The northeastern part of the United States is approaching the annual respiratory syncytial virus (RSV) season, which is November 2015 through March 2016. RSV is the most common cause of bronchiolitis and pneumonia among children younger than one year. During RSV season, AmeriHealth will approve the monthly administration of Synagis® (palivizumab) for children in accordance with the most recent recommendations from the American Academy of Pediatrics (AAP).
It is mandatory for all participating providers to obtain Synagis® (palivizumab) through ACRO Pharmaceutical Services.
If you have questions about the Synagis® (palivizumab) distribution program, please call Customer Service at 1-800-275-2583 for AmeriHealth Pennsylvania or 1-888-YOUR-AH1 (1-888-968-7241) for AmeriHealth New Jersey. The October 2015 edition of Partners in Health UpdateSM will include detailed information about how to order Synagis® (palivizumab), as well as the complete list of recommendations for Synagis® (palivizumab) from the AAP.
Learn more
Review Medical Policy #08.00.22l: Immune Prophylaxis for Respiratory Syncytial Virus (RSV) to learn more. Visit our Medical Policy Portal, select Accept and Go to Medical Policy Online, select the Commercial tab, and then type the policy name or number in the Search field.
Note: MedImmune, LLC, the maker of Synagis® (palivizumab), has a voluntary program called RSV Connection™ however, AmeriHealth does not participate in this program.
This is not a statement of benefits. Benefits may vary based on state requirements, Benefits Program (HMO, PPO, etc.), and/or employer groups. Providers should use the NaviNet® web portal to view the member?s applicable benefits information. Members should be instructed to call the Customer Service telephone number listed on their ID card.
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