Gamunex-C
Generic: immune globulin 10%
Manufacturer: Grifols · Program: Gamunex Connexions Patient Assistance Program
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
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
-
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]
-
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]
-
Complete Forms: Download from gamunex-c.com or call. Physician attests to need.[1][5]
-
Submit: Fax to 1-855-710-7035 or mail to Gamunex Connexions, PO Box 5428, Williamsburg, VA 23188.[1][6]
-
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
Ready to apply for Gamunex-C assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.
Need help finding a program?