Synagis Copay Assistance Program^†

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In order to participate in the Synagis Copay Assistance Program (Program), a patient must have commercial insurance for Synagis. The Program is not valid for patients whose prescriptions claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to Medicaid, Medicare, Medigap Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. This offer is not valid for cash paying patients. The Program is void where prohibited by law. Certain rules and restrictions apply. Sobi reserves the right to revoke, rescind or amend this offer without notice. This Program is not insurance. Please Be Advised: The Program will be discontinued on April 30, 2025.

No claims will be accepted or processed under the Program, when SYNAGIS is administered under a medical benefit, or a prescription is filled under a pharmacy benefit after April 30, 2025. Additionally, this Program is not valid for pharmacy claims submitted more than 180 days from the date SYNAGIS was administered and for medical claims submitted more than 270 days from the date SYNAGIS was administered.

Patients, pharmacists, and prescribers cannot seek reimbursement from health insurance