Provider Alert! Synagis (palivizumab) removed from Texas Medicaid formularytcph
Attention: All Providers and Pharmacies
Effective Date: April 14, 2020
Call to action: The 2019-2020 respiratory syncytial virus (RSV) season ended April 14 for all counties in Texas. Synagis (palivizumab) has been removed from the Texas Medicaid formulary as of April 14.
How this impacts providers: Synagis is unproven for prophylaxis outside of the RSV season. Providers wishing to prescribe Synagis during this time must submit a medical necessity request.
Next steps for providers: Providers should continue to follow American Academy of Pediatrics (AAP) guidelines when prescribing
If you have any questions, please email Provider Network Management at: firstname.lastname@example.org.