Does KP OR Bronze 6000 cover immunoglobulin G?
KP OR Bronze 6000
71287-71287OR0420014-0 · ACA · ACA Marketplace
immunoglobulin G
immunoglobulin Gunder KP OR Bronze 6000
Covered — some forms require prior authorization
5 of 14 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Your plan’s deductible comes first — you pay the full price until it is met.
This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Non preferred brand
- Approval first
- Required
- Try another first
- No
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (14)
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]Approval first
- 10 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]Amount limit
- 10 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]Approval first
- 20 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]Amount limit
- 20 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]Approval first
- 25 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]Approval first
- 300 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 5 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]Amount limit
- 5 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 50 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]Approval first
- 50 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]Amount limit
- 50 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]Amount limit