Solid organ transplant therapies
Fully managed infusion care from prescription to patient
Managing home infusion therapy for solid organ transplant patients is complex, time-intensive, and critical to outcomes. At 1Elevan Bio, we serve as a true extension of your transplant team — handling every detail of the care continuum from benefits verification and medication dispensing to home infusion coordination, nursing, lab monitoring, and scheduling.
Our specialty pharmacy has a dedicated infusion team with decades of experience, many with direct clinical backgrounds. We follow your institution's protocol precisely, so your staff can trust that every patient is receiving consistent, high-quality care — without the administrative burden falling on your center.
Meet Your Dedicated IVIG Care Team
Clinical expertise at every step, because your transplant patients deserve nothing less.
Specialty Pharmacy Team
Reimbursement Specialist
Clinical Nurse Liaison
Protocol Coordinator
Nursing
On Call Support
BY THE NUMBERS
Patients are currently on the U.S. organ transplant waiting list, many requiring IVIG-based protocols
Source: UNOS/OPTN
%
of kidney transplant candidates on the waiting list are considered highly sensitized
Source: UNOS sensitization data
%
of transplant recipients who receive timely AMR treatment have graft survival rates
Source: American Journal of Transplantation
Partners with Clinical Expertise in Desensitization & AMR
We Know This Patient.
Desensitization and antibody-mediated rejection require more than standard infusion management. They demand a team that understands the clinical complexity behind every order. Our IVIG specialists bring deep experience across the full scope of desensitization and AMR protocols, including:
- Administration of pre-medications and adjunct therapies during the infusion when clinically indicated
- Infusion scheduling coordinated around dialysis days
- HLA and tissue-typing lab draws
- Direct transmission of blood and HLA information to your transplant center
Keeping your team informed and your patient's care on track.
One Nurse. One Patient. Every Infusion.
Our advanced-trained RNs specialize in the safe home administration of IVIG for desensitization and AMR patients. Every nurse provides one-on-one care for the full duration of each infusion, including:
- One-on-one patient visits from start to finish — the nurse stays for the entire infusion
- The same nurse assigned throughout the entire infusion series wherever possible
- Nationwide coverage with flexibility for evening and weekend infusions
- Accommodation of complex scheduling needs around dialysis and transplant center protocols
Building the trust and familiarity that matters most to patients managing a complex, long-term therapy.
Frequently Asked
Common Questions
What is desensitization and how does IVIG help transplant patients?
Desensitization is a medical protocol used to reduce a patient's level of donor-specific antibodies — proteins that can cause the immune system to attack a transplanted organ. For highly sensitized patients, these antibodies can make it difficult or impossible to find a compatible donor. IVIG (intravenous immunoglobulin) is a cornerstone of desensitization therapy, helping to neutralize harmful antibodies and expand transplant eligibility for patients who would otherwise have limited options on the waiting list.
How does 1Elevan Bio handle shipping and delivery of IVIG medications?
IVIG is a temperature-sensitive specialty medication requiring careful handling throughout the entire dispensing and delivery process. 1Elevan Bio coordinates direct delivery of your IVIG medication and all necessary infusion equipment to your home, ensuring proper cold-chain management and timely arrival ahead of each scheduled infusion. Our team manages the logistics so patients and caregivers don't have to.
What care management services does 1Elevan Bio provide for IVIG patients?
We manage the full continuum of IVIG care — from benefits verification and prior authorization to infusion scheduling, home nursing coordination, lab monitoring, and ongoing communication with your transplant center. Where possible, we assign the same nurse for each infusion throughout a patient's treatment series, providing consistency and continuity that makes a meaningful difference in the patient experience.
How does 1Elevan Bio work with my transplant center's protocol?
Every transplant center has its own clinical protocols, and we follow them precisely. When a center partners with 1Elevan Bio, our team implements your institution's specific guidelines for lab monitoring, infusion scheduling, and care coordination — functioning as a seamless extension of your clinical staff. Our goal is to give transplant teams confidence that their patients are being managed to the same standard of care they would receive in the center itself.
How does 1Elevan Bio handle insurance authorization and reimbursement for IVIG therapy?
Securing insurance approval for IVIG in transplant patients — particularly for off-label use in desensitization and antibody-mediated rejection — is one of the most complex reimbursement challenges in specialty pharmacy. Our dedicated reimbursement specialists have deep expertise in navigating prior authorizations for highly sensitized patients and other expensive biologic specialty medications, achieving a 98% authorization success rate. We work directly alongside the transplant coordinator and patient from the start, providing a comprehensive review of outpatient medical benefits and proactively addressing any financial concerns that arise during the authorization process, so treatment is never delayed by a coverage issue.
I have Medicare. Is IVIG home infusion covered by Medicare?
Medicare coverage for home IVIG infusion can be complex, and the answer depends on your specific situation. Medicare Part B covers a limited number of home infusion drugs that meet strict clinical criteria, while most other home infusion medications fall under Medicare Part D, your prescription drug benefit. However, Part D does not cover the infusion equipment, supplies, or nursing services required for home administration — which can create coverage gaps for some patients.
Our dedicated reimbursement specialists understand the nuances of both Part B and Part D and will conduct a thorough review of your benefits to determine the best path to coverage for your specific prescription and care needs. We are experienced in securing approvals for complex cases and will work on your behalf to ensure treatment is not delayed by a coverage issue.