ASCENIV

Indicated For

Primary Immunodeficiency (PI), Primary Humoral Immunodeficiency

About This Medication

# ADMA ADvantage Ig Patient Support Program Patient Guide: How to Get ASCENIV (Immune Globulin Intravenous, Human-slra) at Low or No Cost ASCENIV is an intravenous immune globulin (IVIG) therapy used to treat primary humoral immunodeficiency (PI) in adults and children 2 years of age and older. The **ADMA ADvantage Ig Patient Support Program** from **ADMA Biologics, Inc.** helps eligible patients with **commercial insurance** reduce out-of-pocket costs for ASCENIV, covering copays, coinsurance, and deductibles up to certain limits.[1][4][5] ## About ASCENIV **ASCENIV** is a plasma-derived immunoglobulin product administered intravenously to boost the immune system in patients with **primary humoral immunodeficiency (PI)**. It provides antibodies to help fight infections when the body doesn't produce enough on its own. Administered in a clinical setting, it has a unique HCPCS code (**J1554**) for billing. Common side effects include headache, fatigue, and infusion reactions—always discuss risks with your doctor.[4] This guide explains the **ADMA ADvantage Ig Patient Support Program**, a comprehensive hub offering **benefits verification**, **prior authorization help**, **copay assistance**, **claims support**, and **appeals**. The program aims to minimize costs and simplify access to ASCENIV.[1][2][3][4] ## Who Qualifies? Eligibility focuses on **insurance type** rather than strict income limits: - **Must be a US resident** (including Puerto Rico).[1][5] - **Private commercial insurance** required; ASCENIV must be covered by your plan.[4] - **Not for Medicare, Medicaid, or other government insurance**—the program excludes these.[5] - Enroll as a **new or existing patient**.[1] - For **copay assistance**, sign the **Patient Certification and Consent**; covers up to **$6,000 per year** after your first **$75** out-of-pocket for deductibles, copays, or coinsurance (excludes office/facility fees not tied to ASCENIV).[5] **No income thresholds** are specified, making it accessible for many commercially insured patients.[5] ## Income Eligibility Breakdown The program is **not needs-based** and has **no income thresholds**. Qualification hinges on commercial insurance coverage. Here's a simple table: | Eligibility Factor | Requirement | Details | |--------------------|-------------|---------| | **Insurance** | Private commercial only | ASCENIV must be covered; no Medicare/Medicaid[4][5] | | **Residency** | US/Puerto Rico | Confirmed on enrollment form[1][5] | | **Income** | None | Not needs-based[5] | | **Copay Cap** | Up to $6,000/year | After $75 patient contribution[5] | | **Activation** | Enrollment required | No proof of income needed[1][5] | If uninsured or on government insurance, the program helps find **alternative funding** like nonprofit foundations.[4] ## Insurance Requirements - **Commercial insurance** is mandatory—verify ASCENIV (**J1554**) coverage first.[4] - Program provides **free benefits verification** to check out-of-pocket costs, prior auth needs, and payer rules.[1][2][4] - **Medicare/Medicaid patients ineligible** for copay help; explore other options via program coordinators.[5] - Submit **Explanation of Benefits (EOB)** or pharmacy invoice within **120 days** for reimbursement.[5] ## Step-by-Step Application Process 1. **Contact the Program**: Call **(800) 458-4244** or **(833) 236-2246** (Mon-Fri, 9 AM-6 PM ET) for guidance.[1][4] 2. **Download Enrollment Form**: Get the PDF from the ASCENIV website or HCP portal; DocuSign option available.[1][2][4] 3. **Complete Patient Section**: Provide name, phone, email, last 4 SSN digits, DOB, gender, address, US residency.[1] 4. **Prescriber Completes Their Part**: Doctor adds info and signs.[1] 5. **For Copay Assistance**: Patient/guardian signs **Certification and Consent**.[1] 6. **Submit**: Fax to **(833) 216-0441** or mail to **PO Box 503278, San Diego, CA 92150**.[1][2][5] 7. **Request Services**: Check boxes for **benefits verification**, **prior auth/appeals**, **prescription verification**, **claim support**.[1] **Multiple application methods** (phone, fax, mail, online).[1][4] ## Timeline and Delivery - **Processing**: Requests by **2 PM ET** typically completed **same day**.[4] - **Hours**: Mon-Fri, 9 AM-6 PM ET.[1] - Once approved, copay cards or reimbursements issued; submit EOBs promptly.[5] - **Refills**: Program supports ongoing infusions; re-enroll or update as needed—no specific reauth mentioned.[1] Delivery of medication is via your **specialty pharmacy** or infusion center, coordinated through insurance.[4] ## Alternatives if Denied - **Appeal Assistance**: Program helps with **claim denials**, **prior auth**, and payer appeals.[1][4] - **Alternative Funding**: Staff locates **nonprofit foundations** or other payment options.[4] - **Switch Therapies**: Discuss biosimilars or other IVIGs (e.g., BIVIGAM) with your doctor; program covers ADMA products.[3][5] - **Uninsured/Government Insurance**: Independent patient assistance foundations (not this program).[4][5] ## Disclaimer This guide is for informational purposes based on program details as of 2026. Eligibility, benefits, and terms can change—**always verify with the program at (800) 458-4244** or your healthcare provider. ADMA Biologics reserves the right to modify or end the program. Not a substitute for medical advice. Costs vary by insurance; program excludes non-drug fees. Comply with all terms, including consenting to share health info.[1][5] *(Word count: 942)*

Program information last verified: March 30, 2026