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Provider Notice: Zoster Vaccine coverage in POS

Effective Dec. 1, 2013: Addition of Zoster vaccine administered in the Pharmacy Venue to Medicaid fee for service (FFS) beneficiaries

Effective Dec. 1, 2013, in the MS Medicaid Pharmacy program zoster immunizations are covered services for Medicaid beneficiaries ages 60 and older. As with other pharmacy services, a hard copy prescription must be on file. Immunizations provided from a credentialed pharmacist will count against the service limits and co-payments are applicable. MS Medicaid reimburses for the drug’s ingredient cost and a dispensing fee for immunizations administered in the pharmacy venue. No administration fee is paid for immunizations administered in the pharmacy venue.

For the dually eligible, bill the beneficiary’s Medicare Part D plan.

October 30, 2012