Plan-Specific Information
* = Required Field
* Step 1. Select a product from the menu below
* Step 2. Select a plan typea from the menu below
* Step 3. Select up to 3 statesb from the menu below
Step 4. Click "Go"
aPlan Types
Choose from the following plan types:
Commercial
Medicaid Managed Care
Medicaid Fee for Service
Medicare Part D
eDispense (see note below)c
bTo select multiple states
PC users: Hold down the "Control" key and click to select states.
Mac users: Hold down the "Command" key and click to select states.
cMedicare Part D eDispense Vaccine Manager is a new Web-based option for processing in-office Medicare Part D vaccine claims electronically. Health care professionals must first enroll in the eDispense Vaccine Manager on-line in order to process claims for the Part D plans listed. For general questions or information on how to enroll see DSI's Web site at http://enroll.edispense.com. For additional questions or information, contact DSI directly at 1-866-522-3386.
The materials available on this page provide Merck vaccine product reimbursement information regarding various third-party payers. Merck cannot guarantee that use of the information available from this site will always result in your receiving reimbursement for the vaccine or that the amount of reimbursement will cover your costs as the availability of reimbursement and/or the reimbursement rate can vary based on, for example, the patient's health benefit design, your contract with the payer, and/or the patient's coverage status. You should contact health plans directly to ensure that you have the most accurate and timely information on reimbursement for the product, any patient out-of-pocket costs, and correct billing processes. Please note that concurrent with the availability of this search engine tool, Merck has changed the manner in which plans are listed. Specifically, this search engine lists those plans that have reported to Merck that the plan has adopted a reimbursement rate for the relevant Merck vaccine without regard to the plan's rate reimbursement.
Plan-Specific Information for Health Care Providers
Please note that the plan-specific information materials listed as a result of your search do not necessarily include a complete list of all Commercial, Managed Medicaid, Medicaid Fee for Service, or Medicare Plans that may reimburse for the Merck Vaccine. If you do not see a specific plan, please contact the plan directly. When reviewing the attached materials, it is important that you read all of the text accompanying the information.