Blue Cross and Blue Shield of Illinois (BCBSIL) now covers Shingrix, a new two-dose vaccine approved by the U.S. Food and also Drug management (FDA) in October 2017, for reducing shingles and also related nerve pain. Until recently, the only vaccine available for shingles was Zostavax, which is 51 percent effective. Clinical trials present Shingrix is 91 percent effective.
For immunocompetent adults periods 50 and also older, the Advisory Committee ~ above Immunization techniques (ACIP) proposal Shingrix over Zostavax.1 They likewise recommend that immunocompetent adults who have already had Zostavax likewise get Shingrix.1
BCBSIL covers 2 doses the Shingrix administered come patients periods 50 and also older, even if they have already received Zostavax based on current ACIP recommendations. That is necessary to check eligibility and also benefits info to confirm details regarding copays, coinsurance and also deductibles prior to administering this vaccine to BCBSIL members.Checking eligibility and also benefits electronically with AvailityTM, or your preferred vendor portal, is strong encouraged.
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|Dosage schedule||Two doses (second dose 2-6 month later)||One dose|
|Vaccine description||Recombinant, adjuvanted||Live-attenuated|
|FDA recommended age||Adults 50 and older also if formerly vaccinated with Zostavax||Adults 50 and also older|
|Overall efficacy by year 3*||91%||51%|
|CPT® code||90750 - Zoster (shingles) vaccine, (HZV), recombinant, sub-unit, adjuvanted, because that intramuscular injection||90736 - Zoster (shingles) vaccine (HZV), live, because that subcutaneous injection|
*Zostavax and also Shingrix prescribing information
For more information on Shingrix, see the Centers for condition Control and Prevention’s Jan. 26, 2018, version of Morbidity and Mortality Weekly Report. Describe the FDA-approved prescribing details for Shingrix.
This information does not use to HMO member claims.
1 CDC, Morbidity and also Mortality Weekly Report (MMWR), Jan. 26, 2018, https://www.cdc.gov/mmwr/volumes/67/wr/mm6703a5.htm
Third party brand names space the residential property of their respective owners.
The listing the any details drug or category of drugs is no a guarantee of benefits. The info mentioned below is because that informational purposes only and also is no a substitute for the independent medical judgment that a physician. Members have to refer to your certificate the coverage for much more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision around any medicine is in between the member and also their health care provider.
Checking eligibility and/or advantage information is no a guarantee of payment. Benefits will be established once a insurance claim is received and will be based upon, amongst other things, the member’s eligibility and the regards to the member’s certificate that coverage applicable top top the day services to be rendered. If you have any questions, please contact the number on the member’s identifier card.
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Availity is a trademark the Availity, LLC, a separate company that operates a health and wellness information network to carry out electronic information exchange solutions to medical professionals. Availity provides bureaucratic services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any assets or services detailed by 3rd party merchants such together Availity. If girlfriend have any kind of questions around the products or services detailed by such vendors, girlfriend should call the vendor(s) directly.
Blue Cross and also Blue Shield of Illinois, a department of health and wellness Care company Corporation, a mutual Legal make reservation Company, an live independence Licensee that the Blue Cross and also Blue Shield Association