Statutory Pricing Disclosure
Information for Prescribers of Prescription Drugs
Packaging
SYNAGIS is supplied in single-dose liquid solution vials:
50 mg per 0.5 mL and 100 mg per 1 mL
NDC Codes
66658-230-01 50-mg vial
66658-231-01 100-mg vial
WAC Pricing*
The WAC price of SYNAGIS® (palivizumab) 50-mg vial is $1,820.66
The WAC price of SYNAGIS® (palivizumab) 100-mg vial is $3,437.92
Your patient’s insurance coverage will dictate the cost to patient.
*Pricing as of 1/1/2024, subject to change at manufacturer’s discretion. The pricing information shown above is the product’s WAC price, which represents the manufacturer’s published catalog or list price for a drug product to wholesalers as reported to third-party drug pricing publishers. The WAC price does not indicate actual transaction prices, and does not reflect any applicable discounts, rebates, or reductions in price. Pricing information listed does not imply safety or efficacy of the product.
To better understand your patient’s benefits please call SYNAGIS CONNECT® at
1-833-SYNAGIS (1-833-796-2447) Monday–Friday 8 AM–8 PM ET