How much does the shingles vaccine cost without insurance

En español | No and yes. Medicare’s Part A and Part B don’t cover shingles vaccinations, even though the Centers for Disease Control and Prevention (CDC) recommends that everyone age 50 and older get the vaccine. Medicare Part B covers some other vaccines as free preventive care, such as the flu and pneumonia vaccines.

With that said, Medicare Part D covers the shingles vaccine, as do private Medicare Advantage plans that include drug coverage. These plans must cover all commercially available vaccines needed to prevent illness, except for those that Part B covers. 

In the United States, about 1 in every 3 people are at risk for shingles or herpes zoster, the same virus strain that causes chicken pox. If you’ve had chicken pox, the virus stays dormant in your system and may reappear as shingles later in life, which is why the vaccine is recommended. 

How much is a shingles shot under Medicare Part D? 

The good news is that the cost of a shingles vaccine, which comes in two timed doses, is subject to change in 2023. 

Starting in 2023, the Inflation Reduction Act will eliminate all out-of-pocket costs for vaccines that the CDC’s Advisory Committee on Immunization Practices recommends for adults. That includes the shingles vaccine. 

However, in 2022 you may be charged a copayment for the shingles vaccine. This varies from plan to plan. The average Part D copayment for vaccines was $47 in 2020, according to Avalere Health, a health care consulting firm.

If you haven’t yet met your plan’s annual Part D deductible, which can be up to $480 in 2022, you may have to pay more for the shot. Shingrix, a vaccine the Food and Drug Administration approved in 2017, runs around $21 2 per dose. 

It replaced Zostavax in November 2020. 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.

How can I get a shingles vaccine? 

While most people get their shingles shots at a pharmacy, some receive it at their doctor’s office. At one time, some states required a prescription to get the shingles vaccine at a pharmacy, but those states have recently changed their rules. Now you don’t need a prescription to get the shingles vaccine.

At a pharmacy. Pharmacists in all states can administer vaccines included on the CDC-recommended adult immunization schedule, including the shingles vaccine. Make sure your pharmacy is in your Part D plan’s network so it can bill your plan directly. Check with your pharmacy and insurance plan for details.

At a doctor’s office. It’s a good idea to confirm your doctor can bill Medicare Part D before you plan to get the vaccine there. Otherwise, you may need to pay for the vaccine and submit a claim for reimbursement to your Part D plan. Ask the doctor’s office and your plan about the rules. 

Keep in mind 

If you have trouble affording Part D prescription drug coverage, you may qualify for the Extra Help program, a government program that helps people with limited income and assets pay premiums and out-of-pocket costs for Part D drug coverage. Starting in 2024, the Inflation Reduction Act also expands the level of income eligibility for the Extra Help program. 

Update October 11, 2022

If you’re interested in reducing your risk of getting shingles, you may want to learn more about Shingrix. It’s a vaccine used to prevent shingles (herpes zoster infection) in adults.

Shingrix comes as an injection you’ll get in your upper arm muscle. It’s injected by a healthcare professional or a pharmacist.

Shingrix is a recombinant vaccine. It’s made up of parts of the shingles virus that are inactivated. It isn’t a live vaccine.

Keep reading for details on the Shingrix vaccine and cost, and how to save money on prescriptions.

Note: For more details on Shingrix, see this in-depth article.

The price you pay for Shingrix can vary. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. It will also depend on how much you have to pay for visits with your doctor if you get Shingrix at a healthcare facility.

To find out how much you’ll pay for Shingrix, talk with your doctor, pharmacist, or insurance provider.

If you need help covering the cost of Shingrix or understanding your insurance, check out these websites:

  • NeedyMeds
  • Medicine Assistance Tool

On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.

While no coupon is offered for Shingrix, most insurance plans cover the vaccine for eligible adults. If you don’t have insurance, a program called GSK for You may be available to help with the cost of Shingrix.

If you have questions about how to pay for your vaccine, talk with your doctor or pharmacist.

Below are answers to some common questions about Shingrix and cost.

How much does Shingrix cost with Medicare?

According to the drug’s manufacturer, Shingrix is typically covered under Medicare Part D. You’ll usually pay $50 or less per dose when you get your shot at a retail pharmacy. Be sure to ask your doctor’s office if they can bill Medicare Part D before you get your shot. (They often can’t bill Medicare Part D for vaccinations.)

Shingrix is not currently covered by Medicare Part B.

Ask your doctor, pharmacist, or Medicare plan provider if you have more questions about the cost of Shingrix.

What is Shingrix’s cost without insurance vs. the cost with insurance?

Your out-of-pocket cost for Shingrix will usually be higher without insurance than with insurance. Your cost will depend on what insurance you have and where you get your vaccine. If you choose to get your vaccine at a pharmacy, the pharmacist can let you know the price before you get each dose.

Shingrix only comes as a brand-name vaccine. It’s not currently available in a generic version. A generic medication contains an exact copy of the active drug in a brand-name medication but tends to cost less.

Why is there such a difference in the cost of brand-name drugs vs. generic drugs?

Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug for up to 20 years. After that, other drug manufacturers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.

If you still have questions about the cost of Shingrix, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for the vaccine. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Shingrix.

Examples of questions you may want to ask your doctor or insurance provider include:

  • Since Shingrix is two doses, will I have two copays?
  • Is there another vaccine similar to Shingrix that may cost less?
  • Is it less expensive to get my Shingrix vaccine at the doctor’s office or the pharmacy?
  • Is it worth getting Shingrix if I’ve already had the Zostavax vaccine in the past?

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

How much should a shingles shot cost?

Majority of patients pay an out-of-pocket cost of less than $50 per dose.

What age is shingles vaccine free?

The CDC recommends people 50 years and older get the shingles vaccine. The shot is widely available and the cost may be covered if you have Medicare Advantage or Medicare Part D. Depending on your plan, you may have to cover a deductible, co-pay, or pay for the shot out of pocket and get reimbursement.

Are shingles shots free?

Medicare Part D plans cover the shingles vaccine, but there could be an out-of-pocket cost associated with it depending on your plan. You may be responsible for a copayment, or you may be asked to pay in full and then seek reimbursement from Medicare.

Do I need a prescription to get a shingles vaccine?

Now you don't need a prescription to get the shingles vaccine. At a pharmacy. Pharmacists in all states can administer vaccines included on the CDC-recommended adult immunization schedule, including the shingles vaccine.