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The document is a Respiratory Syncytial Virus (RSV) Enrollment Form for Simply Healthcare Plans, Inc. and Clear Health Alliance, designed for Medicaid Managed Care. It collects member and provider information, clinical details for prior authorization requests related to Synagis® administration, and specific medical conditions such as chronic lung disease, congenital heart disease, and immunocompromised status in children. The form requires prescriber signatures and allows for additional information to support the request.

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2019	4.8 Satisfied (42 Votes)

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Why cant adults get the RSV vaccine?

Eligible older adults may receive any of the licensed RSV vaccines. Eligible adults can get an RSV vaccine at any time, but the best time to vaccinate patients is in late summer and early fall before RSV usually starts to spread in the community. The RSV vaccine is not currently an annual vaccine.

Why cant 80 year olds have the RSV vaccine?

Their decision was based on the latest available evidence at that time, including how long protection lasts and how common RSV infection is within different age groups, and they concluded that there is limited evidence of the vaccine being effective in those aged over 80.

What are the new guidelines for RSV?

CDC recommends everyone ages 75 and older get an RSV vaccine. CDC recommends adults ages 6074 who are at increased risk of severe RSV disease get an RSV vaccine. The RSV vaccine is not currently an annual vaccine.