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?
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.