How much is Synagis out of pocket?
The cost for Synagis intramuscular solution (100 mg/mL) is around $1,844 for a supply of 0.5 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
How much does the Synagis shot cost?
under the brand name Synagis, can cost up to $6,000 for five treatments, given to at-risk children in monthly intramuscular injections during RSV season. The company is pushing for wider use, but researchers are divided over its benefits and over when and to whom it should be administered.
Is Synagis covered by insurance?
Synagis is covered under the member's medical benefit. For the 2019-2020 RSV season, it is mandatory for all participating providers to obtain Synagis for Independence members through PerformSpecialty®, an independent company.
How do you bill for Synagis injection?
Administration charges for the injection should be billed directly to Coordinated Care on a (HCFA) CMS 1500 claim form using CPT code 96372 (Administration) and CPT code 90378 (Medicine). You can also bill for an appropriate office visit for each administration of the drug.
Is there a generic for Synagis?
GENERIC NAME: PALIVIZUMAB - INJECTION (pal-ih-VYE-zyou-mab)
Why don t all babies get Synagis?
Since RSV infections are so common and the symptoms can be so severe, why doesn't everyone get Synagis? One of the reasons is that it is the youngest infants, especially if they were born premature, are most at risk of the serious complications of RSV infections. 5 The other reason is the cost.
Does Medicare cover Synagis?
Do Medicare prescription drug plans cover Synagis? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.
How do you qualify for Synagis?
SYNAGIS gives babies who are born prematurely (at or before 35 weeks, and who are 6 months of age or less at the beginning of RSV season) the infection-fighting antibodies they lack, helping protect their vulnerable lungs from RSV.
How often should Synagis be given?
Your child's healthcare provider will give you detailed instructions on when SYNAGIS will be given. SYNAGIS is needed every 28-30 days during the RSV season. Each injection of SYNAGIS helps protect your child from severe RSV disease for about 1 month.
What is the NDC for Synagis?
100 mg vial NDC 60574-4111-1 Upon reconstitution the 100 mg vial contains 100 milligrams Synagis® (palivizumab) in 1.0 mL.
What is code 96372 used for?
CPT® code 96372: Injection of drug/substance under skin or into muscle | American Medical Association.
What is Synagis connect?
SYNAGIS CONNECT® is a patient support program created by Sobi to provide individualized support to help appropriate patients get access to SYNAGIS. Patient must be a resident of the US or Puerto Rico. Patient must be commercially insured. There are no income requirements to participate in the program.
How many doses of Synagis are given?
SYNAGIS is supplied as a single-dose vial and does not contain preservatives. Do not re-enter the vial after withdrawal of drug; discard any unused portion. Only administer one dose per vial.
How effective is Synagis?
Palivizumab is an RSV-specific monoclonal antibody licensed for the prevention of serious lower respiratory tract infection (LRTI) caused by RSV in high-risk children. Several prospective clinical trials have demonstrated an efficacy of 45%–82% against RSV-related hospitalizations in high-risk infants.
What are the side effects of Synagis?
What Are Side Effects of Synagis?diarrhea,vomiting,fever,cough,earache,runny or stuffy nose,sneezing,other cold symptoms,More items...
Does Synagis prevent RSV?
SYNAGIS [si-nah-jis] helps protect babies from RSV through virus-fighting antibodies. SYNAGIS is not a vaccine—it's an injection given once a month throughout RSV season, which usually starts in the fall and continues into spring. The exact timing of RSV varies by location.