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. 2024 Jun 18;331(23):2043-2045.
doi: 10.1001/jama.2024.7348.

Shingles Vaccination in Medicare Part D After Inflation Reduction Act Elimination of Cost Sharing

Affiliations

Shingles Vaccination in Medicare Part D After Inflation Reduction Act Elimination of Cost Sharing

Dima M Qato et al. JAMA. .
No abstract available

Plain language summary

This cross-sectional study uses data from retail pharmacies to examine shingles vaccine uptake among Medicare Part D beneficiaries following an IRA policy to eliminate cost sharing.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Qato reported being a consultant for WHO Sexual and Reproductive Health Unit and Public Citizen’s Health Research Group outside the submitted work. Dr Goldman reported receiving grants from National Institute on Aging (R01AG059234) during the conduct of the study; grants from Blue Cross Blue Shield of Arizona, Bristol Myers Squibb, Cedars-Sinai Health System, Edwards Lifesciences, Gates Ventures, Genentech, Gilead Sciences, Johnson & Johnson, Novartis, Pfizer, Roche, Walgreens Boots Alliance, National Institute on Aging (P30AG066589, P30AG024968, P30AG043073, U01AG073697, R01AG062277, R01AG059234), NIDDK (R01DK107552); personal fees from National Railway Labor Conference, Biogen, and GRAIL as a scientific advisory board member; and being a cofounder with equity of EntityRisk outside the submitted work. Dr Fendrick reported being a consultant for AbbVie, CareFirst BlueCross BlueShield, Centivo, Community Oncology Alliance, Covered California, EmblemHealth, EBRI, Elektra Health, Exact Sciences, GRAIL, Harvard University, Health at Scale Technologies, Hopewell Fund, Johnson & Johnson, Medtronic, MedZed, Merck, Mother Goose Health, Phathom Pharmaceuticals, Proton Intelligence, RA Capital, Sempre Health, the state of Minnesota, US Department of Defense, Virginia Center for Health Innovation, Washington Health Benefit Exchange, Wellth, Yale New Haven Health System, and Zansors; receiving research support from the Agency for Healthcare Research and Quality, Gary and Mary West Health Policy Center, Arnold Ventures, National Pharmaceutical Council, Patient-Centered Outcomes Research Institute, Pharmaceutical Research and Manufacturers of America, Robert Wood Johnson Foundation, state of Michigan, and Centers for Medicare & Medicaid Services; serving as co–editor in chief of the American Journal of Managed Care; and being a partner in VBIDHealth, LLC. No other disclosures were reported.

Figures

Figure.
Figure.. Shingles Vaccine Dispensing With Commercial and Medicare Part D Insurance From January 2022 to December 2023a
aThese data are from IQVIA’s National Prescription Audit and measure monthly dispensing for shingles vaccines administered at retail pharmacies.

References

    1. Sayed BA, Finegold K, Ashok K, et al. . Inflation Reduction Act research series: Medicare Part D enrollee savings from elimination of vaccine cost-sharing. (Issue Brief No. HP-2023-05). Office of the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services. March 15, 2023. Accessed March 27, 2024. https://aspe.hhs.gov/sites/default/files/documents/329fd579ada6515d3be40...
    1. Inflation Reduction Act of 2022, HR 5376, 117th Congress. Accessed March 27, 2024. https://www.congress.gov/bill/117th-congress/house-bill/5376
    1. IQVIA Institute for Human Data Science . Trends in vaccine administration in the United States. January 2023. Accessed March 27, 2024. https://www.iqvia.com/-/media/iqvia/pdfs/institute-reports/trends-in-vac...
    1. Myerson R, Qato DM, Goldman DP, Romley JA. Insulin fills by Medicare enrollees and out-of-pocket caps under the Inflation Reduction Act. JAMA. 2023;330(7):660-662. doi:10.1001/jama.2023.12951 - DOI - PMC - PubMed
    1. United States Government Accountability Office . Routine vaccinations: adult rates vary by vaccine type and other factors. September 2022. Accessed March 27, 2024. https://www.gao.gov/assets/gao-22-105334.pdf

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