivigam is a brand-name prescription containing human immune globulin, which contains proteins (antibodies) that strengthen your immune system.
The FDA first approved this product in 2012. However, due to some concerns with its manufacturing processes, it was withdrawn from the market in 2016. ADMA Biologics, Inc., which is the manufacturer of Bivigam, reintroduced it into the US market in 2019. As of 2023, Bivigam is FDA-approved for the treatment of primary immunodeficiency (PI) in adults and children ages 2 years and older.
What Is Bivigam Used To Treat?
A healthcare provider may prescribe this medication to treat adults and children with primary immunodeficiency.
Primary immunodeficiencies (PIs) are long-term immune disorders in which your immune system doesn’t function as it should because parts of it are missing or not working properly. As a result, you’re at an increased risk of catching an infection.
According to the Foundation for Primary Immunodeficiency Diseases (FPID), over half a million US adults and children live with this condition [1].
How Does Bivigam Work?
Bivigam works by replacing missing antibodies in the immune system.
Copay and Financial Assistance
AmeriPharma® Specialty Pharmacy alleviates financial burdens for patients and their families
-
Advanced software locates funding sources to match you with top-dollar foundation programs
-
One of our copay assistance specialists will assist with the application process
-
Automatic updates will be sent to you and your physician on the status of the funding
How Is Bivigam Administered?
The usual dose for primary immunodeficiency is 300 – 800 mg/kg of body weight every 3 to 4 weeks.
The medication is infused into your vein (IV) slowly. If you aren’t experiencing any signs or symptoms of an infusion-related reaction, your provider will increase the infusion rate. However, tell your healthcare provider if you do experience an infusion-related reaction so they can slow or stop the infusion. Examples of infusion-related reactions include:
- Flushing
- Chills
- Muscle cramps
- Back/joint pain
- Fever
- Nausea
- Vomiting
- Shortness of breath
Bivigam Side Effects
Common side effects include:
- Headache
- Fatigue
- Infusion site reaction
- Nausea
- Sinusitis
- Increased blood pressure
- Diarrhea
- Dizziness
Serious side effects include:
Allergic Reactions
Some people receiving Bivigam might experience severe allergic reactions, including anaphylaxis. Anaphylaxis is a potentially life-threatening allergic reaction that causes difficulty breathing, tightness in the throat, and dizziness.
Seek emergency medical care right away if you develop the following symptoms after receiving this product:
- Rash and itching
- Hoarseness
- Breathing difficulty
- Trouble swallowing
- Swelling of your hands, face, or mouth
Blood Clots
This medication can cause blood clots, especially in older adults or people with clotting disorders and heart problems. Also, the risk may be higher in those:
- On long-term bed rest
- Taking oral birth control pills
- With a central intravenous catheter in place
Seek medical help immediately if you experience:
- Chest pain
- Breathing difficulty
- Fast heartbeats
- Numbness or weakness
- Swelling in your arm or leg
Acute Kidney Failure
Bivigam can worsen your kidney function, which can lead to kidney failure if not properly treated in time. The risk may be higher if you’re overweight, have diabetes, or use medications that harm your kidneys.
Seek immediate care if you experience:
- Swelling
- Rapid weight gain
- Little or no urination
Inflammation of the Membranes Surrounding the Brain
Health professionals call this type of inflammation aseptic meningitis syndrome or AMS. Though rare with Bivigam and other similar products, AMS can be dangerous.
Call your provider immediately if any of the following occurs:
- Severe headache
- Stiff neck
- Drowsiness
- Sensitivity to light
- Pain when moving your eye
- Nausea or vomiting
Premature Breakdown of Red Blood Cells
A rapid breakdown of red blood cells can cause hemolytic anemia.
Call your healthcare provider immediately if any of the following occurs:
- Fatigue
- Increased heart rate
- Yellowing of skin or eyes
- Dark-colored urine
Acute Lung Injury
In some users, fluid may build up in the lungs after receiving Bivigam or other similar products. Symptoms usually appear within 1 to 6 hours after treatment.
Call your healthcare provider immediately if any of the following occurs:
- Trouble breathing
- Chest pain
- Blue lips
- Fever
Infectious Disease
Because Bivigam contains donor antibodies, there’s a small possibility that it may contain viruses or other disease-causing substances. Ask your provider about the risks and benefits of therapy.
Insurances Accepted
We accept Medicare, multi-state Medicaid, Medi-Cal, Blue Shield, and most private insurances. Call us to find out more about your coverage.
Get Started in Minutes
Fill out your information and one of our specialists will call you ASAP.
How Much Can You Save?
Complete this form to save up to 100%!

By submitting, you agree to AmeriPharma’s Terms of Use, Privacy Policy, and Notice of Privacy Practices