2023 $0 Part D Immunizations for Wellcare By Allwell

Date: 12/14/22

Starting January 1, 2023, per the Inflation Reduction Act (IRA), adult vaccines covered by Part D and recommended by the Advisory Committee on Immunization Practices (ACIP) will be available at $0. Also, Wellcare By Allwell plan members will not be responsible for an administrative fee.

To improve vaccine access and member experience, providers should discuss any upfront charges with patients prior to administering Part D vaccines. This ensures that patients are aware of what they would need to pay out of pocket for the vaccine and are then able to seek reimbursement from their health plan. Providers can process Part D vaccine claims electronically via TransactRx, https://www.transactrx.com/physician-vaccine-billing. This should alleviate any immediate financial burden on the patient, even if they ultimately need to file for reimbursement.

Below are some common Part D preventive vaccines covered by our plan at no cost.*

$0 Part D Preventive Vaccines

Disease/Condition	Vaccines (Restrictions)
Cervical, vulvar, vaginal cancer – HPV	GARDASIL 9
Diphtheria, tetanus, pertussis	ADACEL, BOOSTRIX, DAPTACEL, INFANRIX
Haemophilus influenza type B	ACTHIB, HIBERIX, PEDVAX HIB
Hepatitis A	HAVRIX, VAQTA
Hepatitis B	ENGERIX-B (B vs D PA), RECOMBIVAX HB (B vs D PA)
Hepatitis A, hepatitis B	TWINRIX
Measles, mumps, rubella	M-M-R II
Meningitis-meningococcal group A, C, Y, W-135	MENACTRA, MENVEO
Shingles – herpes zoster	SHINGRIX (QL 2 vials per lifetime

*List is not all-inclusive.
 

As always, please contact our Provider Relations team with any questions you may have.

 

Provider Relations: 1-800-222-9831
Member Services: 1-877-935-8024
Prior Authorization Phone Number: 1-800-867-6564
Plan Website: www.Wellcare.com/allwellWI