I called the pediatrician's office this morning to determine when my daughter's Synagis would be delivered so that we could schedule our November appointment for the administration of the drug. Although my daughter was approved for Synagis earlier this month, the pediatrician's office has encountered some challenges with our insurance company's specialty pharmacy division, particularly when it comes to the delivery of the drug.
The specialty pharmacy division wants to send the drug to my home instead of the pediatrician's office. I do not have a medical background and do not know how to properly store, handle, or administer Synagis. Accordingly, I was required to provide consent to the specialty pharmacy division to have the drug sent to our pediatcian's office, which is considered a third-party. I also had to provide the specialty pharmacy division with our daughter's height and weight to ensure that the proper Synagis doseage is shipped. I will need to call the specialty pharmacy division monthly to order the drug and provide height and weight information. This data is then verified with the pediatrician's office.
By way of background, the pediatrician seeks approval for Synagis from each individual patient's insurance company and its specialty pharmacy division. If approved, the specialty pharmacy division then provides the drug for that patient. Since the pediatrician's office is working with many insurance companies and specialty pharmacy divisions to obtain Synagis for multiple patients, you want to follow-up concerning shipping and delivery to make sure things are on track for the administration of the drug.
You should have the following information available when calling the specialty pharmacy division concerning the order, shipment, and delivery of Synagis:
-Your baby's health insurance card; and
-Your baby's most recent height and weight, as well as the date in which that information was recorded.