Standard Health Pals Formulary
Infed (Iron Dextran) 50 mg/ml Infusion (Injection)
Coverage Level – 100%
Copay – $0
Limitations – No more than 30 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – Must be shipped to either a Physician’s office or an Infusion Clinic. Prior to the first intramuscular Infed therapeutic dose, your healthcare provider should administer an intramuscular test dose of 0.5 mL. The test dose should be administered at a gradual rate over at least 30 seconds into the buttock.