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MOST vaccines are covered by part B. But Shingles is not. It is part D. Check your PDP formulary accordingly.
Shingles Vaccine
- Thread starter GreenSky
- Start date
You work at the Department of Redundancy Department, right?
- 2,117
Bumping. Yes, I know this thread is six years old.
The new (and supposedly more effective) shingles vaccine, Shingrix is out of stock around a lot of the country. My parents are waiting for theirs to come in and it's a Tier 4 on their PDP.
GoodRx.com shows you can get two vials for the cash price of $172.50. I'm assuming you need two vials per person as it's given in two doses? Has anyone had clients purchase it cash instead of running it through their Part D, and also it mentions there may be an administrative fee at the pharmacy.
I didn't want to start up with the recent thread about the VA and the costs, but my Dad is a veteran who uses a local clinic (he's not on TRICARE). He gets some generic drugs there but also has plan G and a PDP. Would they cover Shingrix maybe with a small co-pay?
The new (and supposedly more effective) shingles vaccine, Shingrix is out of stock around a lot of the country. My parents are waiting for theirs to come in and it's a Tier 4 on their PDP.
GoodRx.com shows you can get two vials for the cash price of $172.50. I'm assuming you need two vials per person as it's given in two doses? Has anyone had clients purchase it cash instead of running it through their Part D, and also it mentions there may be an administrative fee at the pharmacy.
I didn't want to start up with the recent thread about the VA and the costs, but my Dad is a veteran who uses a local clinic (he's not on TRICARE). He gets some generic drugs there but also has plan G and a PDP. Would they cover Shingrix maybe with a small co-pay?
- 6,879
The last entry in this formulary is for Zoster Vaccine Recombinant:
VA National Formulary - Pharmacy Benefits Management Services
You would probably have to ask your dad's clinic whether that relates specifically to Shingrix or something else.
VA National Formulary - Pharmacy Benefits Management Services
You would probably have to ask your dad's clinic whether that relates specifically to Shingrix or something else.
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They should cover the Shingrix for him, but it may very well depend on his assigned group. Since it is administered by the doctor/nurse there at the clinic and not the pharmacy, I'm thinking it is given for free much like the flu shot is.
They have stopped using Zoster and started using Shingrix instead since it will work with more people than Zoster alone.
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Thanks, Todd.
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- 6,879
Something you could check out for your mom:
I see AARP offers a drug discount plan through OptumRX.
The VA will give you the Shingrix when you are there for a Doc visit with no additional charge. Depending on your group, if you went in solely for the Shingrix, you would pay whatever you usually pay for a Primary Care visit.
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I just saw this in a FB group I belong to.
Patient Assistance for Vaccines | GSKForYou
The manufacturer may offer assistance for the shingles shot, hep B, tetanus and rabies for those on Part D. It's based on income (but not really low), and you have to spend at least $600 on prescription drugs during the calendar year.
Patient Assistance for Vaccines | GSKForYou
The manufacturer may offer assistance for the shingles shot, hep B, tetanus and rabies for those on Part D. It's based on income (but not really low), and you have to spend at least $600 on prescription drugs during the calendar year.
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