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-   -   Why is the new shingles vaccine (Shingrix) so expensive for Part D of Medicare? (https://www.talkofthevillages.com/forums/medical-health-discussion-94/why-new-shingles-vaccine-shingrix-so-expensive-part-d-medicare-310146/)

Miguel 1952 08-16-2020 05:41 PM

Why is the new shingles vaccine (Shingrix) so expensive for Part D of Medicare?
 
We seniors need this new shingles vaccine yet is very expensive with Part D prescription. I have SilverScripts and is $155 per vaccine and we must have two spread apart by several months.
Really disappointed as I really like Medicare with my supplemental and my Part D prescription.

Stu from NYC 08-16-2020 06:09 PM

We got it last year and didnt pay that much but was expensive.

Be that as it may I took the two shots and than about a month later got shingles.

Apparently my system was not fully protected and so got a very mild case.

If that was a mild case cannot imagine the pain and discomfort of a more severe case.

In any case as long as you can afford it strongly suggest you get the shots.

OrangeBlossomBaby 08-16-2020 07:25 PM

The cost without insurance ranges between $200 and $300. Medicare part D pays around half that. GoodRx will get you a shot for $155. That's for Shingrix specifically. If you want Zostravax it'd cost less, Medicare covers more, but it's less effective and you have to get it more often.

Shingrix is (theoretically) a one and done, once you have the appropriate two-dose vaccination in the right amount of time. But it will start to lose its effectiveness after 4 years, bringing it to "only" 85% effective (which is pretty impressive).

gatherer47 08-16-2020 07:34 PM

I just paid $45 through United Health Care Advantage plan

OrangeBlossomBaby 08-16-2020 07:39 PM

Quote:

Originally Posted by gatherer47 (Post 1818604)
I just paid $45 through United Health Care Advantage plan

I paid nothing with my Connecticare, in February 2019. But that was in Connecticut. I don't know anything about coverage for Shingrix down here. Different plans offer different coverage. Connecticare was comprehensive.

Stu from NYC 08-16-2020 08:57 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 1818599)
The cost without insurance ranges between $200 and $300. Medicare part D pays around half that. GoodRx will get you a shot for $155. That's for Shingrix specifically. If you want Zostravax it'd cost less, Medicare covers more, but it's less effective and you have to get it more often.

Shingrix is (theoretically) a one and done, once you have the appropriate two-dose vaccination in the right amount of time. But it will start to lose its effectiveness after 4 years, bringing it to "only" 85% effective (which is pretty impressive).

New one on me that it will start to lose its effectiveness in 4 years. I would really not like to get shingles again.

joeharing 08-17-2020 05:12 AM

Humana advantage.
47.oo

Singerlady 08-17-2020 05:25 AM

Unfortunately, it all depends on your insurance. Mine was a $25 copay.

riley2011 08-17-2020 05:37 AM

Quote:

Originally Posted by Miguel 1952 (Post 1818565)
We seniors need this new shingles vaccine yet is very expensive with Part D prescription. I have SilverScripts and is $155 per vaccine and we must have two spread apart by several months.
Really disappointed as I really like Medicare with my supplemental and my Part D prescription.

If you think that’s bad the doctor I go to is charging $2100 for a prolia shot (for osteoporosis).

graciegirl 08-17-2020 05:42 AM

CDC says new shingles vaccine is much more effective for older people. (read this)

I wonder if we called Publix and see if we can wait in the car in the parking lot until it is our turn to get the shot?

Shingrix vs Zostavax - What's the difference between them?

Tankerrich 08-17-2020 05:49 AM

If you have Tricare For Life (Retired Military) and on Medicare, it's FREE. Got mine this year at Walgreens who takes TFL in Lauderdale by the Sea, FL

oneclickplus 08-17-2020 06:00 AM

Quote:

Originally Posted by Stu from NYC (Post 1818577)
Be that as it may I took the two shots and than about a month later got shingles..

Only a month later ... any thought that the vaccine may have caused your shingles episode?

Nell57 08-17-2020 06:20 AM

No charge for mine, but I’m probably paying a higher monthly premium for my part D than yours.
You might want to look at other plans and compare coverages during open enrollment periods this fall.,

CWGUY 08-17-2020 06:24 AM

Quote:

Originally Posted by riley2011 (Post 1818673)
If you think that’s bad the doctor I go to is charging $2100 for a prolia shot (for osteoporosis).

:) https://www.prolia.com/paying-for-pr...istPriceAnchor

LG999 08-17-2020 06:35 AM

The shots are expensive but they are worth every penny. We both had side effects for 1-2 days after. Very cold, exhausted. All joints & muscles hurt. We know ppl who got shingles & all this is worth not getting it to us.


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