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Am Fam Physician. 2024;109(6):578-579

Author disclosure: No relevant financial relationships.

RSVpreF (Abrysvo) is a respiratory syncytial virus (RSV) vaccine. It induces antibodies to the viral surface protein (protein F) that attaches the virus to host cells. RSVpreF is labeled for active immunization of individuals 60 years and older for the prevention of lower respiratory tract infection (LRTI). It is also labeled for use in pregnant individuals to prevent severe LRTI caused by RSV in infants in the first 6 months of life. Passive immunization occurs through transplacental transfer of maternal antibodies to infants.1 Nirsevimab-alip (Beyfortus) is an anti-RSV monoclonal antibody indicated for infants entering their first RSV season and children up to 24 months of age who remain vulnerable to severe RSV disease through their second RSV season.2

DrugDosageDose formCost of full course*
RSVpreF (Abrysvo)One 0.5-mL intramuscular injectionSingle-dosesyringe: 0.5 mL$300
Nirsevimab-alip (Beyfortus)One 50-mg or 100-mg intramuscular injection
or
Two 100-mg intramuscular injections
Single-dose prefilled syringe:
50 mg per 0.5 mL
100 mg per 1 mL
$500
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STEPS new drug reviews cover Safety, Tolerability, Effectiveness, Price, and Simplicity. Each independent review is provided by authors who have no financial association with the drug manufacturer.

This series is coordinated by Allen F. Shaughnessy, PharmD, assistant medical editor.

A collection of STEPS published in AFP is available at https://www.aafp.org/afp/steps.

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