Managed Care - August 2008 - (Page 33) vaccination rate for everything but influenza is declining. Adults often don’t realize that immunity from childhood immunizations frequently ends as they age (especially for pertussis and tetanus) and they forget whether they ever had diseases like chicken pox and measles. The result has been a national increase in preventable disease. Pertussis (whooping cough) is a good example of the historical importance of vaccinations. Before vaccines, an average of 157 cases of whooping cough per 100,000 was reported, with peaks reported every two to five years. After vacci- nations were introduced in the 1940s, incidence fell to less than 1 per 100,000 by 1970.The number of cases was 19,798 in the 1990s, 49 percent higher than the 1980s. The CDC reports that number is falling this decade, but remains much higher than 25 years ago. Health plan involvement Health plan officials say they are aware of the effectiveness of vaccinations, and are increasingly aggressive in encouraging members to be vaccinated. They use claim data to determine which pa- Cost of vaccines surveyed by CDC The Centers for Disease Control & Prevention periodically updates a list of available adult vaccines and provides aggregate pricing information. Here is the current list, which several health plans and public clinics use as a guide: CDC vaccine pricing list Brand name/ trade name Vaqta Havrix CDC cost/dose $20.00 $19.75 $18.99 $18.99 $38.64 $38.64 $23.78 $23.37 $24.90 $24.90 $16.26 $18.93 $12.95 $13.50 Private sector cost/dose $63.51 $59.99 $60.69 $60.69 $86.44 $86.44 $59.70 $59.09 $52.50 $52.50 $28.69 $32.20 $18.95 $18.23 Vaccine Hepatitis A adult Hepatitis A adult Packaging 1-dose vial 10-pack — 1-dose vials 10-pack — 1-dose vials 5-pack — 1-dose T-L syringes, no needle 10-pack — 1-dose vials 5-pack — 1-dose T-L syringes, no needle Manufacturer Merck GlaxoSmithKline Hepatitis AHepatitis B adult Hepatitis B-adult Hepatitis B-adult Twinrix GlaxoSmithKline Recombivax HB 1-dose vial 10-pack — 1-dose vials Engerix-B 10-pack — 1-dose vials 5-pack — 1-dose T-L syringes, no needle 1-pack — 5-dose vial 10-pack — 1-dose vials 1-pack — 15-dose vial 10-pack — 1-dose vials Merck GlaxoSmithKline Pneumococcal polysaccharide (23 valent) Tetanus & diphtheria toxoids Pneumovax Merck Tetanus & diphtheria toxoids adsorbed for adults No preservative MassBioLogics (Akorn Inc.) Zoster vaccine live Zostavax 10-pack — 1-dose vials 1-dose vial $107.67 $113.16 $153.93 $161.50 Merck Source: Centers for Disease Prevention & Control Vaccine Price List, current as of July 14, 2008. Available at http://www.cdc.gov/vaccines/programs/vfc/cdc-vac-price-list.htm AUGUST 2008 / MANAGED CARE 33 http://www.cdc.gov/vaccines/programs/vfc/cdc-vac-price-list.htm
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