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Advising the Congress on Medicare issues
MedPAC > Recommendations > Medicare vaccine coverage and payment

Medicare vaccine coverage and payment

June 15, 2021

The Congress should:

  • cover all appropriate preventative vaccines and their administration under Part B instead of Part D without beneficiary cost sharing and
  • modify Medicare’s payment rate for Part B-covered preventative vaccines to be 103 percent of wholesale acquisition cost, and require vaccine manufacturers to report average sales price data to CMS for analysis.

Appeared in: June 2021 - Chapter 7

Topics: Beneficiaries and coverage and Drugs, Devices, and Tests.