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Tsis txhob nco qhov hloov tshiab. Sau npe kom tau txais xov xwm Alliance tus kws kho mob.

Xyoo 2024-2025 cov lus qhia txog kev tso cai siv palivizumab (Synagis®)

Tus neeg muab kev pabcuam Icon

Tus kab mob Respiratory syncytial virus (RSV) ua rau muaj ntau yam kab mob ua pa rau cov menyuam mos thiab cov menyuam yaus. Feem ntau nws ua rau mob zoo li mob khaub thuas tab sis kuj tseem ua rau muaj kab mob ua pa qis xws li bronchiolitis thiab pneumonia.

Palivizumab (Synagis) yog ib hom monoclonal antibody uas American Academy of Pediatrics (AAP) pom zoo. Nws raug pom zoo rau cov menyuam mos thiab cov menyuam yaus uas muaj feem yuav muaj mob hnyav, raws li hnub nyoog cev xeeb tub thiab qee yam mob.

Palivizumab 15mg / kg yog muab tshuaj intramuscularly ib hlis ib zaug rau ntau tshaj tsib koob tshuaj txij lub Kaum Ib Hlis txog Lub Peb Hlis, lub ncov RSV lub hlis. Palivizumab tsis zoo rau kev kho tus kab mob RSV.

Cov txheej txheem siv ntawm Lub Koom Haum ua raws li cov lus pom zoo tam sim no ntawm AAP. Lub Koom Haum yuav them rau palivizumab rau cov tswv cuab uas ua tau raws li cov cai tau teev tseg hauv peb txoj cai kev noj qab haus huv.

Thov nco ntsoov: Rau nirsevimab (Beyfortus), saib peb txoj cai.

Cov xwm txheej rau kev siv palivizumab (Synagis)
Muaj hnub nyoog 0 txog 12 lub hlis thaum pib lub caij RSV

  • Menyuam mos yug los <29 lub lis piam, 0 hnub thaum cev xeeb tub.
  • Menyuam mos uas yug tsis tau lub sijhawm uas muaj tus kab mob ntsws ntev (CLD) uas yug tsis tau lub sijhawm txhais tias yog hnub nyoog cev xeeb tub tsawg dua 32 lub lis piam, 0 hnub thiab xav tau >21% oxygen tsawg kawg yog 28 hnub tom qab yug los.
  •  Cov menyuam mos uas muaj kab mob plawv txij thaum yug los (CHD). Qhov no suav nrog cov menyuam mos uas muaj kab mob plawv acyanotic uas tau txais tshuaj los tswj kev ua tsis taus pa ntawm lub plawv thiab yuav tsum tau phais plawv thiab cov menyuam mos uas muaj ntshav siab nruab nrab mus rau hnyav.
  • Tus menyuam mos uas muaj cyanotic lub plawv tsis xws luag yog pom tau tias muaj pov thawj los ntawm tus menyuam mos tus kws kho mob plawv.
  •  Tus menyuam mos uas tau hloov plawv thaum lub caij muaj tus kab mob RSV.
  • Tus me nyuam mos uas muaj kab mob neuromuscular, kab mob ua pa tseem ceeb lossis qhov tsis zoo ntawm lub cev uas ua rau muaj peev xwm tshem tawm cov zais zis los ntawm txoj hlab pa sab sauv vim qhov hnoos tsis zoo.
  • Tus menyuam mos uas lub cev tiv thaiv kab mob tsis zoo thaum lub caij RSV.
  • Menyuam mos uas muaj mob cystic fibrosis thiab muaj cov pov thawj kho mob ntawm tus kab mob ntsws ntev uas yug ua ntej lub sijhawm thiab/lossis kev noj zaub mov tsis zoo.
Muaj hnub nyoog 12 txog rau <24 lub hlis thaum lub caij RSV pib

  • Cov menyuam mos uas yug tsis tau lub sijhawm uas muaj tus kab mob ntsws ntev (CLD) uas yug tsis tau lub sijhawm, uas tseem xav tau cov pa oxygen ntxiv, cov tshuaj corticosteroids uas siv tas mus li lossis cov tshuaj diuretic thaum lub sijhawm rau lub hlis ua ntej lub caij RSV thib ob pib.
  • Tus menyuam uas tau hloov plawv thaum lub caij muaj tus kab mob RSV.
  • Ib tug me nyuam uas lub cev tiv thaiv kab mob tsis zoo thaum lub caij muaj tus kab mob RSV.
  • Menyuam mos uas muaj mob cystic fibrosis thiab cov tsos mob ntawm tus kab mob ntsws hnyav lossis hnyav rau qhov ntev tsawg dua 10th feem pua.

Cov kev xav txog thaum muab palivizumab piv rau nirsevimab rau cov menyuam mos uas muaj kev pheej hmoo siab

  • Yog tias siv tshuaj nirsevimab, ces yuav tsum tsis txhob siv tshuaj palivizumab tom qab lub caij ntawd.
  • Yog tias palivizumab tau muab thawj zaug rau lub caij thiab tsawg dua tsib koob tshuaj tau muab:
    • Tus menyuam mos yuav tsum tau txais ib koob tshuaj nirsevimab.
    • Tsis tas yuav muab tshuaj palivizumab ntxiv lawm.
    • Vim tias kev tiv thaiv los ntawm palivizumab ploj mus tom qab 30 hnub, nirsevimab yuav tsum tau noj tsis pub dhau 30 hnub tom qab noj palivizumab kawg, thaum twg ua tau. Tsis muaj qhov luv luv tsawg kawg nkaus ntawm qhov noj palivizumab kawg thiab qhov noj nirsevimab.
    • Yog tias palivizumab tau muab rau lub caij ib thiab tus menyuam tsim nyog tau txais kev tiv thaiv RSV hauv lub caij ob, tus menyuam yuav tsum tau txais nirsevimab hauv lub caij ob, yog tias muaj. Yog tias tsis muaj nirsevimab, palivizumab yuav tsum tau muab raws li AAP tau pom zoo ua ntej.

Kev tso cai ntawm pawg neeg rau palivizumab raug them raws li kev thov kho mob

Rau cov kws kho mob uas xav xa daim ntawv thov kev kho mob mus rau Alliance siv tus lej HCPCS lossis "yuav thiab xa daim ntawv thov," thov:

Kev tso cai Medi-Cal Rx rau palivizumab raug them raws li kev thov tshuaj hauv tsev muag tshuaj

Cov tshuaj uas yuav muab rau ntawm lub tsev muag tshuaj yog Medi-Cal Rx them, tsis yog Alliance. Yog xav paub ntxiv txog kev them nqi thiab kev thov kev tso cai ua ntej, thov mus saib Medi-Cal Rx lub vev xaib.

Ua tsaug rau koj txoj kev saib xyuas cov menyuam mos uas tseem hluas thiab muaj feem yuav muaj mob. Yog tias koj muaj lus nug txog cov lus qhia txog kev siv palivizumab, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507.