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Monday, October 27, 2008

TMA PUSHES UNITED FOR SYNAGIS COVERAGE CHANGE

Responding to a request from TMA and the Texas Pediatric Society (TPS), United Healthcare changed its policy for covering administration of Synagis to patients at increased risk of complications of respiratory syncytial virus (RSV). United began covering up to five doses, spaced a month apart, in mid-October. Previously, United paid for the drug from the beginning of the national RSV season starting Nov. 1. However, TPS data show the season starts earlier in Texas, primarily because of the state's warmer climate and its size.

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