RSV/Synagis Season

Synagis 2024/2025 season

A total of five (5) doses between December 1, 2024 - April 30, 2025, will be allowed for the 2024/2025 Synagis season.

For questions, please call 1-877-644-4613.

• RSV Prior Authorization Form (PDF)
• Medical Pharmacy/Buy-Bill Prior Authorization Form (PDF)