WebTexas Health and Human Services Commission (HHSC) has determined the 2024-2024 Respiratory Syncytial Virus (RSV) season for the coverage of Synagis (palivizumab) is … WebPrecertification of palivizumab (Synagis) is required of all Aetna participating providers and members in applicable plan designs. For precertification of palivizumab call (866) 752-7021, or fax (888) 267-3277. ... 752-7021, or fax (888) 267-3277. Criteria for Initial Approval. Aetna considers palivizumab (Synagis) medically necessary for up to ...
Prior Authorization Criteria Synagis (palivizumab)
WebPalivizumab (Synagis®) is available for the prevention of RSV infection in infants and children who are at high-risk for severe illnesses from RSV. Patients should receive one dose per month, up to five doses. Access to Synagis® is available on the Texas Medicaid formulary year-round as long as the patient meets the criteria for approval. WebTexas Prior Authorization Program Clinical Edits Synagis (Palivizumab) September 6, 2024 Copyright © 2011-2024 Health Information Designs, LLC 10 Synagis (palivizumab) Clinical … hsa oahu
Respiratory Syncytial Virus (RSV) and Synagis Authorization
WebThe 2024–2024 Synagis ® season will begin November 26, 2024, and end April 30, 2024. Effective November 12, 2024, eQ PAR and Magellan will begin accepting Prior Authorization Requests (PARs) for Synagis ®. The Colorado RSV season typically has a later onset (i.e., starts closer to the end of December). Providers should schedule the member ... WebPrescription Solutions staff follows UnitedHealthcare’s drug policy criteria for Synagis and works directly with UNC in determining whether Synagis treatment is covered. Use the UNC enrollment form for RSV, found on the UNC Pharmacy Resources page, to obtain Synagis. If you have questions about obtaining Synagis, call the UNC Specialty ... WebWho should get Synagis? We suggest that children who are at high risk of severe illness from RSV have a preventative treatment of Synagis. This includes children less than 2 … av paulista 2073 sala 184