Coverage

Use the Coverage Tool to get real-time information about formulary coverage for AREXVY in your area.

Patient Access to AREXVY

  • Medicare Part D:
    Per the Inflation Reduction Act, ACIP-recommended vaccines are covered at $0.1*†‡
  • Commercial:
    Per the Affordable Care Act, commercial plans are required to cover vaccination in accordance with ACIP recommendations at $0 when administered in-network.2†‡

Address patient questions about cost and ensure insurance benefits are verified.

Available at all major pharmacy retailers in the United States.§

For additional questions about billing, coding, and reimbursement for GSK vaccines, visit the GSK Vaccines Reimbursement Support Center or contact the Support Center:

Phone icon

Phone: 1-855-636-8291    
Fax: 1-877-683-1329


Monday – Friday 8:00 am – 8:00 pm ET

*For Medicare Part D patients (pharmacy benefit), AREXVY may be administered at an in- or out-of-network retail pharmacy. Prescribers enrolled in a web-assisted portal for Medicare Part D vaccines administered in-office may electronically submit out-of-network claims to Medicare Part D plans for AREXVY.3 

 †The distinction between routine recommendations and risk-based recommendations can affect coverage under these plans.

‡Coverage, coding, cost to patient, reimbursement amount for product, and administration fee will vary by payer, plan (including whether your patient is covered by Medicare or commercial insurance), patient, professional setting, or services rendered, and are subject to change without notice. Cost to patients may vary. Coverage and reimbursement decisions are made by individual insurance plans following receipt of claims from providers. Providers must follow documentation and billing requirements of payer.

§Stocking at individual stores may vary.