All Medicare Part D drug plans, or Medicare Advantage plans that include prescription coverage, typically covered the shingles vaccine, usually with an out-of-pocket cost. If your doctor cant bill your plan directly, ask your doctor to coordinate with an in-network pharmacy. Medicare prescription drug plans (Part D)usually cover all commercially available vaccines needed to prevent illness, like the shingles shot. Each plan has a formulary showing which drugs it will cover, the tier a drug is on, any limits or requirements and mail-order availability. New Year, New Deductible: How to Manage Health Care Expenses, Medicare Partial Part B Benefit for Immunosuppressive Drugs (Part B-ID), The Difference Between Part B and Part D Prescription Drug Coverage, An Overview of Medicare Eligibility and Benefits, 5 Changes to Expect During 2023 Medicare Open Enrollment, Best Medicare Supplement Plan F Providers. Keep in mind that this comparison only considers the cost of the shingles vaccine and doesn't take into consideration any other medication costs. The site does not review or include all companies or all available products. Check your Part D drug formulary to see which tier the vaccine falls into. Most people get their shingles shots at a pharmacy, and some receive it at their doctors office. GSK Patient Assistance Program for Vaccines. Contact your insurer to find out. Those with Medigap insurance may pay little to nothing for the cost of their shingles treatment. But that changed beginning January 2023 because of the Inflation Reduction Act. Disclaimer: NerdWallet strives to keep its information accurate and up to date. Keep reading to find out how to get Medicare coverage for the shingles vaccines or get financial help if your plan doesnt cover the vaccine. syndicated on over 200 websites nationwide. Shingles affects about one-third of people whove had chickenpox, leading to burning, tingling, and shooting nerve pain. Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Are all adults over 50 at risk of getting shingles? All rights reserved. Starting in 2024, the Inflation Reduction Act also expands the level of income eligibility for the Extra Help program. Applying for Medicare can be an exciting but also a confusing process, Medicare and Medicaid are very different government insurance programs in the United States. That said, these plans have to abide by standards that are set by the federal government. Use your free coupon Show it to the pharmacist at pickup time. Boutry C, Hastie A, Diez-Domingo J, et al. Whether you pay all at once for your vaccine depends on where you get it. GlaxoSmithKline. Postherpetic neuralgia can cause the following symptoms: The older you are, the more likely you are to have postherpetic neuralgia. She's been a speaker at both CardCon (2017, 2018) and FinCon (2019). More from VERIFY:Inflation Reduction Act only caps insulin prices for Medicare patients, not for people with private insurance. Also Check: How Long Does It Take To Get Over Shingles. In contrast, most private health insurance, either through an employer or through the marketplace, classifies the shingles vaccine as a part of its free preventative coverage.\n \u003C\/li\u003E\n \u003Cli class=\"ListUnordered--list-item\"\u003E\n \u003Cstrong\u003EType of pharmaceutical\u003C\/strong\u003E: Shingrix is a Tier 3 drug made by GlaxoSmithKline, and there isn't a generic alternative. Starting in 2023, the shingles vaccine will be 100% covered for those who have prescription drug coverage as part of a Medicare Part D plan or Medicare Advantage plan with prescription drug benefits. If you have prescription drug coverage through work or a private policy, your insurance provider will set a fixed co-pay or co-insurance percentage for you to pay for your prescriptions. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Some people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. Popular cards include GoodRx and SingleCare, among others. Medicare covers a lot of things but not everything. Also, those who are pregnant should consider delaying vaccination with Shingrix until after delivery. Medicare Part B covers some other vaccines as free preventive care, such as flu and pneumonia vaccines Centers for Disease Control and Prevention. You will likely need to pay for the vaccination upfront. Contact the vaccines manufacturer directly to ask for potential rebates or discounts. The shingles vaccine is not free for all seniors, and how much you pay depends on your Medicare Part D plan or your Medicare Advantage prescription drug benefits. Second, look up your copay for that tier of drugs. You can, however, be on Medicaid. When you get your vaccine at your doctors office, you may have to pay a copay upfront but can defer paying the rest until you receive your final bill. Visit Wellcare-MedicareAdvantage.com However, there are a few reasons why you may end up paying hundreds of dollars for the two-dose regimen. This means each plan has its own set of premiums, benefits, copayments, deductibles and coinsurance. 0000001616 00000 n Check with your doctor before getting the vaccine to find out how it will be billed. In a 2019 report to Congress, the Medicare Payment Advisory Commission found that the shingles vaccines cost which can be more than $400 for the required two doses if a Medicare recipient hasnt met their deductible may pose a barrier to vaccination.. The vaccine protects you at least 85 percent of the time for the first four years after vaccination. Yes, it's covered through Medicare Part D plans and Medicare Advantage plans with prescription drug coverage. Is the shingles vaccine free for everyone? Medicare covers a wide range of preventive services, including Shingrix. Anyone who has ever had chickenpox can get shingles, including children, but people who are older or those with weakened immune systems are at increased risk. En espaol|Yes, if you have prescription drug coverage. On average, beneficiaries pay less than $5 per dose. Protect yourself The CDC recommends that all healthy adults 50 years and older get vaccinated against shingles. Many plans put the vaccine into a Tier 3 category. But how you find out how much of the cost your plan covers? brand 1 vaccine of 0.5ml Savings Alert: Coupons for vaccines are for the medicine only and do not cover administration fees. You need two rounds of the shot when getting this shingles vaccine. You will be asked to register or log in. Beginning Jan. 1, 2023, all vaccines will be free under Medicare Advantage or Part D including shingles. Last medically reviewed on April 24, 2020. This article will let you know how to find a Medicare plan that covers it and will give you other strategies to cut down on the cost when you dont have one of these plans. 2021:ciab629. Part B also covers vaccines you may need if youre exposed to a harmful virus or bacteria by accident. While shingles itself is not contagious, the virus that causes it is. It reduces complications as well. A look at what bills could become laws in Arkansas next week, Tornado impacts Pike County, community begins clean up, Your Arkansas weather forecast from THV11, School bus crash causes traffic delays on I-630, can be more than $400 for the required two doses, The Centers for Medicare and Medicaid Services, You can read more about whats covered under each part here, in a fact sheet about the Inflation Reduction Act, No, Medicare is not offering a free flex card, Here's how much Medicare premiums will cost in 2023, Yes, Social Securitys 2023 cost-of-living increase is the highest since 1981. Part D does not pay for over-the-counter medications, such as cough syrup or antacids. Among the most commonly requested ones are: Influenza : The flu vaccine is offered on a seasonal basis. Be sure to. We've explained what you need to know about Medicare Part C. Here's help to understand what it covers, plan options, enrollment requirements, Medicare is the U.S. health insurance program for people 65 years old and over. To see if travel vaccines are covered by your Medicare Part D plan, check with the plan's formulary, or list of covered drugs. 0000003688 00000 n Part A and B alone dont cover all prescriptions and vaccinations. Both Medicare Advantage plans and Part D plans are sold by private insurance companies. QWIS does not offer every plan available in your area. It's classified as a Tier 3 drug by most insurance companies, which means it's a brand-name pharmaceutical with a higher copayment than a Tier 1 or 2 drug. That includes the Shingrix vaccine. Roberta Pescow is a freelance writer specializing in health, home You can have a Part D plan with Original Medicare or with a Medicare Advantage plan that does not have prescription drug benefits. Invitations for application for insurance may be made through QW Insurance Solutions, LLC ("QWIS"), a subsidiary of QuoteWizard.com, LLC ("QuoteWizard"), a LendingTree subsidiary, or through its designated agents, only where licensed and appointed. Her articles have been It helps with up to a total of $15,000 for 12 months. At a pharmacy. On average, beneficiaries pay $50 per dose. The shingles vaccine is not covered by Original Medicare (Medicare Part A or B). Prescription 0.5ml Shingrix (1 carton (1 vaccine)) edit Choose your pharmacy Near boydton, VA Walgreens Harris Teeter Costco Food Lion Kroger 2 more. Our partners cannot pay us to guarantee favorable reviews of their products or services. At one time, some states required a prescription to get the shingles vaccine at a pharmacy, but those states recently changed their rules to allow the vaccine without a doctors order. Editorial Note: The content of this article is based on the authors opinions and recommendations alone. You can also manage your communication preferences by updating your account at anytime. 0000000749 00000 n A shingles infection presents as a very painful rash that can break out anywhere on the body, but most often turns up on the right or left side of the torso. Starting in 2023, people with Medicare Part D coverage will pay nothing out-of-pocket for the Shingrix vaccine. File your vaccine bill for reimbursement with your plan if you cant do either of the options above. Both generic and brand drugs are covered under Part D. Visit our formulary FAQ page to learn more. o1mg+n@adIakrD`4qGg 1{s8Q!8&gGZ\: vMdSJ` &%ec@AF The amount you pay will vary based on your policy details and your deductible amount. An estimated 99 percent of Americans 40 years and older have had chickenpox (although many dont remember having it). Our website services, content, and products are for informational purposes only. Claire Tsosie is an assigning editor for NerdWallet. But that changed in 2023. Anyone who has had chickenpox in the past can get shingles. Recommended Reading: Can You Get The Shingles Vaccine Before Age 50. CVS Pharmacy offers a full list of vaccines. It can also be used by anyone on Part D as long as they have already spent $600 on medications through their plan that year. Please return to AARP.org to learn more about other benefits. The cost of a shingles vaccine was reduced in 2023. These plans put medications into different price categories known as tiers. Unfortunately, Part A and Part B do not cover the shingles vaccine. Keep in mind you may also have to pay a copay or coinsurance when you get the vaccine. However, you may be able to get coverage through a Medicare Advantage or Medicare Part D plan. In the meantime, please feel free If you find discrepancies with your credit score or information from your credit report, please contact TransUnion directly. MORE: What is Medicare, and what does it cover? The vaccine contains inactivated viruses, which makes it more tolerable for people with compromised immune systems. Our opinions are our own. But depending on your plan, even after the deductible is met, consumers may have to pay a significant part of the shingles vaccine costup to $100. However, if you get your vaccine after having met your deductible, you will simply pay a copay or coinsurance for the shot. 0000007626 00000 n Ask the doctors office and your plan about the rules. It could range from $0 to over $100 depending on your plan, and depending on whether you get the vaccine in or out of network. Tdap: The CDC recommends the combination tetanus, diphtheria, and pertussis vaccine for adolescents and adults every 10 years to protect against all three infections. At your local pharmacy: You can go to your local pharmacy to get your shingles shot as long as they offer the vaccine and appropriately trained staff members administer it. 0000003144 00000 n Medicare Part D vaccines. These include: There are a few steps you can take to make sure your shingles vaccine is covered if you have Medicare Advantage with drug coverage or Medicare Part D: If you have to file for reimbursement, youll have to pay the full price of the shot when you get it. medicaid.gov/medicaid/eligibility/index.html, cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html, pharmacytoday.org/article/S1042099118318255/abstract, cdc.gov/vaccines/vpd/shingles/public/zostavax/index.html. National Alliance of State Pharmacy Associations. Medicare Advantage plans with prescription drug coverage and Part D plans may cover the Shingrix vaccine, but that does not necessarily mean it will be free. covered under Part D. Medicare Part B does not cover administration of Part D vaccines . Symptoms went away on their own in about 2 to 3 days. If youre admitted to the hospital, Part A will provide you with inpatient coverage. On the other hand, Medicare Part Dor a Medicare Advantage plan that includes Part D coveragetypically does cover the vaccine. This article was prepared as a service to the public and is not intended to grant rights or impose obligations. Centers for Medicare and Medicaid Services. Currently, there is only one vaccine available that has been approved by the FDA to prevent shingles. The plan costs $38.60 per month for someone living in Charlotte, N.C. . No matter your plan, you'll pay no deductible, copay or other costs for a shingles vaccine. In 2022, your actual costs for the vaccine depend on the specifics of your plan. As a result, you are likely to have temporary side effects from getting the shots. The higher the tier, the more you pay. You can print or show the CVS pharmacist a GoodRx coupon. Medicare Prescription Drug Plans are also known as Medicare Part D. Select your state to find information about your WellCare plan. Shingrix (given as two shots): Deductible copay: free to $164 for each shot . However, what you pay may vary from plan to plan. In order to get your shingles vaccine covered by Medicare, you will need to enroll in a Medicare Advantage plan with prescription drug benefits (an MA-PD plan) or a stand-alone Part D prescription drug plan. Many Medicare Advantage plans offered by private companies also include Part D coverage. The Kaiser Family Foundation notes that about 1 in 4 Medicare recipients do not have the optional prescription drug coverage, meaning they wouldnt receive the prescription and vaccine-related benefit changes included in the Inflation Reduction Act. For more than 20 years, Wellcare has offered a range of Medicare products, which offer affordable coverage beyond Original Medicare. NerdWallet strives to keep its information accurate and up to date. If you currently have private insurance, then it may be a good idea to get the vaccine before enrolling in Medicare, since many private insurers cover it under preventative care. So do Medicare Advantage plans that include a prescription drug benefit. However, the CDC recommends against getting the vaccine in certain cases for instance, if you're currently experiencing a shingles outbreak. Learn how your. Starting in 2023, all Medicare drug plans cover the shingles vaccine in full no deductible, no copay as well as other vaccines recommended by the Advisory Committee on Immunization Practices. In the United States, more than 99 percent of people born before 1980 have had chicken pox, even if they dont remember being ill, according to the CDC. Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy. Remember that if you only have original Medicare and no prescription drug coverage through Medicare, you may pay full price for the vaccine. Availability of benefits and plans varies by carrier and location and may be limited to certain times of the year unless you qualify for a Special Enrollment Period. If you don't have prescription drug coverage, the full price for two doses of the Shingrix vaccine is $324, and several cost-saving options can help you get Shingrix for less. In your doctors office: You can get vaccinated in your doctors office. <<000329054A34564AA6F2A463A1AEDD33>]>> xbb``b``3n0 n Many Medicare plans offer partial coverage for the shingles vaccine. These insurers offer plans in most states. Most Medicare drug plans cover at least 50 percent of a drug's retail price. Which vaccines are available? VERIFY reader Patricia recently texted the team to ask whether Medicare will start paying for the shingles vaccine in 2023. The CDC-recommended vaccine, Shingrix, is a recombinant zoster vaccine that has two doses administered within six months of each other. In both cases, a shingles vaccine dose costs less than $50, and the Part D plans are affordable, averaging $36 to $37 per month. syndicated on over 200 websites nationwide. This shingles vaccine has been shown to decrease the risk for shingles by 97% for people between 50 and 69 years old and by 91% for people 70 and older. That includes Shingrix. Not having insurance does not mean you have to pay in full. You will have to decide which will save you the most money. Does Medicare Cover the Shingles Vaccine? Remember, your Medicare Part B does not cover the shingles vaccine. When healing takes longer than usual, some individuals can feel despair or even depression. The shingles vaccine isn't guaranteed to be free for all Medicare recipients. Her articles have been The CDC advises vaccinations for travel. Here is a list of our partners. The herpes virus can cause outbreaks that may affect hearing and vision. 0000001805 00000 n Influenza, Pneumonia, Tetanus, Hepatitis, Shingles, Measles, Mumps, Human Papillomavirus , Pertussis, Varicella, Meningitis, You dont have prescription drug coverage or a Part D plan and have spent at least $600 during the calendar year, You live in the U.S., Puerto Rico, or the District of Columbia, You dont qualify for Puerto Ricos Government Health Plan, You apply through your health care provider, who will register for the patient assistance program and submit your application. ; A generic drug is a prescription drug that is approved by the Food and Drug Administration (FDA) as having the same active ingredient(s) as the brand-name drug. MA-PD plans and Part D plans are required to cover commercially available vaccines that are not covered by Original Medicare. You are leaving AARP.org and going to the website of our trusted provider. NerdWallet Compare, Inc. NMLS ID# 1617539, NMLS Consumer Access|Licenses and Disclosures, California: California Finance Lender loans arranged pursuant to Department of Financial Protection and Innovation Finance Lenders License #60DBO-74812, Property and Casualty insurance services offered through NerdWallet Insurance Services, Inc. (CA resident license no. That means if you havent met your annual deductible, youll likely wind up paying full price for the shot, which is about $217. Notifications can be turned off anytime in the browser settings. Shingrix (zoster vaccine recombinant, adjuvanted): costs and coverage. Prescription discount cards: There are many prescription discount cards that offer decreased rates for Shingrix. If you get shingles, apainful and itchy rash, you can give chicken pox to those who have not had it nor been vaccinated. There is one vaccine for shingles approved in the United States called Shingrix. Our partners cannot pay us to guarantee favorable reviews of their products or services.Here is a list of our partners. They may be willing to set up a payment plan to make the shingles vaccinemore affordable for you. Please consider subscribing to our daily newsletter, text alerts and our YouTube channel. Our partners compensate us. endstream endobj 208 0 obj <>/Size 188/Type/XRef>>stream According to Clever Rx, Shingrix retails for around $155 per shot. Many private health insurance plans will cover the vaccine, but there may be a cost to you depending on your plan. However, your costs will vary based on the plan's details and if you've already met your deductible amount by purchasing other prescription drugs. www.aarp.org/volunteer. Clinical Infectious Diseases. Medicare Advantage plans provide coverage for all Medicare Part A and Part B benefits, and most Medicare Advantage plans also cover prescription drugs. You'll start receiving the latest news, benefits, events, and programs related to AARP's mission to empower people to choose how they live as they age. This article may contain references or links to statutes, regulations, or other policy materials. Examples include. This influences which products we write about and where and how the product appears on a page. %PDF-1.4 % Medicare is a federally-funded healthcare program for people 65 and older and for people with qualifying disabilities. Medicare prescription drug plans (Part D) usually cover all commercially available vaccines needed to prevent illness, like the shingles shot. Part C: Also known as Medicare Advantage, Part C plans cover everything that Part A and Part B do. Medicare is broken down into four different parts. Read our. In the example above, the AARP MedicareRx Walgreens prescription drug plan has a $455 deductible for Tier 3 drugs like the shingles vaccine. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Is the shingles vaccine free for Medicare recipients in 2023? While Original Medicare (Medicare Part A and Part B) does not cover the shingles vaccine, called Shingrix, some Medicare Advantage plans and some Medicare Part D plans may offer coverage for the vaccine. Many people think that a vaccine that's recommended by the CDC for those over age 50 would be fully covered by Original Medicare. Your doctor might file this report, or you can do it yourself through the VAERS websiteexternal icon, or by calling 1-800-822-7967. Seniors who don't have a prescription drug plan will have to pay full price for the shingles vaccine or use a cost-saving method to get the vaccine at a discounted price. Healthline Media does not provide medical advice, diagnosis, or treatment. Eligible patients could pay as little as $0 for BENLYSTA. Blue Cross Blue Shield Medicare Advantage plans, Kaiser Permanente Medicare Advantage plans, UnitedHealthcare Medicare Advantage plans. If you have a Part C policy, youll have coverage, but the costs will vary depending on your plan. You should get Shingrix even if you have a history as follows: Unlike the flu and pneumonia vaccines, which are fully covered as preventive services under Medicare Part B, the shingles shot and other recommended vaccinations are covered as prescription drugs under Medicare Part D and Medicare Advantage plans. The risk of getting shingles increases as you age or if you have a weakened immune system. GSK for you: GSK pricing information. Original Medicare (Part A and Part B) doesnt provide coverage. with prescription drug coverage cover the shingles vaccine, which prevents shingles infections and is approved for use by people 50 and older. The vaccine is typically administered to adults who are 50 years and older. If you don't have a prescription drug plan or you haven't met your plan's deductible, the retail cost for the shingles vaccine is $162 per shot. Human Vaccines & Immunotherapeutics. Medicares Part A and Part Bdont cover shingles vaccinations, even though the Centers for Disease Control and Prevention (CDC) recommends that everyone age 50 and older get the vaccine. Drugs in Tier 1 and 2, mainly lower-priced generics and preferred brand-name drugs, have lower co-pays than more expensive nonpreferred brands in Tier 3 or 4. But even if you received Zostavax before it was retired, the CDC recommends getting inoculated with Shingrix: two doses for adults 50 and older spaced two to six months apart. Unlike Medicare parts A and B, which are government insurance plans that cover hospital insurance and outpatient medical insurance, respectively, Medicare drug plans are private insurance policies developed by providers that have contracts with the federal government. At a doctors office. Sign up and well send you Nerdy articles about the money topics that matter most to you along with other ways to help you get more from your money. This means each plan has its own set of premiums, benefits, copayments, deductibles and coinsurance. However, you can find Zostavax and Shingrix on your Part D plan formulary. Just show your Navitus card at the pharmacy. The FDA approved Shingrix in 2017. Consumer Reports found that many Part D plans categorize the shingles vaccine, Zostavax, as an expensive Tier 3 or 4 drug. Below, we'll compare how much you'd pay for the shingles vaccine on two plans with different deductibles. We believe everyone should be able to make financial decisions with confidence. So, while all Part D plans are required to cover the shingles vaccines, the amount that they cover varies widely between insurers. Often the skin in the area of the rash continues to hurt even after the rash has healed. Although some older Medigap policies may cover prescription drugs, any Medigap policies sold after Jan. 1, 2006, don't include drug coverage and wont pay for the shingles vaccine. When you consider that 99% of people born on or before 1980 have had chickenpox (even if they dont remember it), a large portion of the population is at risk. Another thing to be concerned about is contagion. Here is a list of our partners and here's how we make money. Scenario: Shingrix is the only medication needed during the policy. It is administered in two doses two to six months apart. xref The Centers for Disease Control and Prevention (CDC) recommends that healthy adults over the age of 50 get the shingles vaccine because it's the only way to protect against the disease and its associated side effects. 0000007856 00000 n The CDC has no maximum age limit on getting vaccinated against shingles. This information may be different than what you see when you visit a financial institution, service provider or specific products site. A lot of plans list Shingrix on Tier 3 drug as a preferred brand-name drug. In that case, you may be better off getting the varicella (chickenpox) vaccine instead. Contact your Medicare drug plan for . 2005-2023 Healthline Media a Red Ventures Company. Its important to keep your skin clean and dry and prevent it from rubbing against any other person who could get infected. Medicare Part D generally covers vaccines that Medicare Part B does not cover, like the shingles (zoster) vaccine and the Tdap vaccine. When can I join a Part D prescription drug plan or switch plans if I already have coverage. Home / FAQs / Medicare Coverage / Medicare Coverage for Shingles. However, this does not influence our evaluations. For the two-dose sequence, the total cost is $324. Most people who are enrolled in Medicare Part D pay less than $50 per dose for Shingrix, according to the vaccine's manufacturer GlaxoSmithKline. Where a drug falls on the tier can determine how expensive it is. Tips on managing the shingles vaccine shortage. Medicare Advantage plans such as Wellcare Medicare plans do cover vaccines, including the COVID-19 vaccine, pneumococcal shots, flu shots and more. Unfortunately, there isnt a generic version of the vaccine, so there isnt much you can do about that. Centers for Disease Control and Prevention. Recommended Reading: What Is Good For Shingles Rash. Selecting topic filters ahead will take you to the login page if you are not already logged in. Doctors call this post-herpetic neuralgia, and it can sometimes last for months or even years. The CDC recommends that adults age 50 and older receive the two-dose Shingrix shingles vaccine. Doses, recommended ages, and recommended populations for vaccinations vary. Shingrix is not the first shingles vaccine, but it is the only one currently on the market in the United States. To get an insurance quote over the phone, call: (855) 596-3655 | Agents available 24 hours a day, 7 days a week! The amount you pay for the shingles vaccine will depend on how much your Medicare plan covers. About 1 in 3 people will get shingles in their lifetimes, and in rare instances it can recur. This is known as being dual eligible for Medicare and Medicaid. Not affiliated with or endorsed by any government agency. Shingrix is an effective vaccine that can protect you against shingles outbreaks and complications like post-herpetic neuralgia. This compensation may impact how and where offers appear on this site (including, for example, the order in which they appear). Find out where Medicare stands in the following areas: About the author: Roberta Pescow is a freelance writer specializing in health, home How can I pick the best Medicare Part D drug plan for my needs? You should not get the vaccine if you have a severe allergy to any of the components, currently have shingles, or you have lab tests that definitively show that you do not have antibodies against the varicella-zoster virus. The Centers for Disease Control and Prevention recommends Shingrix vaccination for everyone 50 years and older and those 19 years and older who have weakened immune systemseven if you have already had shingles, if you had another type of shingles vaccine, and if you dont know whether or not youve had chickenpox in the past.

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