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Providers.amerigroup.com CONTAINS CONFIDENTIAL PATIENT INFORMATION Gameness Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center
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Who needs gamunex-c:

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Gamunex-c is commonly prescribed for individuals with primary immunodeficiency disorders (PI), such as primary humoral immunodeficiency (PIH) and common variable immunodeficiency (CVID). These individuals have a weakened immune system and may require gamunex-c to boost their antibody levels.
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Individuals with certain autoimmune disorders, such as immune thrombocytopenia (ITP) and chronic inflammatory demyelinating polyneuropathy (CIDP), may also benefit from gamunex-c treatment. It helps to modulate the immune response and reduce inflammation.
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Gamunex-c is sometimes used in the treatment of multifocal motor neuropathy (MMN), a rare disorder characterized by muscle weakness and wasting. It can help improve muscle strength and functionality in these cases.
Please note that the information provided is for informational purposes only, and it is important to consult with a healthcare professional for specific guidance on how to fill out gamunex-c and who may benefit from its use.
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Gamunex-C is a medication used to treat primary immunodeficiency (PI), a condition that weakens the immune system.
Gamunex-C is typically prescribed and administered by healthcare professionals such as doctors or nurses.
Gamunex-C is usually administered intravenously by a healthcare professional in a clinical setting.
The purpose of Gamunex-C is to boost the immune system in individuals with PI.
Information such as dose, frequency of administration, and any adverse reactions must be reported when using Gamunex-C.
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