Coverage & Coding

SHINGRIX has broad insurance coverage for your patients 50 years and older.1,2,* For billing, use the codes listed below the coverage section.

Recommend with certainty:
SHINGRIX is now $0 for most patients 50 years and older.1,2,

For your patients with commercial insurance plans:

  • Average copays of just $4 or less1
  • 98% of commercial patients pay $0 for SHINGRIX1

For your patients with Medicare Part D:

100% are covered

Great coverage is now even better:

  • All your Medicare Part D patients can receive SHINGRIX for $0 at their pharmacy.2

*Coverage represents access to reimbursement from a health plan with restrictions appropriate to the Advisory Committee on Immunization Practices (ACIP) recommendation(s) and/or prescribing information. Veterans Affairs (VA) and Indian Health Service (IHS) lives have been omitted when calculating the percentage of lives.1

Coverage and cost may vary and are subject to change without notice. Reimbursement decisions are made by individual insurance plans.

Based on IQVIA data of paid [2023] SHINGRIX claims.


Use the following codes when billing SHINGRIX:


CPT Code (Product):



CPT Code (Administration)

1 vaccine administered:

Each additional vaccine administered during same encounter:





ICD-10-CM Code (Encounter for Immunization):



Administration Modifier for Medicare:



MVX Code:



CVX Code:


§The CDC also created CVX code 188 for "zoster vaccine, unspecified formulation" to facilitate transmission of administration data when the exact formulation of the vaccine is not known (such as when recording data from a vaccination card).

CDC=Centers for Disease Control and Prevention; CPT=Current Procedural Terminology; ICD-10-CM=International Classification of Diseases, 10th Revision, Clinical Modification; MVX=Manufacturers of Vaccines; CVX=vaccine administered.

How SHINGRIX is supplied

SHINGRIX Outer Package of 1 Dose

SHINGRIX is supplied as an outer package of 1 dose (NDC 58160-819-12) containing:

  • Adjuvant Suspension Component (Vial 1 of 2) NDC 58160-829-01
  • Lyophilized gE Antigen Component (Vial 2 of 2) NDC 58160-828-01
SHINGRIX Outer Package of 10 Doses

SHINGRIX is supplied as an outer package of 10 doses (NDC 58160-823-11) containing:

  • Adjuvant Suspension Component (10 vials) NDC 58160-829-03
  • Lyophilized gE Antigen Component (10 vials) NDC 58160-828-03

gE=glycoprotein E.

The GSK Vaccines Reimbursement Support Center is a resource for physicians, physician office staff, and pharmacists to help address questions about billing, coding, and reimbursement for GSK vaccines.

GSK Vaccines Reimbursement Support Center contact information:

Phone: 1-855-636-8291

Fax: 1-877-683-1329

Monday–Friday 8:00 am to 8:00 pm ET

You may also be interested in:

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Talk to your patients about what to expect, including common adverse reactions.