How do I gain access to HyperRAB?
How does HyperRAB benefit healthcare professionals (HCPs)?
What is the shelf life of HyperRAB?
Is HyperRAB indicated for use in children?
How is HyperRAB manufactured?
What is the billing and reimbursement process for HyperRAB?
What is hyperrab?
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90471 vs. 96372 for Rabies vaccine - AAPC
Our patient came in post rabies exposure from a Lemur bite. She picked up the Rabavert (rabies vaccine) at the pharmacy and brought it in to be administered in our office. I billed the drug CPT with a charge of ZERO and billed 90471 for administration. The claim was denied for "routine vaccine...
Administration of RABIES IMMUNE GLOBULIN (RIG)
Administration of RABIES IMMUNE GLOBULIN (RIG) - HyperRab® / ImoGam® / KamRAB® Turn over for administration of Rabies VACCINE Dose Calculation for Maximum RIG volume based on weight of client: NOTE: three different RIG products currently available: calculations will be based on product availability
Payment Policy | Rabies Treatment: Pre and Post - BCBSRI
500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 3 (401) 274-4848 WWW.BCBSRI.COM. 90376 Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous
RabAvert Dosage Guide - Drugs.com
Preexposure Dosage: Primary Immunization: In the US, ACIP recommends 3 injections of 1 mL each: 1 injection on Day 0 and 1 on Day 7, and 1 either on Day 21 or 28 (for criteria for preexposure vaccination, see Table 1). Booster Immunization: The individual booster dose is 1 mL, given intramuscularly. Booster immunization is given to persons who have received previous rabies immunization and ...
How much hyperrab is given?
The recommended dose for HyperRAB is 20 IU/kg (0.0665 mL/kg) of actual body weight administered at the time of the first vaccine dose. 2 HyperRAB can be given up to 7 days after the first dose of rabies vaccine. 4.
What is hyperrab?
HyperRAB is an HRIG that provides rapid immune coverage, indicated for postexposure prophylaxis (PEP), along with rabies vaccine, for all persons suspected of exposure to rabies. 2,3 Review CDC guidelines for PEP.
How long after first shot can you use hyperrab?
Beyond 7 days (after the first vaccine dose), HYPERRAB is not indicated since an antibody response to vaccine is presumed to have occurred. Important Safety Information. For infiltration and intramuscular use only. Severe hypersensitivity reactions may occur with HYPERRAB.
How to report side effects of prescription drugs?
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
What does a healthcare provider decide when to use a specific product?
Healthcare providers make the ultimate determination as to when to use a specific product, based on clinical appropriateness for a patient. This guide is not intended to provide specific guidance on how to use, code, bill, or charge for any product or service.
What is the purpose of Hyperrab?
To provide additional assurance of the pathogen safety of the final product, the capacity of the HyperRAB manufacturing process to remove and/or inactivate viruses has been demonstrated by laboratory spiking studies on a scaled-down process model using a wide range of viruses with diverse physicochemical properties. This process provides the final product with a high margin of safety from the potential risk of transmission of infectious viruses.
Can you get hyperrab for non bite?
For unvaccinated persons, the combination of HyperRAB and vaccine is recommended for both bite and nonbite exposures regardless of the time interval between exposure and initiation of PEP. Persons who have been previously immunized with rabies vaccine and have a confirmed adequate rabies antibody titer should receive only vaccine. 2,4.
How much does Hyperrab cost?
The cost for HyperRAB S/D intramuscular solution (300 intl units/mL) is around $709 for a supply of 1 milliliter (s), depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
What is hyperrab S/D?
HyperRAB S/D offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.
How much does a free drug card save?
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
How to sign up for a med program?from goodrx.com
To sign up, you will either call the program or sign up online. You will need to submit forms like your taxes and residence status to prove your eligibility. Most programs also require your health provider to fill out a form. Once you apply and enroll, there may be limits on how much medication you can get or how long the program lasts.
Where do patient assistance programs come from?from goodrx.com
PAPs are most often sponsored by pharmaceutical companies. There are also state programs and nonprofit-sponsored programs.
How to contact Advancing Access?from gileadadvancingaccess.com
Support by Phone. Call 1-800-226-2056. 1-800-226-2056. , Monday–Friday, 9am–8pm ET. You can also leave a confidential message any time and day of the week. If a voicemail is left after hours, an Advancing Access program specialist will return your call on the next business day. Enroll via Fax.
Does GlaxoSmithKline offer assistance?from goodrx.com
For example, GlaxoSmithKline offers an assistance program for its medications Benlysta and Nucala. Here, under their qualification section, they show what your maximum monthly gross income must be under, depending on your household size and where you live.
What is HT rabies?from drugs.com
Rabies Immune Globulin (Human) Heat Treated , Imogam Rabies – HT, in conjunction with the standard series of Rabies Vaccine vaccinations, is indicated for individuals suspected of exposure to rabies, particularly severe exposure, with one exception: persons who have been previously immunized with Rabies Vaccine. Previously immunized persons are those who have had a documented rabies virus neutralizing antibody titer and who have completed one of the recommended regimens (pre-exposure or post-exposure) with a cell culture vaccine or another vaccine. Administer only vaccine to these persons (i.e., post-exposure for a person previously vaccinated). (1)
What to do before administration of imogam rabies?from drugs.com
Before administration, inform patients, parents or guardians of the benefits and risks of administration of Imogam Rabies – HT. Instruct patients, parents or guardians to report any serious adverse reactions to their healthcare provider.
Where to report rabies immunoglobulin?from drugs.com
Report suspected adverse reactions following treatment with Rabies Immune Globulin (Human) to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Also report these events to the Pharmacovigilance Department, Sanofi Pasteur Inc., Discovery Drive, Swiftwater, PA 18370 or call 1-800-822-2463.
How to store imogam rabies?from drugs.com
Store Imogam Rabies – HT in the refrigerator at 2° to 8°C (35° to 46°F). DO NOT FREEZE.
Can HRIG be infiltrated?from cdc.gov
This will provide immediate antibodies until the body can respond to the vaccine by actively producing antibodies of its own. If possible, the full dose of HRIG should be thoroughly infiltrated in the area around and into the wounds.
Can you give imogam rabies HT in repeated doses?from drugs.com
Do NOT administer Imo gam Rabies – HT in repeated doses once vaccine treatment has been initiated. Repeating the dose may interfere with maximum active immunity expected from the vaccine.
When to inspect parenteral drug products?from drugs.com
Inspect parenteral drug products visually for particulate matter and/or discoloration prior to administration, whenever solution and container permit. If either of these conditions exist, do not administer the product.
What is hyperrab used for?
Indications and Usage for Hyperrab. Hyperrab is a human rabies immune globulin indicated for postexposure prophylaxis, along with rabies vaccine, for all persons suspected of exposure to rabies.
When to administer hyperrab?
Administer Hyperrab at the time of the first vaccine dose (day 0), but no later than day 7 ( 1-3 ).
What is hyperrab in a sterile solution?
Hyperrab is a clear or slightly opalescent, and colorless or pale yellow or light brown sterile solution of human antirabies immune globulin for infiltration and intramuscular administration. Hyperrab is provided in a single-dose vial and contains no preservative. Hyperrab is prepared from pools of human plasma collected from healthy donors (hyperimmunized with rabies vaccine) by a combination of cold ethanol fractionation, caprylate precipitation and filtration, caprylate incubation, anion-exchange chromatography, nanofiltration and low pH incubation. Hyperrab consists of 15 to 18% protein at pH 4.1 to 4.8 in 0.16 to 0.26 M glycine. The product is standardized against the U.S. Standard Rabies Immune Globulin to contain a potency value of not less than 300 IU/mL. The U.S. unit of potency is equivalent to the international unit (IU) for rabies antibody.
What is the unit of hyperrab?
Hyperrab is standardized against the U.S. Standard Rabies Immune Globulin to contain a potency of ≥300 IU/mL. The U.S. unit of potency is equivalent to the international unit (IU) for rabies antibody.
How many IU of hyperrab is in a vial?
Hyperrab is a sterile, 300 IU/mL solution for injection supplied in 1 mL, 3 mL and 5 mL single-dose vials. The 1 mL vial is sufficient for a child weighing 15 kg. The 3 mL vial is sufficient for a person weighing 45 kg. The 5 mL vial is sufficient for an adult weighing 75 kg.
How much hyperrab is needed for 20 IU/kg?
The predecessor product, Hyperrab S/D was formulated at 150 IU/mL. The volume required of Hyperrab (300 IU/mL) to achieve the recommended dose of 20 IU/kg is approximately one half of that required for the previous Hyperrab S/D (150 IU/mL).
How strong is Hyperrab?
The strength of Hyperrab is 300 IU/mL.
Novartis Patient Assistance Program for RabAvert
To be eligible for this program, patients must have no health insurance for vaccine (medicare Part D patients are not eligible) and income must be at or below 250 percent of the federal poverty level. Patients must be at least 19 years old. Visit RXHope for more information on this program or call 1-877-822-2911.
Local options
The locations below are likely less expensive than getting the three follow-up doses at an ER.
What is hyperrab?
HYPERRAB ® is a human rabies immune globulin indicated for postexposure prophylaxis, along with rabies vaccine, for all persons suspected of exposure to rabies. ( 1 ) Persons previously immunized with rabies vaccine that have a confirmed adequate rabies antibody titer should receive only vaccine.
How is hyperrab prepared?
HYPERRAB is prepared from pools of human plasma collected from healthy donors (hyperimmunized with rabies vaccine) by a combination of cold ethanol fractionation, caprylate precipitation and filtration, caprylate incubation, anion-exchange chromatography, nanofiltration and low pH incubation .
What is hyperrab in rabies?
1 INDICATIONS AND USAGE. HYPERRAB is a human rabies immune globulin indicated for postexposure prophylaxis, along with rabies vaccine, for all persons suspected of exposure to rabies.
How soon after rabies shot can you give hyperrab?
Administer HYPERRAB within 7 days after the first dose of rabies vaccine. Administer as soon as possible after exposure, preferably at the time of the first rabies vaccine dose. Infiltrate the full dose of HYPERRAB thoroughly in the area around and into the wound (s), if anatomically feasible.
How much does a HYPERRAB vial weigh?
The 3 mL vial is sufficient for a person weighing 45 kg. The 5 mL vial is sufficient for an adult weighing 75 kg. HYPERRAB is standardized against the U.S. Standard Rabies Immune Globulin to contain a potency of ≥300 IU/mL. The U.S. unit of potency is equivalent to the international unit (IU) for rabies antibody.
How many subjects are on hyperrab?
HYPERRAB was administered to a total of 20 healthy adult subjects in two clinical trials. [see Clinical Pharmacology (12.3)]. A single intramuscular dose of 20 IU/kg HYPERRAB (12 subjects) or ...
How many IU per ml of hydrorab?
HYPERRAB is a sterile, 300 IU/mL solution for injection supplied in 1 mL, 3 mL and 5 mL single-dose vials. The 1 mL vial is sufficient for a child weighing 15 kg. The 3 mL vial is sufficient for a ...
How do I gain access to HyperRAB?
In most instances, you should be able to gain access to HyperRAB through your existing distributor.
How does HyperRAB benefit healthcare professionals (HCPs)?
Therefore, HCPs are not only able to administer more rabies antibodies directly into the wound site, but also administer a lower volume to complete the dose for each patient. 1
What is the shelf life of HyperRAB?
HyperRAB remains stable and safe to use for 3 years when kept at a temperature of 2 to 8°C (36 to 46°F), which helps to reduce the risk of unused and expired inventory. Additionally, HyperRAB can be safely stored at room temperature (not to exceed 25°C [77°F]) for up to 6 months at any time prior to the expiration date, after which the product must be used or discarded. Do not return to refrigeration. Do not freeze HyperRAB. 1
Is HyperRAB indicated for use in children?
Although the safety and efficacy of HyperRAB in the pediatric population have not been established, the dosing regimen provided in the full Pre scribing Information applies to all individuals, including children. Please contact Grifols Medical Information at 1-800-520-2807 for more information. 1
How is HyperRAB manufactured?
HyperRAB (300 IU/mL) is manufactured using a sophisticated caprylate/chromatography purification process, which significantly reduces procoagulant activity and product impurities such as immunoglobulin G (IgG) aggregates.
What is the billing and reimbursement process for HyperRAB?
HyperRAB should be billed using 2 units of HCPCS/CPT 90375 (150 IU) for each 1 mL (300 IU) of HyperRAB. Appropriate ICD-10 codes may be reviewed at www.HyperRAB.com.
What is hyperrab?
HYPERRAB ® (rabies immune globulin [human]) is indicated for postexposure prophylaxis, along with rabies vaccine, for all persons suspected of exposure to rabies. Persons who have been previously immunized with rabies vaccine and have a confirmed adequate rabies antibody titer should receive only vaccine.