Does Texas Medicaid (statewide) cover immunoglobulin G?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
immunoglobulin G
immunoglobulin Gunder Texas Medicaid (statewide)
Covered — some forms require prior authorization (non-preferred)
12 of 49 covered forms have a condition attached. This one isn’t on your plan’s preferred list, so you usually have to try a preferred medication first — your doctor’s office handles it.
What you'd pay
$0for a covered prescription
Texas Medicaid charges no copay for a covered prescription.
- Approval first
- Not needed
- Try another first
- Required
- Amount limit
- None
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 23, 2026 · Texas VDP. Reference information, not medical advice and not a price.
Covered forms and strengths (49)
- 10 ML immune globulin subcutaneous (human) - klhw 200 MG/ML Injection [Xembify]
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gammaked]
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]
- 10 ML immunoglobulin G, human 200 MG/ML Injection [Cuvitru]
- 10 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]
- 10 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Gammaked]
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Octagam]Approval firstTry another first
- 100 ML immunoglobulin G, human 100 MG/ML Injection [Privigen]
- 100 ML immunoglobulin G, human 50 MG/ML Injection [Octagam]Approval firstTry another first
- 12 ML immune globulin subcutaneous (human) - hipp 165 MG/ML Injection [Cutaquig]Approval firstTry another first
- 20 ML immune globulin subcutaneous (human) - klhw 200 MG/ML Injection [Xembify]
- 20 ML immunoglobulin G, human 100 MG/ML Injection [Octagam]Approval firstTry another first
- 20 ML immunoglobulin G, human 200 MG/ML Injection [Cuvitru]
- 20 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]
- 20 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 20 ML immunoglobulin G, human 50 MG/ML Injection [Octagam]Approval firstTry another first
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Gammaked]
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Octagam]Approval firstTry another first
- 200 ML immunoglobulin G, human 100 MG/ML Injection [Privigen]
- 200 ML immunoglobulin G, human 50 MG/ML Injection [Octagam]Approval firstTry another first
- 24 ML immune globulin subcutaneous (human) - hipp 165 MG/ML Injection [Cutaquig]Approval firstTry another first
- 25 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 25 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]
- 300 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]
- 40 ML immunoglobulin G, human 200 MG/ML Injection [Cuvitru]
- 400 ML immunoglobulin G, human 100 MG/ML Injection [Gamunex]
- 400 ML immunoglobulin G, human 100 MG/ML Injection [Privigen]
- 48 ML immune globulin subcutaneous (human) - hipp 165 MG/ML Injection [Cutaquig]Approval firstTry another first
- 5 ML immune globulin subcutaneous (human) - klhw 200 MG/ML Injection [Xembify]
- 5 ML immunoglobulin G, human 200 MG/ML Injection [Cuvitru]
- 5 ML immunoglobulin G, human 200 MG/ML Injection [Hizentra]
- 5 ML immunoglobulin G, human 200 MG/ML Prefilled Syringe [Hizentra]
- 50 ML immune globulin subcutaneous (human) - klhw 200 MG/ML Injection [Xembify]
- 50 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard]