Respiratory Syncytial Virus (RSV) Season

August 21, 2010

Dear Peach State Health Plan Clinician,

Please click the link below to review  the Peach State Health Plan (Peach State) Synagis^® Authorization Guidelines for the 2010-2011 RSV season.  These guidelines were developed based on recommendations of the American Academy of Pediatrics (AAP) and local Georgia physicians.

The following modifications have been made to the AAP guidelines for infants born between 32 weeks, 0 days through 34 weeks, 6 days:

• Must be younger than 3 months of age at the start of the RSV season or born during the RSV season, and
• Must either attend child care or have a sibling younger than 5 years of age.
• If patient meets above criteria, Synagis should only be given until the infant reaches 3 months of age.

 Peach State will again use Caremark as its preferred provider of Synagis for the 2010-2011 RSV season.