MLN908764 - Medicare Part D Vaccines
This revised Product comprises Subregulatory Guidance for the Part D Vaccines and its content is based on publically available content within https://www.cdc.gov/vaccines/hcp/acip-recs/,
https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/MemoPDBManualChapter5_093011.pdf#page=62,
https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn, and
https://www.medicare.gov/drug-coverage-part-d. CMS policy or operation subject matter experts also reviewed/cleared this product. This Product educates providers on who administers certain vaccines to patients with Medicare drug coverage. Revisions to this product include the following content updates:
• Clarified policy on new vaccines and Part D plan formularies
• Clarified general policy on billing Part D vaccines
The previous version of this Product is available to the public and currently posted on the CMS website at
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Vaccines-Part-D-Factsheet-ICN908764.pdf.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 27, 2024
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.