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Synagis Patient assistance program

Is your Synagis medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Synagis medication.

Get started today
  • Secure: Your personal and medical information is safe with us
  • Convenient: We manage the whole process and we’re here to assist you
  • Ongoing refills: We request your medication refills on your behalf
  • Secure: Your personal and medical information is safe with us
  • Convenient: We manage the whole process and we’re here to assist you
  • Ongoing refills: We request your medication refills on your behalf

NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.

An introduction to NiceRx

Play video (01:52)
  • An introduction to NiceRx
  • Next steps after qualifying
  • Uploading documents and billing
  • SSN & billing information
  • Medication delivery time

How it works

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.

  • Receive Medication

    Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.

Your monthly Synagis cost savings if eligible

With our assistance, you could access the Synagis patient assistance program and obtain your child’s medication for free. We only charge a flat monthly fee of $49 per medication for our services. 

Am I eligible for Synagis patient assistance?

We review each Synagis enrollment application individually to determine if you are eligible. Each assistance program has its own eligibility criteria and the factors considered by most programs are:

  • I am a permanent, legal resident of the United States or Puerto Rico
  • I am uninsured or my insurance doesn’t cover my medication
  • I meet certain income eligibility requirements

How do I apply for the Synagis patient assistance program?

Our process makes it as easy as possible to apply for the Synagis patient assistance program. Begin by completing the enrollment application form on our website. Tell us about any medications your child is taking, including Synagis. You must also provide details about your healthcare provider, your insurance plan, and your household income. This is required by the pharmaceutical manufacturers who will supply the medication, so it is important to make sure this information is accurate and up to date.  

We will review the information that you have provided to determine whether your child is eligible for patient assistance. If we can pre-qualify you for assistance, NiceRx will handle the full enrollment process on your child’s behalf. If you are approved by the pharmaceutical company, you will typically start receiving your child’s medication in 6 – 8 weeks.

Is NiceRx a Synagis coupons provider?

NiceRx is not a Synagis coupon, Synagis discount card, or Synagis copay card provider. We do not offer Synagis manufacturer coupons, Synagis discounts, rebates, Synagis savings cards, trial offers, or free Synagis samples. We are a service provider that helps eligible individuals access the Synagis patient assistance program.

Can NiceRx help me get Synagis if I have insurance?

NiceRx may be able to help you get Synagis if: 

  • You have a high copay or coinsurance responsibility for Synagis
  • Your insurance company will not pay for your child’s Synagis prescription 
  • Your healthcare plan does not cover Synagis medication 
  • You do not have insurance 

Please apply online to find out if we can help you.

How much is Synagis with insurance?

The cost of Synagis with insurance will depend on the terms of your family healthcare plan. Your healthcare provider or pharmacist will be able to calculate your copay with your current insurance. Contact them to find out more.  

How much does Synagis cost without insurance?

Synagis prices without insurance will vary depending on the amount you buy (0.5 ml or 1 ml). Prices will also vary by retailer. As a guide, 1 ml of 100 mg/ml Synagis solution for injection will cost around $6,000.

What is Synagis?

Synagis is a prescription medication given to children to prevent them developing a potentially serious lung disease called respiratory syncytial virus disease. It’s prescribed to:

  1. Children who are 6 months of age or younger, who were born prematurely (at or before 35 weeks)
  2. Children who are 24 months of age or younger, who were born with certain types of heart disease
  3. Children who are 24 months of age or younger, who have a chronic lung condition called bronchopulmonary dysplasia, that have had medical treatment for the condition in the past 6 months

Respiratory syncytial virus (RSV) is a virus that infects the respiratory tract (nose, throat, airways, and lungs). RSV is common, highly contagious, but in healthy adults and older children is usually not serious and causes symptoms similar to the common cold.

However, in young children under 2 years of age, RSV can be more serious. It can cause inflammation in the lungs and airways, leading to serious chest conditions like bronchiolitis and pneumonia. These conditions can make it difficult for a young child to breathe, and in serious cases can be fatal. Young children are a greater risk of serious RSV complications if they were born prematurely, have certain types of heart disease, or have a condition called bronchopulmonary dysplasia.

If your child is younger than 2 years old at the start of treatment and is at risk of serious RSV complications, your doctor may have prescribed Synagis to them. Synagis is a medication that can target and kill the respiratory syncytial virus. It’s used to reduce the chances of your child catching the respiratory syncytial virus (it’s not used to treat an existing respiratory syncytial virus infection). 

Synagis is given as a monthly injection into one of your child’s muscles, usually the thigh muscle. The injection will be given by your doctor or another qualified healthcare professional. 

Synagis active ingredients

The active ingredient in Synagis is called palivizumab. It’s a type of drug called a monoclonal antibody – a kind of man-made, disease-fighting protein. An antibody is a type of protein produced by your immune system that targets and kills infectious bacteria and viruses. Different antibodies target different specific infections. The palivizumab in your child’s Synagis works in the same way as the antibodies produced by their immune system. It has been designed to target the respiratory syncytial virus and can kill the virus in your child’s body before the infection has a chance to take hold.

Synagis side effects

The most common side effects caused by Synagis are skin rashes and fever. Synagis can also cause more serious side effects, including severe allergic reactions to the medication that can cause hives, heart palpitations, low blood pressure, and swelling of the face, tongue, and throat that can make it difficult to breathe.

Synagis drug interactions

Medications can interact with each other, changing how the medications work and making some side effects more likely. Tell your prescribing doctor about all drugs you’re taking, including vitamins, and herbal and dietary supplements. 

Synagis warning and precautions

Synagis isn’t suitable for everyone. Synagis should not be given to your child if they:

  • Are allergic to the active ingredient palivizumab
  • Are allergic to any of the other ingredients in Synagis 
  • Are over 24 months age at the start of treatment

Talk to your doctor before taking Synagis if your child has any bleeding or bruising problems. 

*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.

Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.

**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).

To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.