23 Miss. Code. R. 224-1.7 - Vaccines Available Through the Pharmacy Venue

A. The Division of Medicaid covers the following vaccines according to the indications and guidelines of the Centers for Disease Control and Prevention (CDC) for beneficiaries nineteen (19) years of age and older through the pharmacy program:

1. Influenza,

2. Pneumococcal,

3. Herpes Zoster, and

4. Varicella.

B. Vaccines administered by a credentialed pharmacist count against the pharmacy limits and co-payments are applicable.

C. The Division of Medicaid reimburses for the vaccine's ingredient cost and a dispensing fee for vaccinations administered in the pharmacy venue.

D. The Division of Medicaid does not reimburse a fee for administration of vaccines in the pharmacy venue.

E. The pharmacy provider must document the following:

1. A hard copy physician's order for the vaccine,

2. The date the beneficiary received a current copy of the relevant federal Vaccine Information Statement (VIS) for each vaccine prior to the administration and confirmation the beneficiary was given an opportunity to discuss concerns,

3. The date of publication of the VIS,

4. The date the vaccination was given,

5. The vaccine manufacturer and lot number of the vaccine administered,

6. The pharmacy name, pharmacy address, and the signature and title of the individual who administered the vaccine, and

7. Any adverse events that occurred after vaccination.

Notes

23 Miss. Code. R. 224-1.7

Miss. Code Ann. § 43-13-121.

Adopted 1/1/2016