Implementation of a Tier System for IVIG Indications to Address IVIG Shortage at a Tertiary Care Pediatric Medical Center

The authors discuss the establishment of a multidisciplinary task force and implementation of a tiered system for indications of use of intravenous immunoglobulin during a national shortage. During the study period, all requests for Tier 1 indications were approved and less than three percent of all requests were denied. The authors found no adverse effects from the denials and suggested that triaging for high-priority indications could be an effective strategy during drug shortages.