Specialty Drug


PALIVIZUMAB is an antibody. It is used in infants and children to prevent severe cases of respiratory syncytial virus (RSV) infection. Children treated with this medicine may still get RSV but will not get as sick as if they were not treated at all. This medicine does not protect against other infections. Compare monoclonal antibodies.

Palivizumab Aetna Medicare Rx Saver (PDP) Coverage Details

IMPORTANT! These are national prices. Enter your zip code for prices in your area.

USA Medicare

Medicare Co-Pay Prices for Palivizumab

Co-Pay Stage Preferred Pharmacy Price Non-Preferred Pharmacy Price
Deductible $3254 (est) $3254 (est)
Typical $3254 (est) $3254 (est)
Donut Hole $3254 (est) $3254 (est)
Post-Donut Hole $3254 (est) $3254 (est)

Can GoodRx help me save on Palivizumab?

Yes, there may be cases when GoodRx can help you save on Synagis over your Aetna Medicare Rx Saver (PDP) plan.

  • Is your co-pay higher than $2892.79?
    Use a GoodRx coupon to purchase your prescription.
  • Is your co-pay lower than $2892.79?
    You should use your Medicare card.

Ways to Save on Palivizumab

Here are some ways that may lower the cost of your Synagis prescription.

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Coverage, Restrictions & Details

Will my Aetna Medicare Rx Saver (PDP) plan cover Synagis?

In general, Medicare plans do not cover this drug. This drug will likely be quite expensive and you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.
See prices for your Medicare plan

Find out when you could pay less than your co-pay

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.
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