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.

• Synagis® Prior Authorization Form - Updated 8/4/10
  
  

• Synagis® Prior Authorization Criteria - Updated 8/4/10
  
  

• Synagis® Appendix A - Updated 8/4/10
  
  

• Synagis® Instruction Worksheet - Updated 8/4/10
  
  

• Synagis® 2010-2011 ALERT - Updated 7/30/10
  
  

• AAP Article on Synagis®
  
  

• Information for physician offices regarding unused vials of Synagis®
  
  August 14, 2009 Web Conference Video Synagis®

• 2009-2010 Synagis®Conference PowerPoint

• 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.