August 2024
Blue Cross, BCN cover additional vaccine
To increase access to vaccines and decrease the risk of vaccine-preventable disease outbreaks, Blue Cross Blue Shield of Michigan and Blue Care Network has added the following to our list of vaccines covered under the pharmacy benefit:
Common name |
Vaccine |
Effective date |
Smallpox and mpox (previously monkeypox) vaccine
|
Jynneos® |
May 7, 2024
|
The following lists 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 cost sharing.
Vaccines with age requirements
Common name |
Vaccine |
Human papillomavirus vaccine, or HPV |
Gardasil 9®
9 to 45 years old |
Vaccines with no age requirements
Common name |
Vaccine |
COVID-19, or 1vCOV-aPS |
|
COVID-19, or 1vCOV-mRNA |
- Comirnaty®/Pfizer-BioNTech
- Spikevax®/Moderna
|
Dengue, or DEN4CYD |
|
Diphtheria, tetanus, and acellular pertussis, or DTaP |
|
DTaP and inactivated poliovirus, or DTaP-IPV |
|
DTaP, hepatitis B, and inactivated poliovirus, or DTaP-HepB-IPV |
|
DTaP, inactivated poliovirus, and Haemophilus influenza type b, or DTaP-IPV-Hib |
|
DTaP, inactivated poliovirus, Haemophilus influenza type b, hepatitis B, or DTaP-IPV-Hib-HepB |
|
Haemophilus influenza type b, or Hib PRP-OMP |
|
Haemophilus influenza type b, or Hib PRP-T |
|
Hepatitis A, or HepA |
|
Hepatitis A and B, or HepA-HepB |
|
Hepatitis B, or HepB |
- Engerix-B®
- Heplisav-B®
- PreHevbrio®
- Recombivax HB®
|
Influenza virus |
|
Measles, mumps, rubella, or MMR |
|
Measles, mumps, rubella and varicella, or MMRV |
|
Meningococcal serogroups A, C, W, Y, or MenACWY-CRM |
|
Meningococcal serogroups A, C, W, Y, or MenACWY-TT |
|
Meningococcal serogroups A, B, C, W, Y vaccine, or MenACWY-TT/MenB-FHbp |
|
Meningococcal serogroup B, or MenB-4C |
|
Meningococcal serogroup B, or MenB-FHbp |
|
Mpox |
|
Pneumococcal conjugate, or PCV15 |
|
Pneumococcal conjugate, or PCV20 |
|
Pneumococcal polysaccharide, or PPSV23 |
|
Poliovirus, or IPV |
|
Respiratory syncytial virus, or RSV |
|
Respiratory syncytial virus monoclonal antibody, or RSV-mAB |
|
Rotavirus, or RV1 |
|
Rotavirus, or RV5 |
|
Tetanus and diphtheria, or Td |
|
Tetanus, diphtheria, and acellular pertussis, or Tdap |
|
Varicella, or VAR, chickenpox |
|
Zoster, or RZV, shingles |
|
If a member doesn’t meet the age requirement for a vaccine, Blue Cross and BCN won’t cover the vaccine under the prescription drug plan, and the claim will reject.
Vaccines must be administered by certified, trained and qualified registered pharmacists. |