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Old 07-09-2011, 08:35 PM   #61
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I can prove I am 60.

I talked to the pharmacist ~3 months ago & he never mentioned prescription.
I see people here saying they didn't need a prescription.
I see doctors saying people have always needed a prescription.

What will a doctor test me for to see if I am worthy of a shingles vaccine?

How messed up is our health system?
Call your local pharmacist again and ask point blank. S/he might not be immunization certified yet and might not know all the specifics (I didn't until the training). At least they would be able to refer you to another pharmacy in the area that is giving them.

I don't work for Walgreen's thank goodness but from what I understand they are the biggest retail chain specifically pushing for ALL their pharmacists to be immunization certified.
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Old 07-09-2011, 11:23 PM   #62
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I got my vaccine today. Riteaid checked with BC and told me I had to pay the full price. So it was $199. Lena's going to find out whether she can get a discount because she volunteers at a hospital.
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Old 07-10-2011, 12:17 AM   #63
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Mayohealth.org says: "But if you're younger than age 60, hold off on the shingles vaccine until you reach that age."
WebMD says: "The CDC recommends a single dose of the shingles vaccine for people aged 50 and older..."
Since the approval for 50-59 just came out a few months ago, I wonder if it'll take a few more months for all the websites to start reflecting that recommendation.

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Originally Posted by Texas Proud View Post
Oh, I think that most people get shingle after age 60.... but enough get it earlier that I was willing to pay the $200 even though I am 53.... I do not want to go through it if that is all it costs...
However, there is no guarantee I will not... just playing the odds...
Like TromboneAl says, we can afford it.

It's like Vinnie the Shark asking you whether you'd like to pay $400 or endure a painful beating. I got enough of the latter on active duty, and now I have enough of the former to make my own choice.
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Old 07-10-2011, 09:50 AM   #64
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Three notes:

1. Thanks to Khan and the ER Forum for bringing this to my attention. Besides saving me tens of thousands of $, this forum has helped me in making many decisions.

2. In interpreting this experiment:
Zoster vaccine was studied in approximately 38,000 individuals throughout the United States who were age 60 years and older as part of its pre-licensure testing. Half received the vaccine and half received a placebo. Study participants were followed for an average of three years to see if they developed shingles and, if they did, how long the pain lasted.

Researchers found that the vaccine reduced the occurrence of shingles by about 50% among persons age 60 years and older. The vaccine most effective for those age 60-69 years (64%); effectiveness declined with increasing age to 41% for those age 70-79 years and 18% for those age 80 years and older.


I mistakenly concluded that having the vaccine early would do a better job of protecting me when I was older. However, it could just as well mean that effectiveness is lower at at 80 no matter when the vaccine is administered. That is, they didn't test the effectiveness in 80-year-olds who received the vaccine at age 60.



3. I remember once having a case of food poisoning, and thinking "I'd have given $10,000 not to have had that." I think of that whenever considering a vaccine or other preventative treatment.
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Old 07-10-2011, 10:03 AM   #65
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I received it a few months ago, from my PCP, at age 63.

It was covered by my insurance; however cost was a minor concern.

After reading articles on the condition (and I'm one of those who had the pox in the 50's, along with the drawn curtains, low lights, and mittens tied on my hands (so I would not scratch, and cause scars), my "history" made the decision a "no brainer".

In addition, the story of how many folks my PCP had to send to a "pain management" practice, after the occurance of shingles, sealed the deal for me.
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Old 07-10-2011, 03:21 PM   #66
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Originally Posted by Khan View Post
I can prove I am 60.

I talked to the pharmacist ~3 months ago & he never mentioned prescription.
I see people here saying they didn't need a prescription.
I see doctors saying people have always needed a prescription.

What will a doctor test me for to see if I am worthy of a shingles vaccine?

How messed up is our health system?
Khan,

I just talked to a Walgreens pharmacist in Kettering when I went in there for something else. Rx IS needed in Ohio. Retail price is $219.
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Old 07-10-2011, 05:05 PM   #67
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Khan,

Kentucky doesn't require an Rx according to this site.... Kentucky Health News: Shingles vaccine available, but expensive, and can be hard to find

IIRC, you're in the Dayton, OH area.

Might be worth making a few phone calls and a short drive.

omni
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Old 07-10-2011, 05:24 PM   #68
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Could you go to a Walgreen's Minute Clinic or whatever they're called--the MD/nurse practitioner should be able to prescribe and administer the vaccination, I would think. Worth a call?
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Old 07-10-2011, 06:12 PM   #69
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Could you go to a Walgreen's Minute Clinic or whatever they're called--the MD/nurse practitioner should be able to prescribe and administer the vaccination, I would think. Worth a call?
I think I'll try. What a bunch of hoops to jump through.
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Old 07-12-2011, 01:16 AM   #70
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I recently became a member of the 50 - 59 age group so I have been following this thread with interest.

Found this article published today in the New York Times which discusses the Zostavax supply issues and the latest on the CDC advisory committee approval vote.

Link: Despite Zostavax, Drive Against Shingles Meets Few Goals - NYTimes.com
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Old 07-12-2011, 03:08 AM   #71
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This has been a very interesting thread, thanks for all the good information.

I was planning to go for a physical when I get back to the US in October so I will definitely discuss this with the Doc and I will probably opt to have this vaccine. (I'm 56)
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Old 07-12-2011, 06:03 AM   #72
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I think I'll try. What a bunch of hoops to jump through.
Just wondering if you have health insurance, and a PCP (Primary Care Physician)?

I had the vaccine given during one of my 6-month appointments (I'm diabetic) and the only cost was $15 - my co-payment for the office visit.
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Old 07-12-2011, 07:58 AM   #73
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Kaiser (Calif) still has the shingles vaccine on their immunization list for age 60. I'll be able to get mine in October and I plan on getting it then.
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Old 07-12-2011, 08:14 AM   #74
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Kaiser (Calif) still has the shingles vaccine on their immunization list for age 60. I'll be able to get mine in October and I plan on getting it then.
Kaiser in Colorado gave me the vaccine last week after I read this thread and asked my doctor. I'm 57.
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Old 08-09-2011, 03:18 PM   #75
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"My world-class shingles vaccine."

Equipped with the printout from the FDA website, I waited at my local clinic until they started their screening.

MedTech: "110/65, you must really enjoy being retired. Why are you seeing us today? What's that red streak on your arm?"
Me: "Thanks, just a scratch from bougainvillea pruning. I'd like to get a Zostavax vaccination."
(In retrospect, my remarks and MedTech's screening sheet must have somehow been worded to give the impression that I think I have shingles.)
20 minutes later in the exam room--
Doc: "Hi, I'm the doctor. Are you feeling OK today?"
Me: "Um, yes?"
Doc: "Are you in any pain?"
Me: "No, did they tell you that I'm here to get a shingles vaccine?"
Doc: "Yes, but I'm wondering how you determined that you had shingles?"
(Comedic hilarity ensues.)

Once we decide that I probably don't have shingles, it turns out that the doctor knows how to give a vaccine but has no idea how the clinic obtains it. His staff eventually sets him straight and he writes me a prescription, advising me to go next door to the pharmacy for the shot.

Pharmacist: "I'm sorry, we don't accept Tricare for Zostavax."
Me: "That's OK, I'm willing to pay for it."
Pharmacist: "$200?!?"
Me: "Yes please, unless you have a sale coming up?"
Pharmacist: "Ha ha, let me get you an appointment for the shot. How about September?"

It turns out that getting a prescription might have been the easy part. Finding the actual vial in stock could be a challenge. Later today I'll be consulting our local Navy clinic, Tripler, Schofield, and perhaps Long's Drugs.
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Old 08-09-2011, 04:04 PM   #76
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By coincidence, I got mine yesterday.
DW and I have the same PCP, and she went in to see him last week for a routine checkup. He gave her a scrip for each of us for Zostavax. We had both had shingles ten years ago, and we never want it again.

I checked online and found that neither Medicare nor TFL covered it (Tricare covers it if you get it from your doctor, but very few have it on hand since it needs to be kept frozen)

Went into my local Kroger supermarket and visited their pharmacy dept.

"Do you give the shingles vaccine here?"
"Sure do, and we can call your doctor and get a prescription faxed over to us."

"Never mind, I have one right here."
"Great, that will be $225, and it's a once in a lifetime immunization. Just fill out this little form."

Got the shot (didn't even feel the needle go in) and was out of there in less than ten minutes.
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Old 08-09-2011, 04:11 PM   #77
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By coincidence, I got mine yesterday.
DW and I have the same PCP, and she went in to see him last week for a routine checkup. He gave her a scrip for each of us for Zostavax. We had both had shingles ten years ago, and we never want it again.

I checked online and found that neither Medicare nor TFL covered it (Tricare covers it if you get it from your doctor, but very few have it on hand since it needs to be kept frozen)

Went into my local Kroger supermarket and visited their pharmacy dept.

"Do you give the shingles vaccine here?"
"Sure do, and we can call your doctor and get a prescription faxed over to us."

"Never mind, I have one right here."
"Great, that will be $225, and it's a once in a lifetime immunization. Just fill out this little form."

Got the shot (didn't even feel the needle go in) and was out of there in less than ten minutes.

Just as a possible difference.... I got mine last year at age 52... the pharmacist said that I would probably need another one in about 10 years or so... that for 'younger' folks we should have a booster.... I got time to determine if this is true or not...
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Old 08-09-2011, 05:26 PM   #78
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Later today I'll be consulting our local Navy clinic, Tripler, Schofield, and perhaps Long's Drugs.
I got mine at Safeway several months ago. Both Long's and Safeway in the past have been helpful at trying to locate stuff they didn't have on hand, calling around to find out where I could go to get it.
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Old 08-09-2011, 06:02 PM   #79
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Doc: "Yes, but I'm wondering how you determined that you had shingles?"
You should have said "It was easy -- I just looked under the photovoltaic panels, and there they were!"
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Old 08-09-2011, 09:25 PM   #80
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I got mine at Safeway several months ago. Both Long's and Safeway in the past have been helpful at trying to locate stuff they didn't have on hand, calling around to find out where I could go to get it.
I should probably focus on filling my prescriptions at pharmacies that don't have wine stores occupying most of the floor space.

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You should have said "It was easy -- I just looked under the photovoltaic panels, and there they were!"
Nah, no sense of humor in that place!
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