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Respiratory Syncytial Virus (RSV) season typically begins on November 1st of each year and continues through March of the following year. However, Arizona is starting to see a rise in cases now.
As a reminder, Synagis (palivizumab) injections to prevent RSV may be provided by any contracted provider for Mercy Care and submitted with CPT Code 90378 - Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each.
Synagis (palivizumab) injections do not require prior authorization.
If you do not wish to buy and bill, Synagis may also be ordered through CVS Specialty Pharmacy and home health nurse visit for injections can be coordinated by CVS Specialty Pharmacy.
The prescription can be sent to CVS Specialty Pharmacy using one of these options:
Phone: 1-800-237-2767
Fax: 1-800-323-2445
E-Prescribe: CVS Specialty
In addition, please click on the following link and be sure to send in the Respiratory Syncytial Virus Enrollment Form along with the prescription for Synagis:
https://www.cvsspecialty.com/wps/portal/specialty/healthcare-professionals/enrollment-forms
Please be sure to check the box on the form that states Yes, CVS Specialty® to coordinate home health nurse visit for injection.
Please reference to the following link for the AAP Summary of Guidance for Palivizumab Prophylaxis:
https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/interim-guidance-for-use-of-palivizumab-prophylaxis-to-prevent-hospitalization/
As always, don't hesitate to contact your Mercy Care Network Management Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website. We appreciate your participation in our network and your dedication to the health and welfare of our members and your patients.
We appreciate your continued assistance, support, and cooperation! Thanks for all you do!
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