How do I get Synagis approved?
The healthcare provider office must complete and submit the PA request, but SYNAGIS CONNECT® can provide support at every step in the process. For more information, call 1-833-SYNAGIS (1-833-796-2447), Monday through Friday, 8 am to 8 pm EST.
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.
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 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.
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.
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.
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...
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.
What drug class is SYNAGIS?
Synagis belongs to a class of drugs called RSV Agents.
What does SYNAGIS treat?
SYNAGIS, 50 mg and 100 mg for injection, is a prescription medication that is used to help prevent a serious lung disease caused by respiratory syncytial virus (RSV) in children: born prematurely (at or before 35 weeks) and who are 6 months of age or less at the beginning of RSV season.
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.
When should Synagis be given?
The recommended dose of SYNAGIS is 15 mg/kg of body weight given monthly by intramuscular injection. The first dose of SYNAGIS should be administered prior to commencement of the RSV season and the remaining doses should be administered monthly throughout the RSV season.
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 Side Effects of Synagis?diarrhea,vomiting,fever,cough,earache,runny or stuffy nose,sneezing,other cold symptoms,More items...
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...
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 - INJECTI...
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.
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…
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 it occurs. Symptoms of an allergic reaction incl…
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…