"It may take a considerable time to find the right IVIG product and individual rate of infusion to optimize tolerability. When a patient changes site of care and the brand of IVIG product is not available, all effort should be taken to find the product that most closely resembles the product the patient is currently receiving, even though it will not be an exact match. In the case when a health-system, specialty pharmacy or home care pharmacy changes products with only cost in mind and not the product matching the tolerability of that individual patient, the patient’s rights and the clinician’s duty related to unnecessary additional adverse reactions need to be considered. Every patient’s biological and physiologic system is unique. This distinction is critical to ensuring that he or she receives the most appropriate IVIG treatment that optimizes clinical outcomes."6