Coverage

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

AREXVY Is Covered and Available1,2

AREXVY is covered for nearly all patients 60 years and older1,2*

Available at all major retail pharmacies in the United States†

  • For Medicare Part D per the Inflation Reduction Act‡:
    Patients will pay $0 out of pocket for AREXVY.1
  • For Commercial Plans:
    May be covered for commercially insured patients at no cost when administered in-network.2*

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

*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.

‡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