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August 2021
Blue Cross and BCN covering additional vaccines
To increase access to vaccines and decrease the risk of vaccine‑preventable disease outbreaks, Blue Cross Blue Shield of Michigan and Blue Care Network have added the following to our list of vaccines covered under the pharmacy benefit:
| Vaccine |
Common name |
Age requirement |
Date added |
| MenQuadfi™ |
Meningococcal A, C, W and Y |
None |
June 14 |
| Daptacel® |
Tdap (tetanus, diphtheria and whooping cough, also known as pertussis) |
None |
June 14 |
| Infanrix® |
Tdap (tetanus, diphtheria and whooping cough, also known as pertussis) |
None |
June 14 |
The following lists all vaccines covered under eligible members’ prescription drug plans. Most Blue Cross and BCN commercial (non‑Medicare) members with prescription drug coverage are eligible. If a member meets the coverage criteria, the vaccine is covered with no out‑of‑pocket cost.
| Vaccine |
Common name |
Age requirement |
| Influenza virus |
Flu |
Under 9: 2 vaccines per 180 days
9 and older: 1 vaccine per 180 days |
| ActHIB® |
Haemophilus influenzae type B |
None |
| Hiberix® |
Haemophilus influenzae type B |
None |
| PedvaxHIB® |
Haemophilus influenzae type B |
None |
| Havrix® |
Hepatitis A |
None |
Vaqta® |
Hepatitis A |
None |
| Energix-B® |
Hepatitis B |
None |
| Heplisav-B® |
Hepatitis B |
None |
| Recombivax HB® |
Hepatitis B |
None |
| Twinrix® |
Hepatitis A & B |
None |
| Gardasil®9 |
HPV (Human papillomavirus) |
9 to 45 years old |
| M-M-R® II |
Measles, mumps, rubella |
None |
ProQuad® |
Measles, mumps, rubella and varicella |
None |
| Menveo® |
Meningitis |
None |
| Menactra® |
Meningitis |
None |
| Menomune® |
Meningitis |
None |
| Trumenba® |
Meningococcal B |
None |
Bexsero® |
Meningococcal B |
None |
| MenQuadfi™ |
Meningococcal A, C, W and Y |
None |
| Ipol® |
Polio |
None |
| Pneumovax 23 |
Pneumonia |
None |
| Prevnar 13® |
Pneumonia |
65 and older |
Rotarix® |
Rotavirus |
None |
| RotaTeq® |
Rotavirus |
None |
| Shingrix® |
Shingle (Zoster) |
50 and older |
| Boostrix® |
Tdap (tetanus, diphtheria and whooping cough, also known as pertussis) |
None |
| Daptacel® |
Tdap (tetanus, diphtheria and whooping cough, also known as pertussis) |
None |
Infanrix® |
Tdap (tetanus, diphtheria and whooping cough, also known as pertussis) |
None |
| Adacel® |
Tdap |
None |
| Vaxelis™ |
Tdap, inactivated poliovirus, haemophilus B, hepatitis B |
None |
| Pediarix® |
Tdap, hepatitis B, polio |
None |
| Kinrix® |
Tdap, polio |
None |
| Quadracel® Tdap‑IPV |
Tdap, polio |
None |
Pentacel® |
Tdap, polio, haemophilus influenzae type B |
None |
| Diptheria and Tetanus Toxoids |
Tetanus, diphtheria |
None |
| Tenivac® |
Tetanus, diphtheria |
None |
| TDVax® |
Tetanus, diphtheria |
None |
| Varivax® |
Varicella (chickenpox) |
None |
If a member doesn’t meet the age requirement, Blue Cross and BCN won’t cover the vaccine under the prescription drug plan, and the claim will reject.
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