IVIG Drug Program

Effective October, 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 Product:

HCPCS

NDC

HCPCS

NDC

HCPCS

NDC

J0850

44206310110

J1566

00944265603

J1569

00944270005

J0850

44206053211

J1566

00944265804

J1569

00944270007

J1459

44206043940

J1566

44206041603

J1569

00944270002

J1459

44206043820

J1566

44206041706

J1569

00944270003

J1459

44206043710

J1566

44206041812

J1569

00944270006

J1459

44206043605

J1566

00944262003

J1569

00944270004

J1559

44206045101

J1566

00944262004

J1572

61953000405

J1559

44206045202

J1566

00944265503

J1572

61953000401

J1559

44206045404

J1566

00944265504

J1572

61953000501

J1561

13533080020

J1566

00944262002

J1572

61953000502

J1561

13533080015

J1568

67467084305

J1572

61953000404

J1561

13533080012

J1568

68209084301

J1572

61953000403

J1561

13533080071

J1568

67467084303

J1572

61953000402

J1561

76125090050

J1568

67467084304

J1572

61953000503

J1561

76125090025

J1568

68209084302

J1556

59730650201

J1561

76125090020

J1568

68209084304

J1556

59730650301

J1561

13533080024

J1568

68209084303

J1557

64208823402

J1561

76125090001

J1568

68209084303

J1557

64208823403

J1561

76125090010

J1568

67467084302

J1557

64208823401

To Order through Coram Specialty Infusion Services

Call 1-866-899-1661 or fax 1-866-843-3221 and a Coram Specialty Infusion Services patient care coordinator will contact you to arrange delivery of the medication.