The Alabama Medicaid Agency has updated its prior authorization criteria for Synagis®. 

Alabama Medicaid follows the 2009 updated American Academy of Pediatrics (AAP) guidelines regarding Synagis® utilization. The form and complete criteria specific to Synagis® are below. 

Information for physician offices regarding unused vials of Synagis® - Updated 10/18/09

• Synagis® Prior Authorization Form - Updated 7/27/09

• Synagis® Prior Authorization Criteria - Updated 9/23/09

• Synagis® Appendix A - Updated 7/27/09

• Synagis® Instruction Worksheet - Updated 9/23/09

• Synagis® 2009-2010 ALERT - Updated 7/27/09

• Synagis® Conference Agenda

• Synagis® Conference PowerPoint

• AAP Article on Synagis®
  

August 14, 2009 Web Conference Video Synagis® 

• Synagis® Web Conference Video - Full Length (Approximately 1 hour in length)

• Welcome/Introduction

• Background/History

• 2009-2010 Overview and Expectations

• Changes for the Season

• PA Criteria Review and Process

• Notification Process/Approval Letter

• Educational Opportunities

• Question and Answer Session

Note: Some documents are in PDF format. To view PDFs, please ensure you have the free Adobe Reader installed. If not, download the reader by clicking on the Adobe Reader icon.