About the Program

If you are 60 years of age or older, and have private insurance and your out-of-pocket cost for ZOSTAVAX is over $30, you may be eligible to receive a rebate.*
The amount of the rebate will be the amount your private health insurance company indicates on the Explanation of Benefits (EOB) that you or the person responsible for your out-of-pocket cost is obligated to pay for the dose minus $30, up to a maximum of $140.

On this site, we answer some frequently asked questions about the program.

The Patient Rebate Program for ZOSTAVAX is available for eligible privately insured patients vaccinated between January 1, 2014 and December 31, 2014.

Not all patients are eligible. Please see the complete Terms and Conditions.

Remember, eligible patients only have 120 days after receiving their vaccination with ZOSTAVAX to complete and return their rebate request form. So take a look around and make sure you have a clear understanding of the process and the Terms and Conditions of the Program.

Have More Questions?

Call 1-888-ZOSTA-INFO

Need a Rebate Form?

See your health care professional.

*DEPENDING ON WHAT THE PATIENT'S HEALTH CARE PROVIDER CHARGES FOR THE DOSE, THE PATIENT'S ACTUAL OUT-OF-POCKET COST MAY BE MORE THAN WHAT IS REFLECTED ON THE PATIENT or HCP EOB AS THE AMOUNT THE PATIENT IS OBLIGATED TO PAY FOR THE DOSE. IN SUCH CASES, THE REBATE IS STILL LIMITED TO THE AMOUNT THE PATIENT'S PRIVATE HEALTH INSURANCE COMPANY INDICATES ON THE PATIENT'S EOB THAT THE PATIENT OR THE PERSON RESPONSIBLE FOR THE OUT-OF-POCKET COST IS OBLIGATED TO PAY FOR THE DOSE MINUS $30, UP TO A MAXIMUM OF $140. ADDITIONAL OUT-OF-POCKET COSTS INCURRED BY THE PATIENT (OR PERSON RESPONSIBLE) WILL NOT BE ELIGIBLE FOR A REBATE. PLEASE SEE TERMS AND CONDITIONS OF THE PROGRAM.

About ZOSTAVAX

ZOSTAVAX is a vaccine that is used for adults 50 years of age or older to prevent Shingles (also known as zoster).

Important Safety Information

  • ZOSTAVAX does not protect everyone, so some people who get the vaccine may still get Shingles.
  • You should not get ZOSTAVAX if you are allergic to any of its ingredients, including gelatin or neomycin, have a weakened immune system, take high doses of steroids, or are pregnant or plan to become pregnant. You should not get ZOSTAVAX to prevent chickenpox.
  • Talk to your health care provider if you plan to get ZOSTAVAX at the same time as PNEUMOVAX®23 (Pneumococcal Vaccine Polyvalent) because it may be better to get these vaccines at least 4 weeks apart.
  • Possible side effects include redness, pain, itching, swelling, hard lump, warmth, or bruising at the injection site, as well as headache.
  • ZOSTAVAX contains a weakened chickenpox virus. Tell your health care provider if you will be in close contact with newborn infants, someone who may be pregnant and has not had chickenpox or been vaccinated against chickenpox, or someone who has problems with their immune system. Your health care provider can tell you what situations you may need to avoid.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or
call 1-800-FDA-1088.

Please read the Patient Information for ZOSTAVAX® (Zoster Vaccine Live) and discuss it with your doctor. The physician
Prescribing Information also is available.

 

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The information on this site is intended for health care professionals in
the United States and is not intended for the general public.

 
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