Statutory Pricing Disclosure

Information for Prescribers of Prescription Drugs

Packaging

SYNAGIS is supplied in single-dose liquid solution vials: 
50 mg per 0.5 mL and 100 mg per 1 mL

NDC Codes

66658-230-01 50-mg vial 

66658-231-01 100-mg vial

WAC Pricing*

The WAC price of SYNAGIS^® (palivizumab) 50-mg vial is $1,820.66 

The WAC price of SYNAGIS^® (palivizumab) 100-mg vial is $3,437.92

Your patient’s insurance coverage will dictate the cost to patient.

*Pricing as of 1/1/2024, subject to change at manufacturer’s discretion. The pricing information shown above is the product’s WAC price, which represents the manufacturer’s published catalog or list price for a drug product to wholesalers as reported to third-party drug pricing publishers. The WAC price does not indicate actual transaction prices, and does not reflect any applicable discounts, rebates, or reductions in price. Pricing information listed does not imply safety or efficacy of the product.