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This document contains the Absolute Total Care Synagis® Authorization Guidelines for the 2012-2013 RSV season, developed based on recommendations from the American Academy of Pediatrics. It outlines
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How to fill out synagis authorization guidelines
How to fill out Synagis® Authorization Guidelines
01
Gather necessary patient information including name, date of birth, and medical history.
02
Review the eligibility criteria for Synagis® to ensure the patient qualifies.
03
Complete the patient information section on the Authorization Guidelines form.
04
Provide details on the medical condition and why Synagis® is being requested.
05
Include relevant laboratory test results and any previous treatments related to the patient’s condition.
06
Submit the completed Authorization Guidelines form to the appropriate insurance provider or health authority.
07
Follow up with the insurance provider to check the status of the authorization request.
Who needs Synagis® Authorization Guidelines?
01
Infants and young children at high risk for severe respiratory syncytial virus (RSV) infections.
02
Patients with certain heart or lung conditions that increase the likelihood of RSV complications.
03
Healthcare providers or clinics prescribing Synagis® to eligible patients.
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Who qualifies 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 virus-blocking antibodies they lack, helping protect their vulnerable lungs from RSV.
Who qualifies for RSV prophylaxis?
The AAP recommends RSV prophylaxis be considered in patients at highest risk for severe RSV disease: premature infants, infants or children <24 months of age with CLD, infants or children ≤24 months of age with hemodynamically significant CHD, and premature infants with congenital abnormalities of the airway or
Is SYNAGIS still recommended?
Synagis is only approved for certain infants and young children who are especially vulnerable to severe RSV. The American Academy of Pediatrics (AAP) recommends Synagis for the following children in their first year of life: Premature infants who were born before 29 weeks gestation.
Who will be eligible for RSV vaccine?
Everyone turning 75 years old on or after the 1 September 2024 will be offered a single dose of RSV vaccine. This is because older adults are more at risk of serious complications from RSV . You can still get the vaccine up to the day before you turn 80.
What are the indications for SYNAGIS vaccine?
In August 2023, CDC recommended a new RSV immunization called nirsevimab to protect babies and some toddlers from severe RSV during the RSV season. In July 2023, CDC recommended RSV vaccine for adults ages 60 and over, using shared clinical decision-making.
What are the criteria 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 virus-blocking antibodies they lack, helping protect their vulnerable lungs from RSV.
Who qualifies for RSV vaccine?
SYNAGIS, 50 mg and 100 mg for injection, is indicated for the prevention of serious lower respiratory tract disease caused by respiratory syncytial virus (RSV) in pediatric patients: with a history of premature birth (≤35 weeks gestational age) and who are 6 months of age or younger at the beginning of RSV season.
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What is Synagis® Authorization Guidelines?
Synagis® Authorization Guidelines are a set of protocols and recommendations established to determine the eligibility and necessity of administering Synagis®, a medication used to prevent RSV (Respiratory Syncytial Virus) infections in high-risk infants and children.
Who is required to file Synagis® Authorization Guidelines?
Healthcare providers, including physicians and hospitals, who intend to prescribe or administer Synagis® must file the Authorization Guidelines on behalf of the patients who meet the criteria for treatment.
How to fill out Synagis® Authorization Guidelines?
To fill out the Synagis® Authorization Guidelines, healthcare providers must provide patient information, medical history, documentation of risk factors, and other specific details to justify the need for the medication, ensuring that all required fields are completed accurately.
What is the purpose of Synagis® Authorization Guidelines?
The purpose of Synagis® Authorization Guidelines is to ensure that Synagis® is prescribed appropriately, to promote safe and effective use of the drug, and to facilitate access for eligible infants and children at high risk for RSV.
What information must be reported on Synagis® Authorization Guidelines?
The information required on Synagis® Authorization Guidelines includes the patient's demographic details, medical history, specific risk factors for RSV, proposed treatment regimen, and any other relevant clinical information that supports the need for Synagis®.
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