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The 2020-2021 Synagis® season will begin November 16th, 2020 and end April 16, 2021.
Effective November 2, 2020, the Colorado Medical Assistance Program will begin accepting PARs for Synagis®. All requests for Synagis® (Palivizumab) require prior authorization.
Process for Submitting PARs
Providers can submit Medical Synagis® PAR requests to eQHealth Solutions starting November 2, 2020.
To begin please this process, please complete the Request for eQSuite® Access Form
For step by step instructions for submitting a PAR through eQSuite®, please review
Synagis® eQSuite® User Guide
OR
Listen to a recorded webinar for eQSuite® Training by clicking on the link below.
Presentations & Video Tutorials
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Please note:
All PAR's must be submitted via eQSuite® PAR portal
Provider may request an exception to the requirement if:
1. The provider is out-of-state, or the request is for an out-of area service;
2. The provider submits, on average, five or fewer PARs per month and would prefer to submit a PAR by telephone or facsimile’
3. The provider is visually impaired.
If you meet these requirements please complete the eQSuite® Exception Request Form
You will receive an email confirming that you have been approved to submit via Fax, please use the following PAR Form to submit your PAR.
Synagis® Pharmacy Benefit Prior Authorization Request Form
Click the link below to view the Department's (HCPF) Provider Bulletin for more information:
Synagis® Provider Bulletin