Casa Physicians Alliance News


Merck - GARDASIL®9 Coverage Information


During its February meeting the ACIP (CDC Advisory Committee on Immunization Practices) recommended Merck’s new HPV Vaccine, GARDASIL®9 as one of three FDA approved HPV vaccines. Gardasil 9 is the only HPV vaccine that can be used for routine vaccination to Prevent Cancers and Other Diseases Caused by Nine HPV Types- Including Types That Cause About 90% of Cervical Cancer Cases

GARDASIL 9 includes the greatest number of HPV types in any available HPV vaccine.

GARDASIL®9 (Human Papillomavirus 9-valent Vaccine, Recombinant),Merck’s 9-valent human papillomavirus (HPV) vaccine, for use in girls and young women 9-26 years of age for the prevention of cervical, vulvar, vaginal, and anal cancers caused by HPV types 16,18,31,33,45,52 and 58, pre-cancerous or dysplastic lesions caused by HPV types 6,11,16,18,31,33,45,52, and 58, and genital warts caused by HPV types 6 and 11. GARDASIL 9 or GARDASIL® [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant].

Availability and CPT information for Gardasil 9

(Human Papillomavirus 9 –valent Vaccine, Recombinant):

Many insurance health plans have now, ahead of schedule, adopted a reimbursement rate for Gardasil 9 .  Some providers that have adopted a reimbursement rate are: Aetna, Well Point Anthem, Coventry ,Cigna, Blue Cross Blue Shield, Untied Healthcare, Humana, and Unicare. Please contact each health plan directly for information on reimbursement and patient out of pocket costs to insure that you have the most timely and accurate information.

The American Medical Association has established a Current Procedural Terminology (CPT)® code of 90651¹ for GARDASIL 9 . CPT codes allow for the identification and potential reimbursement of existing common procedures, services and products’ new and emerging technologies, as well as the collection of data to facilitate performance measures.

**For additional important information about GARDASIL and GARDASIL 9 please contact your Merck representative or visit www.merck.com and click on product information.

 

 

Posted by Chris Dixon on 5th May, 2015 | Comments | Trackbacks
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CASA Physicians Alliance - A Group Purchasing Organization for Physicians, was started 16 years ago for the sole purpose of joining physicians into a large buying group to obtain the best possible discounts on pediatric, adolescent and adult vaccines. Since then, CASA has forged very successful partnerships on behalf of our members.


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