October 2023
Blue Cross, 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 will add the following vaccines to our list of vaccines covered under the pharmacy benefit:
Vaccine |
Common name and abbreviation |
Effective date |
Arexvy™ |
Respiratory syncytial virus, or RSV
|
July 17, 2023
|
Abrysvo™ |
Following are all the vaccines that are 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 costs.
Note: Vaccines must be administered by certified, trained and qualified registered pharmacists.
Vaccines that are covered and have no age requirement
Vaccine |
Common name and abbreviation |
|
Dengue vaccine — DEN4CYD |
|
Diphtheria, tetanus, and acellular pertussis vaccine — DTaP |
- Diphtheria and tetanus toxoids
|
Diphtheria, tetanus vaccine — DT |
|
DTap and inactivated poliovirus vaccine — DTaP-IPV |
|
DTaP, hepatitis B, and inactivated poliovirus vaccine — DTaP-HepB-IPV |
|
DTaP, inactivated poliovirus, Haemophilus influenzae type b, and hepatitis B vaccine — DTaP-IPV-Hib-HepB |
- ActHIB®
- Hiberix®
- PedvaxHIB®
|
Haemophilus influenzae type b vaccine — Hib
|
|
Hepatitis A — HepA |
- Engerix-B®
- Heplisav-B®
- PreHevbrio™
- Recombivax HB®
|
Hepatitis B — HepB |
|
Hepatitis A & B — HepA-HEPB |
|
Measles, mumps, rubella vaccine — MMR |
|
Measles, mumps, rubella and varicella vaccine — MMRV |
|
Meningococcal serogroups A, C, W, Y vaccine — MenACWY-CRM |
|
Meningococcal serogroups A, C, W, Y vaccine — MenACWY-D |
|
Meningococcal serogroups A, C, W, Y vaccine — MenACWY-TT |
|
Meningococcal serogroup B vaccine — MenB-4C |
|
Meningococcal serogroup B vaccine — MenB-FHbp |
|
Pneumococcal 15-valent conjugate vaccine — PCV15 |
|
Pneumococcal 20-valent conjugate vaccine — PCV20 |
|
Pneumococcal 23-valent polysaccharide vaccine — PPSV23 |
|
Poliovirus — IPV |
|
Respiratory syncytial virus — RSV |
|
Rotavirus vaccine — RV1 |
|
Rotavirus vaccine — RV5 |
|
Tetanus and diphtheria vaccine — Td |
|
Tetanus, diphtheria and acellular pertussis vaccine — Tdap |
|
Varicella vaccine — VAR or chickenpox |
|
Zoster vaccine — RZV or shingles |
Covid vaccines
- Pfizer-BioNTech COVID-19 vaccine, bivalent
- Moderna COVID-19 vaccine, bivalent
- Novavax COVID-19 vaccine
Vaccines with age requirements
If a member doesn’t meet the age requirement for a certain vaccine, Blue Cross and BCN won’t cover it under the prescription drug plan, and the claim will reject. |