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IVIG Drug Program

June 12, 2014

Effective October 1, 2014, Blue Cross and Blue Shield of Texas (BCBSTX) is offering a program through Coram Alternate Site Services dba Coram Specialty Infusion Services to provide the following intravenous immune globulin (IVIG) medications to BCBSTX members at a lower price and allow shipment of this IVIG drug to a physician's or Home Infusion Therapy provider's office.

IVIG Products:

HCPCS

NDC

HCPCS

NDC

HCPCS

NDC

J1459

44206043940

J1566

44206041812

J1572

61953000401

J1459

44206043820

J1566

944262003

J1572

61953000301

J1459

44206043710

J1566

944262004

J1572

61953000501

J1459

44206043605

J1566

944265503

J1572

61953000502

J1559

44206045101

J1566

944265504

J1572

61953000404

J1559

44206045202

J1566

944262002

J1572

61953000403

J1559

44206045404

J1568

67467084305

J1572

61953000402

J1561

13533080020

J1568

68209084301

J1572

61953000503

J1561

13533080015

J1568

67467084303

J0850

44206310110

J1561

13533080012

J1568

68209084302

J0850

44206053211

J1561

13533080071

J1568

68209084304

J1557

64208823402

J1561

76125090050

J1568

68209084303

J1557

64208823403

J1561

76125090025

J1568

67467084301

J1557

64208823401

J1561

76125090020

J1568

67467084302

   

J1561

13533080024

J1569

944270005

   

J1561

76125090001

J1569

944270007

   

J1561

76125090010

J1569

944270002

   

J1566

944265603

J1569

944270003

   

J1566

944265804

J1569

944270006

   

J1566

44206041603

J1569

944270004

   

J1566

44206041706

J1572

61953000405

   

To Order through Coram Specialty Infusion Services

Call 877-267-2679 or fax 877-513-7847 and a Coram Specialty Infusion Services patient care coordinator will contact you to arrange delivery of the medication