2019 Vaccine Guide & Insert - 34

ZOSTER
Zoster (Shingles)

The Advisory
Committee on
Immunization Practices
(ACIP) of the Centers
for Disease Control and
Prevention recommends
that all adults age
50 years and older
receive a two dose
series of RZV.

What causes shingles?
Both chickenpox and shingles are caused by the same virus, the varicella zoster virus (VZV). After
a person has had chickenpox, the virus rests in the body's nerves permanently. Approximately 30%
of all people who have been infected with chickenpox will later develop herpes zoster, commonly
known as zoster or shingles.
How common is shingles in the United States?
It is estimated that one million cases of shingles occur annually.
Who should get shingles vaccine?
The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and
Prevention recommends that all adults age 50 years and older receive a two dose series of RZV.
The doses should be given 2 to 6 months apart. People 50 years and older should receive RZV
even if they previously received the live zoster vaccine or have had shingles. ACIP prefers that
people receive RZV rather than ZVL.
Alternatively people 60 years and older can receive one dose of ZVL, including persons who have
already had an episode of shingles. ZVL is approved by the Food and Drug Administration (FDA)
for people 50 to 59 years of age. ACIP does not recommend routine ZVL vaccination of people
age 50 through 59 years, but a clinician may give it to people in this age group if desired.
Why do some people develop shingles and others don't?
Shingles occurs when VZV reactivates and causes recurrent disease. It is not well understood why
this happens in some people and not others. The risk of getting shingles increases as a person gets
older. People who have medical conditions that keep the immune system from working properly, or
people who receive immunosuppressive drugs are also at greater risk to get shingles.
Source: http://www.immunize.org/catg.d/p4221.pdf

ZOSTAVAX®

Zoster (Shingles) Vaccine, Live
0.65-mL SDV
(558-2363)...........................................................ea
(558-2895).................................................... 10/pkg
Item stored frozen. May be shipped separately.
ZOSTAVAX® is a registered trademark of Merck & Co., Inc.

Shingrix®
(Zoster Vaccine
Recombinant, Adjuvanted)
0.5-mL SDV with Diluent
(129-6728)........................................................... ea
(129-6729).................................................... 10/pkg

INDICATIONS AND USAGE
Shingrix® is a vaccine indicated for
prevention of herpes zoster (shingles) in
adults aged 50 years and older.
CPT Information
Administration CPT Code without
physician counseling

90471, 90472, 90473 or 90474

Administration CPT Code with
physician counseling

90460 or 90461

ZOSTAVAX

90736

For informational purposes only. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances.
See manufacturer package insert for full prescribing information.
†

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am-8:30pm, et

To Fax: 1.800.329.9109 24 Hrs

19MS4037

http://www.immunize.org/catg.d/p4221.pdf http://www.henryschein.com/redirect.aspx?did=medical&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D5582363%26CatalogName%3DMEDICAL%26utm_source%3DMedical%26utm_medium%3DNxtbook%26utm_campaign%3Dvaccine-guide-2019%26utm_term%3D5582363 http://www.henryschein.com/redirect.aspx?did=medical&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D5582895%26CatalogName%3DMEDICAL%26utm_source%3DMedical%26utm_medium%3DNxtbook%26utm_campaign%3Dvaccine-guide-2019%26utm_term%3D5582895 http://www.henryschein.com/redirect.aspx?did=medical&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1296728%26CatalogName%3DMEDICAL%26utm_source%3DMedical%26utm_medium%3DNxtbook%26utm_campaign%3Dvaccine-guide-2019%26utm_term%3D1296728 http://www.henryschein.com/redirect.aspx?did=medical&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D1296729%26CatalogName%3DMEDICAL%26utm_source%3DMedical%26utm_medium%3DNxtbook%26utm_campaign%3Dvaccine-guide-2019%26utm_term%3D1296729 http://www.ReimbursementCodes.com http://www.cms.gov

2019 Vaccine Guide & Insert

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