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Robert, I received a notice from my Medicare Advantage plan last month that my Gammunex IVIG treatments that I have been receiving monthly for 2 years since diagnosed (and have been working well) needed to be changed to Gammagard IVIG effective this month and in 2025. Research indicates both are immunoglobulins and very similar. I’m assuming Gammagard is less expensive hence the change mandated by my Medicare Advantage insurance plan. I will have to see if the IVIG is re-approved for 2026 in a year. It’s not very reassuring to know that the treatment that is effective for my MG may or may not be approved year-to-year. I also take Pyridostigmine (Mestinon). This combination regulates my MG pretty well. I am a 67 year old male, and onset of MG was at 65