HyperRAB

Indicated For

Rabies postexposure prophylaxis

About This Medication

# Hypermunes Patient Assistance Program Patient Guide: How to Get HyperRAB at Low or No Cost HyperRAB (rabies immune globulin [human]) is a vital medication used for **postexposure prophylaxis** to prevent rabies in people suspected of exposure, providing immediate passive immunity alongside a rabies vaccine.[1][6][7][8] The **Hypermunes Patient Assistance Program** from Grifols helps eligible uninsured patients get **1 dose as prescribed** at no cost if they meet strict income and residency rules.[1][5] ## About HyperRAB **HyperRAB** is a human rabies immune globulin (HRIG) with a concentration of 300 IU/mL, administered intramuscularly at 20 IU/kg body weight on day 0 of postexposure prophylaxis (PEP).[6][7] It delivers antibodies to fight the rabies virus right away, buying time for the rabies vaccine to build active immunity—crucial since rabies is nearly always fatal once symptoms start.[7] It's indicated for all persons suspected of rabies exposure, like animal bites or scratches, but only those who haven't had prior rabies vaccination.[1][8] Your doctor infiltrates as much as possible around the wound site, with any remainder given in a muscle far from the vaccine injection.[7] Note: HyperRAB requires **D5W (dextrose 5% in water)** for dilution if needed, unlike other HRIGs.[7] Always follow CDC guidelines and your healthcare provider's instructions. ## Who Qualifies? This program is for **uninsured U.S. residents** facing a rabies exposure emergency who can't afford treatment.[1][5] Key requirements: - U.S. citizen or legal resident living in the U.S., Puerto Rico, or U.S. territories.[1] - **Uninsured**: No Medicare Part D, Medicare, Medicaid, Tricare, VA benefits, or other federal funding.[1][5] - Diagnosis and dosing match FDA label (postexposure rabies prophylaxis).[1] - Income at or below **250% of the Federal Poverty Level (FPL)** for single individuals.[1][5] ## Income Eligibility Breakdown Eligibility focuses on **single individuals** at or below 250% FPL; no specific thresholds listed for couples or larger families, so contact the program for details.[1] Here's a table based on 2026 FPL guidelines (adjusts annually; verify current levels): | Household Size | 250% FPL Annual Income Limit | |----------------|------------------------------| | 1 (Individual) | $37,650 | | 2 (Couple) | Contact program | | 3 | Contact program | | 4 | Contact program | **Notes**: Proof of income required. FPL varies by year and location—use recent tax returns, pay stubs, or benefit letters.[1][5] ## Insurance Requirements You **must be completely uninsured** for this program.[1][5] Patients with **Medicare Part D, Medicare, Medicaid, Tricare, VA benefits, or any federally funded health plans are ineligible**.[1] If you have private insurance, explore their coverage first—rabies PEP is often covered as an emergency. No assistance for insured or government-beneficiaries.[4] ## Step-by-Step Application Process 1. **Get Diagnosed**: Confirm rabies exposure with your doctor. They'll note the product administration date, total IUs needed (20 IU/kg), and diagnosis code (e.g., Z20.3 for rabies exposure).[1][6] 2. **Contact Program**: Call **(833) 504-9983** to start. Multiple methods available: fax completed form to (866) 557-8706, email to GrifolsCallCenter@snow-companies.com, or mail to Hypermunes Patient Assistance Program, PO Box 5428, Williamsburg, VA 23188.[1] 3. **Complete Form**: Download from hyperrab.com or request via phone. Check "HyperRAB", sign, and include doctor's details.[1] 4. **Submit Documents**: - **Proof of income** (e.g., 2025 tax return, W-2s, pay stubs).[1] - Valid driver's license or recent utility bill (for residency; may be requested later for audit).[1] 5. **Doctor's Role**: Provider prescribes 1 dose and confirms medical need.[1] 6. **Approval**: Program reviews for eligibility. **Approval required before administration**.[4] Applications are "multiple" methods, making it flexible for emergencies.[1] ## Timeline and Delivery **Processing time not specified**—apply ASAP as HRIG must be given on day 0 (up to day 7 if delayed).[7] Once approved, **1 dose as prescribed** ships directly (details via program).[1] Expect quick turnaround for rabies urgency, but call to confirm.[2][4] Track via phone. ## Alternatives if Denied or Ineligible - **Other HRIG PAPs**: KEDRAB (Kedrion, call 1-866-234-3732) or Imogam Rabies-HT (Sanofi, 800-822-2463).[2][4] - **State Programs**: E.g., NC Free Rabies Vaccine Program for indigent patients.[2] - **General Resources**: rxassist.org or patientassistance.com.[2] - **Vaccines**: Imovax (Sanofi) or RabAvert (GSK) PAPs.[2][4] - **Emergency Aid**: Contact local health department or CDC resources.[7] If denied, reapply with better docs or try alternatives.[1] ## Important Disclaimer This guide summarizes publicly available info as of 2026 and is **not official advice**. Eligibility, rules, and FPL change—**always verify with Grifols at (833) 504-9983**.[1][5] Not affiliated with Grifols. Consult your doctor for medical decisions. Rabies is life-threatening; seek care immediately. Grifols/Hypermunes not liable for guide use. Word count: 942.

Program information last verified: March 30, 2026