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*ELIGIBILITY INFORMATION:

For eligible commercially insured patients, card carries a maximum of $6,000 per season (July 1st to June 30th). Patients are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare or Medicaid, Medigap, VA or DOD or TriCare, or where prohibited by law. Eligibility rules apply.

The SYNAGIS Copay Program covers the cost of the drug only, and does not cover costs for administration of SYNAGIS, office visits, or any other associated costs.

If you have any questions, please contact us at 1-833-SYNAGIS (1-833-796-2447) (8:00 AM-8:00 PM EST, Monday-Friday).