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Does Medicare Part D pay for the shingles vaccine?

Browse the Medicare Part D "Living with your Medicare Part D plan" FAQs
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Question: Does Medicare Part D pay for the shingles vaccine?

Answer: Yes, some Medicare Part D prescription drug plans do cover the Shingles Vaccine.  However, coverage can vary depending on your chosen Medicare prescription drug plan and the pharmacy where you purchase the medication (or have the vaccine administered).

As reference, Zostavax (r) was approved in May 2006 by the U.S. Food and Drug Administration (FDA) as a vaccine for use in adults ages 60 and over who have had chickenpox.

Zostavax is covered under most Medicare Part D plans, however Zostavax can be treated differently depending on the plan.  In most cases Zostavax is treated as a Tier 3 or Tier 4 medication and in some cases requires prior authorization or falls into the step therapy program.  Please check with your specific Medicare Part D plan to determine the handling of Zostavax.

Related Information: 
Medications listed as treatments for Shingles are:
  • Valtrex (generally a Medicare Part D Tier 3 medication) and
  • Protopic (generally a Medicare Part D Tier 2, 3 or Tier 4 medication - in some cases requiring prior authorization or step therapy)
For more information, please see our FAQ: "Can the co-pays for the shingles vaccine (Zostavax) vary by the pharmacy where purchased and administered?"

Please Note: We are not physicians, nor are we pharmacists.  The above information is strictly for informational purposes. Please consult your doctor or pharmacist when determining treatments.

Click the link below to see a list of how Zostavax is handled on all stand-alone Medicare Part D plans in Florida: http://www.q1medicare.com/PartD-SearchPDPMedicarePartDDrugFinder.php?stateReg=11FL&ndc=00006496341&drug=ZOSTAVAX%20VIAL

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