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Who Pays for the RSV Vaccine?

By February 25, 2009

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One of my forum readers posted a great question today. Synagis, the vaccine for RSV (respiratory synctial virus) is very expensive. The cost varies depending on the dosage, but each shot for this reader's baby costs $2600! That's $2600 per month for the entire RSV season. She wanted to know if most people pay for the vaccine on their own, or if it was something that insurance companies typically cover.

The company that makes Synagis has done a great job of getting insurance companies to cover the vaccine for elegible kids, and Medicaid and most insurance companies will cover the vaccines. If you're having trouble getting coverage, you can visit the MedImmune website's FAQs to get tips on how to get the vaccine covered if you don't have insurance, or how to get your insurance company to cover the vaccine if they deny the claim. RSV season lasts through early spring, so preemies coming home from the hospital in March should still get the vaccine.

March 28, 2011 at 7:46 pm
(1) Bradley Clopton says:

Synagis isn’t an actual vaccine, it doesn’t provide immunity. It is a monoclonal antibody, a protein tha works like natural antibodies to bind to the virus and allow the immune system to attack. It does not last very long as the proteins naturally break down and must be replaced. It is an important treatment for premature and other compromised children until a vaccine is produced. A vaccine prompts the body to produce it’s own antibodies and or immune response.

December 20, 2012 at 3:42 pm
(2) Sherry says:

My grand-daughter is getting the Synagis here in Bozeman Montana and each month it is $8700 plus $300 for administering the shot ……
Oh yes, you read right! That’s what it is!
We were recently in Salt Lake for a procedure, and they said it is apx. $1000 there. We’re thinking of driving elsewhere!

January 14, 2013 at 6:26 pm
(3) Ed says:

Were you able to drive to SLC to get a better price for the shot? We live in Butte and a synagis shot for our 32 weeks newborn costs $3,100/month. This is insane! I was wondering if you were able to find a better deal.

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