ASCENIV

Indicated For

Primary Immunodeficiency, Primary Humoral Immunodeficiency

About This Medication

# ADMA ADvantage Ig Patient Support Program Patient Guide: How to Get ASCENIV at Low or No Cost ASCENIV (immune globulin intravenous, human – slra) is an intravenous immunoglobulin (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 private commercial insurance reduce out-of-pocket costs for ASCENIV, covering copays, coinsurance, and deductibles up to certain limits.[4][5] ## About ASCENIV ASCENIV is a plasma-derived immunoglobulin product that provides antibodies to help fight infections in people with weakened immune systems due to PI. It's administered intravenously, typically in a clinical setting, under the HCPCS code **J1554**. This program makes treatment more affordable by maximizing insurance benefits and offering financial support services like benefits verification, prior authorization help, and claims appeals.[1][3][4] ## Who Qualifies? Eligibility focuses on insurance coverage and U.S. residency rather than income. Key requirements include: - U.S. resident (including Puerto Rico). - **Private commercial insurance** that covers ASCENIV. - Prescription for ASCENIV from a licensed healthcare provider. **No income requirements** are specified, making the program accessible regardless of financial situation, as long as other criteria are met.[1][5] ## Income Eligibility Breakdown This program does not use income thresholds. Here's a summary: | Household Size | Income Limit | FPL % | Notes | |----------------|--------------|-------|-------| | Individual | None | None | No income check; based on insurance and residency. | | Couple | None | None | Eligible if commercially insured. | | Family of 3 | None | None | Focus on coverage, not finances. | | Family of 4 | None | None | U.S. residency required. | The lack of income limits broadens access, but you must have commercial insurance—not Medicare, Medicaid, or other government programs.[4][5] ## Insurance Requirements - **Must have private commercial insurance** (e.g., employer-sponsored or marketplace plans). - ASCENIV must be a covered benefit under your plan. - **Not eligible** if on Medicare, Medicaid, VA, Tricare, or similar government insurance. - The program helps verify benefits, estimate out-of-pocket costs, and handle prior authorizations or appeals to ensure coverage.[1][4][5] For cost-sharing assistance, patients typically pay the first portion of costs (e.g., around $75 for some products in the program), then the program covers up to $6,000 annually for eligible out-of-pocket expenses like deductibles, copays, or coinsurance related to ASCENIV. Proof such as an Explanation of Benefits (EOB) or pharmacy invoice is required within 120 days.[5] ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm ASCENIV is right for you and ask them to prescribe it. Your prescriber must complete part of the enrollment form.[1][4] 2. **Contact the program**: Call **(800) 458-4244** or **(833) 236-2246** (Monday–Friday, 9:00 AM–6:00 PM ET) to start. They offer benefits verification and guidance.[1][4][5] 3. **Complete the enrollment form**: Download the ASCENIV enrollment form (PDF or online DocuSign) from the ASCENIV website or program hub. Provide: - Patient info (name, DOB, address, last 4 SSN digits, insurance details). - Prescriber signature. - Patient certification and consent for cost-share support.[1][4] 4. **Gather required documents**: - Enrollment form. - Proof of insurance (insurance card, policy details). - Patient certification and consent for cost share.[1] 5. **Submit the application**: Fax to **(833) 216-0441** or mail to **ADvantage Ig Patient Support Program, PO Box 503278, San Diego, CA 92150**. Multiple methods available (phone, fax, mail, online).[1][5] 6. **Sign consents**: Agree to terms, including sharing health info with ADMA Biologics.[1] The program supports new and existing patients with services like prescription verification and claim denial appeals.[1] ## Timeline and Delivery - **Processing**: Requests received by **2 PM ET** are typically completed **same day**. Benefits verification and prior auth help are fast-tracked.[4] - **Approval**: Often quick once documents are submitted; call for status. - **Delivery**: Program coordinates with your pharmacy or infusion center. Medication ships via specialty pharmacy; program minimizes delays through reimbursement support.[4][5] - **Refills/Reauthorization**: Required periodically; program assists with renewals.[1] ## Alternatives if Denied or Ineligible - **Appeal through program**: They help with insurance appeals, prior authorizations, or claim denials.[1][4] - **Nonprofit foundations**: Program locates alternative funding options.[4] - **No biosimilar alternatives** listed for ASCENIV. - Switch to other IVIG products under the same ADvantage Ig program (e.g., BIVIGAM) if appropriate—same enrollment process.[1][3] - Patient assistance foundations for uninsured/low-income (separate from this commercial program). ## Important Disclaimer This guide is for informational purposes only and based on publicly available 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 covered up to annual limits (e.g., $6,000 max); excludes non-drug costs. Comply with all terms to avoid disqualification. Consult your doctor for treatment decisions.[1][4][5]

Program information last verified: March 30, 2026