Prevnar 13 Cost


Written by:  Howmuchisit.org Staff
Last Updated:  August 13, 2018

Prevnar 13, one of Pfizer’s biggest product and best-selling vaccine, is a vaccination used to help prevent pneumococcus bacterial infections, an infection which can cause serious infections such as meningitis, pneumonia and/or blood infections.

Commonly known to lower your chances of getting pneumonia, even if you were to get it after the vaccination, the symptoms will be much milder and shorter.

While the vaccine cannot treat an infection and will not be guaranteed to cause the infection, the vaccine is highly recommended for infants, young children, adults older than 65 years old and adults with certain medical conditions.

Prevnar 13 Cost
Vaccination” (CC BY-SA 2.0) by theglobalpanorama

How much does Prevnar 13 cost?

The cost of the Prevnar 13 vaccination will often depend on where you receive it, your geographical location and your health insurance policy.  Based on our research, without any insurance coverage, the average vaccination can cost about $180 to $230 per dosage, plus an office examination fee if you were to have the vaccination inside your local doctor’s office.  However, as for local pharmacies, such as CVS, Walmart, Walgreens and Costco, to name a few, you can bypass this fee and strictly pay for the vaccination, often around that $180 to $230 range.  The price, according to the CDC, averages $169 per dose, up from $108 in 2010.

As for Medicare and private insurance coverage, Pfizer for Professionals states that Prevnar 13® is covered by the Medicare Part B fee-for-service (FFS) benefit for adults aged 65 and older with $0 in out-of-pocket costs and goes onto to say Medicare will cover the administration of two different pneumococcal vaccines for adults aged 65 and older as long as you are considered pneumococcal vaccine naive or were previously vaccinated with Pneumovax® 23 at least one year prior.  To know for certain if your health insurance would cover it, refer to this link to offer the CPT or ICD-10 code to your insurance coverage to know your limitations and what you will be responsible for.

How to save on Prevnar 13

Get assistance from Pfizer:  Pfizer, the official manufacturer of the drug, offers the program, Pfizer RxPathways, a program which was designed to help patients receive the vaccination at little or no cost if you meet certain guidelines.  Even if you have Medicare or a private insurance policy, the company still encourages you to apply as you may still be eligible.

Download a free prescription discount card coupon:  There are multiple pharmacy discounted card websites that allow you to save money by printing a free coupon.  For example, the website mentioned earlier, GoodRX.com, they offered a coupon for $183 at multiple pharmacies such as Walgreens, CVS and Walmart, to name a few.  To use this coupon, all you have to do is click the button next to the pharmacy you want to use, print the coupon and simply display it as you would your insurance card at your pharmacy to save.

Prevnar 13 side effects

Side effects can include allergic reactions, breathing problems, a fast heartbeat, fever, seizure, unusual bleeding, muscle weakness, aches, diarrhea, headaches, a loss of appetite and/or pain at the injection site.  This is not a full list of side effects; to view the full list, you can do so here via the official FDA website.  If you experience any of these symptoms, talk with a medical professional immediately for assistance.

Tips to know

According to the Prevnar 13 label, children ages six weeks to five years will get four doses at two, four, six and 12 to 15 months, whereas others will receive a single dosage.


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