MedStar Family Choice-DC follows the American Academy of Pediatrics 2014 guidelines for Synagis (palivizumab) administration (see link below).

Requests for Synagis (palivizumab) require a completed Synagis® Seasonal Respiratory Syncytial Virus Enrollment Form (see link below). Please fax completed forms to Caremark Specialty Pharmacy at 877-552-2907 and a second copy to MedStar Family Choice-DC at 202-243-6258.

If you have questions for MedStar Family Choice-DC, call 855-798-4244.

View the American Academy of Pediatrics 2014 Synagis (palivizumab) Guidelines.

View the Synagis (palivizumab) Prior Authorization Form.

Information current as of: