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Gamunex-C

Generic: immune globulin 10%

Manufacturer: Grifols  ·  Program: Gamunex Connexions Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured or loss of insurance; no coverage for GAMUNEX-C

Residency

US resident

For uninsured patients with CIDP or PIDD; financial documentation required

Program Information

Processing Time

2–4 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Reauthorization

Required, calendar year

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of no prescription drug coverage
  • Proof of income/financial documentation
  • Prescription
  • Patient consent

Indicated For

CIDP, ITP, primary immunodeficiency

About This Medication

# Gamunex Connexions Patient Assistance Program Patient Guide: How to Get Gamunex-C at Low or No Cost Gamunex-C (immune globulin 10%) is a vital treatment for patients with **Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)** or **Primary Immunodeficiency Disease (PIDD)**. The **Gamunex Connexions Patient Assistance Program** from Grifols helps uninsured patients who meet financial criteria get this medication at low or no cost. ## About Gamunex-C Gamunex-C is an intravenous or subcutaneous immune globulin therapy that provides antibodies to help fight infections and manage autoimmune conditions like CIDP, a neurological disorder causing muscle weakness, or PIDD, where the immune system doesn't produce enough antibodies. Administered by infusion, it can be given at home, a doctor's office, or a clinic. This program ensures eligible patients can access it without financial barriers.[1][2][4] ## Who Qualifies? This program targets **uninsured U.S. patients** (citizens or legal residents, excluding Puerto Rico and territories) diagnosed with CIDP or PIDD. You must lack prescription coverage for Gamunex-C and provide proof of financial need. No federal programs like VA, DOD, Tricare, or state-funded assistance qualify you.[1] ## Income Eligibility Eligibility requires **household adjusted gross income at or below 400% of the Federal Poverty Level (FPL)**. Specific thresholds aren't listed per household size here, but use the most recent FPL guidelines (available at healthcare.gov). Submit proof like tax returns or pay stubs.[1] | Household Size | 400% FPL Example (2026 est.) | Notes | |---------------|------------------------------|--------| | 1 | ~$60,000 | Adjusted gross income | | 2 | ~$81,000 | Household total | | 3 | ~$102,000 | Check current FPL | | 4 | ~$123,000 | Annual review | *Examples based on prior FPL trends; verify current levels.*[1] ## Insurance Requirements You must be **uninsured for Gamunex-C** or have recently lost coverage. Sign a consent confirming no prescription drug coverage. Medicare, Medicaid, VA, or similar programs disqualify you—this is free medication for those without options.[1][4] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Diagnosed with CIDP or PIDD? Uninsured? Income ≤400% FPL? Call **1-888-694-2686** (Mon-Fri 8am-8pm ET) for guidance.[1][2] 2. **Gather Documents**: - **Proof of no coverage**: Insurance denial or statement. - **Income proof**: 1040 tax return, pay stubs, IRS transcript (4506-T), Social Security award letter. - **Prescription**: From your doctor for on-label CIDP/PIDD use. - **Consent form**: Patient agreement.[1][6] 3. **Complete Forms**: Download from gamunex-c.com or call. Physician attests to need.[1][5] 4. **Submit**: Fax to **1-855-710-7035** or mail to Gamunex Connexions, PO Box 5428, Williamsburg, VA 23188.[1][6] 5. **Follow Up**: A representative reviews and contacts you if needed.[1] ## Timeline and Delivery Processing time varies; expect contact within days to weeks. Once approved, Gamunex-C ships **to your home or doctor's office**. Reauthorization is required periodically—stay proactive.[1] ## Alternatives if Denied - **Copay Program**: If commercially insured, get up to **$10,000/year** for deductibles/copays via Medmonk (pharmacy/medical benefit).[2][3][9] - **Other PAPs**: Check rxassist.org or rxhope.com.[5][10] - **Doctor/Specialty Pharmacy**: Ask about GBS|CIDP Foundation resources.[2] - **Appeal**: Provide missing docs or updated income.[1] ## Disclaimer This guide summarizes publicly available info as of 2026. Programs change—**call 1-888-MYGAMUNEX (1-888-694-2686)** for latest details. Not medical/financial advice; consult your doctor. Grifols/Connexions decides eligibility. Word count: ~950.

Program information last verified: March 30, 2026

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