As of Oct. 1, 2023, copays are no longer required for adult vaccines and vaccine administration.
On June 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released guidance on mandatory coverage requirements for adult vaccines.
As part of this guidance based on statutory amendments made by section 11405 of the Inflation Reduction Act (IRA), the Advisory Committee on Immunization Practices (ACIP) recommended adult vaccines and their administration are to be provided without cost sharing.
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