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synagis patient assistance program

by Audrey Sporer Published 2 years ago Updated 1 year ago
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How much does a 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 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 do you qualify for Synagis?

Member meets either of the following criteria:Member's chronological age at the start of RSV season is less than 12 months; or.Member's chronological age at the start of RSV season is between 12 to 24 months and the member will be undergoing cardiac transplantation during the RSV season;

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 much is the RSV shot?

The drug is called Synagis (palivizumab) and it costs between $5,000 and $9,000 per infant per year — still as expensive as when it first became available almost 20 years ago.

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.

How quickly does Synagis work?

According to the guidelines set by the AAP, an infant at high risk in the hospital should get a dose of Synagis 48 to 72 hours before going home, or soon after leaving the hospital during RSV season. The antibodies from Synagis help your child for about a month.

Is Synagis considered a vaccine?

Synagis® (palivizumab) for infants is an FDA-approved prescription, made up of virus-fighting antibodies, which helps prevent serious respiratory tract infections caused by respiratory syncytial virus (RSV). While Synagis® is not a vaccine, it can help high-risk infants by protecting them from severe RSV disease.

What are the side effects of Synagis?

What are the side effects? There are few possible side effects including a mild fever, a rash, or skin reaction around the site of the injection. Possible, serious side effects include severe allergic reaction, which may occur after any dose of Synagis.

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 often should Synagis be given?

How often is SYNAGIS given? Each dose of SYNAGIS helps protect your child from severe RSV disease for about a month. SYNAGIS should be given to high-risk babies every 28-30 days during RSV season.

When 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.

Who qualifies for RSV vaccine?

Very young infants, especially those 6 months and younger. Children younger than 2 years old with chronic lung disease or congenital heart disease. Children with suppressed immune systems. Children who have neuromuscular disorders, including those who have difficulty swallowing or clearing mucus secretions.

What are the side effects of Synagis?

What are the side effects? There are few possible side effects including a mild fever, a rash, or skin reaction around the site of the injection. Possible, serious side effects include severe allergic reaction, which may occur after any dose of Synagis.

Important Note

Uses

  • The MedImmune Assistance Program (MAP) offers Synagis at no cost to those who are eligible for the program. A physician must order the medication, and it will be sent to the site of treatment (usually the doctor’s office). Patients must re-apply to the program every year. Eligibility is based on the following requirements: - You must not be cover...
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How to Use

Side Effects

Precautions

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. PALIVIZUMAB - INJECTION (pal-ih-VYE-zyou-ma…
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Drug Interactions

  • Palivizumab is a monoclonal antibody. It is used to prevent viral respiratory tract infections (RSV infection) in infants and young children at risk for infection. It works by preventing the growth of RSV.
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Notes

  • Give this medication directly into the muscle (IM), usually once a month during RSV season; or as directed by your doctor. For maximum benefit from this drug, keep all scheduled medical appointments and receive each prescribed dose of this medication during RSV season. In the northern hemisphere, RSV season generally runs from November through April. Follow all instru…
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Missed Dose

  • Pain, redness, or mild swelling of the injection site may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: cough, chest pain, fever. An allergic reaction to this drug is unlikely, but seek immediate medical attention if...
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Storage

  • Tell your doctor your medical history, especially of: blood clotting problems (e.g., thrombocytopenia, coagulation disorder), any allergies you may have. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Consult your doctor before breast-feed…
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