HOW MUCH SHOULD I EXPECT TO PAY FOR FLUZONE® HIGH-DOSE VACCINE?

The amount you pay for FLUZONE® HIGH-DOSE INFLUENZA VACCINE is based on whether you have health insurance that covers vaccines. Medicare Part B and most Medicare Advantage plans cover FLUZONE® HIGH-DOSE vaccine and its administration with no cost to the patient,13-16 making it one of the most inexpensive ways for you to help prevent the flu.

To determine if FLUZONE® HIGH-DOSE vaccine is covered, speak with your insurance provider, who knows the details of your plan.

WHAT IS THE LIST PRICE OF FLUZONE® HIGH-DOSE VACCINE?

All vaccines have a list price, which is set by the manufacturer. The list price for a single dose of FLUZONE® HIGH-DOSE vaccine is $48.50. However, you should know that very few patients pay the list price.

To learn more about pricing,

CHOOSE THE OPTION BELOW THAT BEST DESCRIBES YOUR INSURANCE STATUS:

Most insured patients (approximately 99%) with Medicare Part B coverage pay $0 for FLUZONE® HIGH-DOSE vaccine.13-16
Most insured patients (approximately 99%) with Medicare Advantage coverage pay $0 for FLUZONE® HIGH-DOSE vaccine if administered by an in-network provider or pharmacy.13,14
Most insured patients (approximately 85%) with Medicaid coverage pay $0 for FLUZONE® HIGH-DOSE vaccine if administered by an in-network provider or pharmacy.13
Most insured patients (approximately 99%) can expect to pay $0 for FLUZONE® HIGH-DOSE vaccine if administered by an in-network provider or pharmacy.13 You should check with your insurance plan to confirm whether FLUZONE® HIGH-DOSE vaccine is covered.
If you do not have insurance that covers vaccines, or if your insurance does not cover FLUZONE® HIGH-DOSE vaccine, you can typically expect to pay $48.50 for the vaccine, plus any additional administration charges. The price you pay may vary based on which doctor or pharmacy administers your flu shot.

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What are Flublok Quadrivalent, Fluzone Quadrivalent, and Fluzone High-Dose vaccines?

Flublok Quadrivalent, Fluzone Quadrivalent, and Fluzone High-Dose vaccines are given to help prevent influenza disease caused by influenza A and B strains contained in each vaccine. Flublok Quadrivalent vaccine is given to people 18 years of age and older. Fluzone Quadrivalent vaccine is given to people 6 months of age and older. Fluzone High-Dose vaccine is given to people 65 years of age and older.

Important Safety Information for Flublok Quadrivalent, Fluzone Quadrivalent, and Fluzone High-Dose Vaccines

Flublok Quadrivalent, Fluzone Quadrivalent, and Fluzone High-Dose vaccines should not be given to anyone who has had a severe allergic reaction (eg, anaphylaxis) to any component of the vaccine (including egg or egg products for Fluzone Quadrivalent and Fluzone High-Dose vaccines) or after a previous dose of the corresponding vaccine. In addition, Fluzone Quadrivalent and Fluzone High-Dose vaccines should not be given to anyone who has had a severe allergic reaction after a previous dose of any influenza vaccine.

Tell your health care professional if you/your child have ever experienced Guillain-Barré syndrome (severe muscle weakness) after a previous dose of influenza vaccine. If you notice any other problems or symptoms following vaccination, please contact your health care professional immediately.

In adults, the most common side effects to Flublok Quadrivalent, Fluzone Quadrivalent, and Fluzone High-Dose vaccines include pain where the shot was given; headache and muscle aches. In children, the most common side effects to Fluzone Quadrivalent vaccine include pain, redness, and swelling where the shot was given; muscle aches, fatigue, and headache (irritability, abnormal crying, drowsiness, appetite loss, vomiting, and fever in young children). Other adverse reactions to these vaccines may occur. Vaccination with Flublok Quadrivalent, Fluzone Quadrivalent, or Fluzone High-Dose vaccine may not protect all individuals.

For more information, talk to your health care professional and refer to the full Prescribing Information for Flublok Quadrivalent, Fluzone Quadrivalent, or Fluzone High-Dose. Also, please see Patient Information for Fluzone Quadrivalent or Fluzone High-Dose vaccine.

References

  1. Aspinall R, Del Giudice G, Effros RB, Grubeck-Loebenstein B, Sambhara S. Challenges for vaccination in the elderly. Immun Ageing. 2007;4:9.
  2. Hamborsky J, Kroger A, Wolfe C. Influenza. In: Hamborsky J, Kroger A, Wolfe C, eds. Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book). 13th ed. Washington, DC: Public Health Foundation; 2015:187-208.
  3. Fluzone High-Dose vaccine [Prescribing Information]. Swiftwater, PA: Sanofi Pasteur Inc.
  4. Fluzone Quadrivalent vaccine [Prescribing Information]. Swiftwater, PA: Sanofi Pasteur Inc.
  5. Flublok Quadrivalent vaccine [Prescribing Information]. Meriden, CT: Protein Sciences Corporation.
  6. Centers for Disease Control and Prevention (CDC). Are you at high risk for serious illness from flu? https://www.cdc.gov/features/fluhighrisk/index.html. Accessed August 1, 2019.
  7. Centers for Disease Control and Prevention (CDC). How the flu virus can change: “shift” and “drift.” https://www.cdc.gov/flu/about/viruses/change.htm. Accessed August 1, 2019.
  8. Centers for Disease Control and Prevention (CDC). Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 influenza season. MMWR Recomm Rep. 2018;67(3):1-20.
  9. Centers for Disease Control and Prevention (CDC). People 65 years and older & influenza. https://www.cdc.gov/flu/highrisk/65over.htm. Accessed August 1, 2019.
  10. Wang CS, Wang ST, Lai CT, Lin LJ, Chou P. Impact of influenza vaccination on major cause-specific mortality. Vaccine. 2007;25(7):1196-1203.
  11. Centers for Disease Control and Prevention (CDC). Recommended child and adolescent immunization schedule for ages 18 years or younger. https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf. Accessed August 1, 2019.
  12. Centers for Disease Control and Prevention (CDC). Children & influenza (flu). https://www.cdc.gov/flu/highrisk/children.htm. Accessed August, 2019.
  13. IQVIA™. Remittance Data for Fluzone HD August 2018-March 2019 (claim derived from the use of information under license from IQVIA, which expressly reserves all rights, including rights of copying, distribution, and republication).
  14. Flu shots. Medicare Interactive. https://www.medicareinteractive.org/get-answers/medicare-covered-services/preventive-services/flu-shots. Accessed August 7, 2019.
  15. Medicare Part B Immunization Billing: Seasonal Influenza Virus, Pneumococcal, and Hepatitis B. Medical Learning Network website. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/qr_immun_bill.pdf. Accessed August 7, 2019.
  16. Flu shots. Medicare.gov. https://www.medicare.gov/coverage/flu-shots. Accessed August 7, 2019.
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SAUS.SFLU.19.08.4258d Last Updated: 10/19