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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

2–8 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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