CHIP—Synagis Treatment for People Enrolled in CHIP

CHIP—Synagis Treatment for People Enrolled in CHIP

On November 25, 2019, Texas Vendor Drug Program (VDP) sent a reminder notice to all managed care organizations that Synagis treatment for people enrolled in CHIP is covered as a medical benefit and not covered under the pharmacy benefit. As such, Synagis prior authorization requests for CHIP members must be submitted under the medical benefit. Clinical criteria guidelines for Synagis can be found here.