by Brittney Murdock, QCC, CMCS, CPC
December 16th, 2016
Please note: The information in this publication applies only to Medicare Part D; the Prescription Drug Benefit.
Except for vaccines covered under Medicare Part B, Medicare Part D plans cover all commercially available vaccines as long as the vaccine is reasonable and necessary to prevent illness.
Health care professionals (sometimes known as “immunizers”) who administer certain vaccines to their Medicare patients may receive payment under the Medicare Prescription Drug (Part D) Program.
This fact sheet provides information for doctors, pharmacists, and other health care professionals about vaccine and vaccine administration coverage under the Medicare Part D Program, as well as how to submit claims for payment.