A Step-by-Step Prescribing Guide for CHP+ offered by Colorado Access Providers

Please use the following guide to help you order Synagis for your patient.

  • Please complete the Synagis Prior Authorization form and prescription for Synagis for each patient and fax to Avella pharmacy at 877-470-7604. If the infant will need the medication to be administered at home, please indicate this on the form. 
  • For all infants meeting criteria, we will set up an authorization in our system for Avella and for the provider who will be administering the Synagis. A letter of authorization will be faxed to the provider.
  • Avella will call you to get detailed information about the infant for each dose to be administered.
  • Avella will ship the product to the provider’s office or to the patient’s home for administration and will bill Colorado Access directly.
  • Click here to view the current clinical criteria.

If you have questions regarding this process, please contact:

  • Colorado Access Pharmacy Services at 303-751-9005 (800-511-5010)  or
  • Avella at 877-470-7603

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