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How Much Does Shingrix Cost Per Shot?

21/11/2024
in Shingles
Relief for Shingles Nerve Pain: Exploring the Best Medications
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Shingrix is a vaccine used to prevent shingles, a painful skin condition caused by the varicella-zoster virus, which also causes chickenpox. The vaccine is recommended for adults over the age of 50, as they are at higher risk for developing shingles. Shingrix is administered in two doses, and it is highly effective at preventing shingles and related complications like postherpetic neuralgia, a condition that causes nerve pain even after the rash disappears.

One of the most common questions people have about Shingrix is how much shingrix costs. The price of the vaccine can vary depending on several factors, including the location, the pharmacy or healthcare provider you visit, and whether you have insurance coverage.

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Cost of Shingrix Per Shot

The cost of a single dose of Shingrix is generally between $150 and $200 in the United States. This price is for the vaccine itself and may not include the cost of the doctor’s visit or the administration fee, which can add an additional $30 to $50 or more per visit.

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Since Shingrix requires two doses, the total cost for the full vaccination series will be between $300 and $400. This price can change depending on where you get the vaccine, and it may be higher in some areas due to increased demand or pharmacy pricing policies.

Factors Affecting the Cost of Shingrix

Several factors can influence the final cost of the Shingrix vaccine. Understanding these factors can help you plan and potentially find ways to lower the cost.

1. Insurance Coverage

If you have health insurance, the cost of Shingrix might be significantly reduced or fully covered. Most insurance plans, including Medicare Part D and private health insurance plans, cover the cost of vaccines like Shingrix. However, it’s important to confirm with your insurance provider whether the vaccine is included in your coverage. Some plans might require a co-pay, while others may cover the full cost.

Medicare Part D generally covers vaccines for individuals 65 and older, but the cost can vary depending on the specific plan. Some private insurance plans may cover Shingrix at no cost to the patient, while others might charge a co-pay or require a deductible to be met before coverage begins.

2. Pharmacy vs. Doctor’s Office

Where you get your Shingrix shots can also affect the cost. If you go to your primary care physician or a specialist’s office, they may charge an administration fee in addition to the cost of the vaccine itself. This administration fee typically ranges from $30 to $50 but can be higher depending on your healthcare provider.

On the other hand, many pharmacies, including major chains like CVS, Walgreens, and Rite Aid, also offer Shingrix. Some pharmacies may have lower prices for the vaccine, and they often provide convenient walk-in options without the need for an appointment. Additionally, some pharmacies have programs to help you reduce the cost if you are paying out of pocket.

3. Discounts and Coupons

If you do not have insurance or if your insurance does not cover Shingrix, you can look for ways to reduce the cost. Some drug manufacturers offer discount programs, coupons, or patient assistance programs that can lower the price of the vaccine. For example, the manufacturer of Shingrix, GlaxoSmithKline (GSK), offers a savings program that may reduce the price of the vaccine for eligible patients.

You can ask your healthcare provider or pharmacist about available discount programs, or visit the manufacturer’s website to find out if you qualify for any special pricing or assistance.

4. Location

The cost of Shingrix can vary depending on where you live. Prices in urban areas or regions with higher living costs tend to be more expensive than in rural areas. Additionally, some states have higher vaccination rates and may have more demand for the vaccine, which could lead to higher prices. It’s a good idea to check with several locations in your area, including pharmacies, doctor’s offices, and clinics, to compare prices and find the best deal.

Total Cost for the Complete Shingrix Vaccination Series

Since Shingrix is administered in two doses, it’s important to factor in the cost for both shots. The second dose is typically given two to six months after the first dose, so it’s important to follow up on the schedule to ensure the vaccine is fully effective.

If you have insurance, the total cost for both doses might be minimal or fully covered, depending on your plan. Without insurance, the total cost for the complete vaccination series may be between $300 and $400, or more if you are paying out of pocket for both doses and administration fees.

It is also important to keep in mind that even though the cost of the vaccine may seem high, the potential benefits of receiving Shingrix far outweigh the cost for many individuals. Shingles can cause severe pain, long-term complications, and in some cases, permanent nerve damage. The vaccine helps prevent these outcomes and can save you from the long-term medical costs associated with treating shingles.

How to Save on the Cost of Shingrix

Here are some steps you can take to save money on the cost of Shingrix:

1. Use Your Insurance

Check with your insurance provider to see if the cost of the vaccine is covered. If it is, you may only need to pay a small co-pay or meet your deductible before the vaccine is covered. Some insurance plans may cover the full cost of the vaccine, so it’s worth contacting your insurer to confirm your coverage.

2. Shop Around

Prices for Shingrix can vary depending on where you get the vaccine. Compare prices at local pharmacies, doctor’s offices, and healthcare clinics. Some pharmacies may offer discounts or have promotions that make the vaccine more affordable.

3. Look for Manufacturer Discounts

GlaxoSmithKline offers a savings program that may help lower the cost of Shingrix for eligible patients. Visit the manufacturer’s website or ask your healthcare provider or pharmacist about any available discounts or assistance programs.

4. Check for Patient Assistance Programs

In addition to manufacturer discounts, other patient assistance programs may help lower the cost of vaccines for uninsured or underinsured individuals. These programs may offer financial assistance or provide the vaccine at a reduced cost for those who meet specific eligibility requirements.

Is Shingrix Worth the Cost?

While the cost of Shingrix may seem high, many people find that it is worth the investment in the long run. Shingles can cause extreme pain, scarring, and long-term nerve damage, which can have a significant impact on your quality of life. The vaccine is proven to be highly effective in preventing shingles and its complications, and getting vaccinated can help you avoid the risk of these serious health issues.

In addition to preventing the physical pain and discomfort associated with shingles, getting vaccinated with Shingrix can also save you money on future medical expenses. The treatment for shingles can be expensive, especially if you need prescription medication or if you experience long-term complications. By getting vaccinated, you may reduce your chances of needing costly treatments down the road.

Conclusion

The cost of Shingrix varies, with a typical price range between $150 and $200 per dose. For the full series of two doses, the total cost can range from $300 to $400. However, the price can differ depending on factors such as insurance coverage, the location of the vaccination, and whether you use any available discounts or savings programs.

If you are eligible for insurance coverage, the vaccine may be fully covered or available for a reduced cost. For those without insurance, there are options to help reduce the price, including discount programs from the manufacturer and patient assistance programs. Comparing prices and shopping around can also help you find the best deal.

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Ultimately, the decision to get vaccinated with Shingrix is a personal one. However, considering the potential benefits of preventing shingles and its complications, many individuals find the cost of the vaccine to be a worthwhile investment in their long-term health.

Related topics:

  • How Much Does a Shingles Shot Cost at Publix?
  • Does PHN Go Away?
  • Is Shingrix Cost Covered by Medicare?
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