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Vaccine Administration by Pharmacists

June 26, 2020

Effective July 1, 2020

When administered by a pharmacist, vaccines and vaccine administration are covered for members enrolled in Montana Healthcare Programs who are 19 years of age and older. The vaccine administration fee for the first vaccine is $21.32 and is $14.34 for each additional vaccine.

Please Note: The vaccine administration fee is in lieu of the standard pharmacy dispensing fee. Pharmacies should not bill for a dispensing fee.

The following NCPDP fields are required for Medicaid to properly reimburse for the vaccine and the administration fee:

  • 439-E4 (Reason for Service Code) – Submit AD (Additional Drug Needed);
  • 438-E3 (Incentive Amount Submitted) – For submitting your usual and customary vaccine
    administration fee; and
  • 440-E5 (DUR Professional Service Code) – Submit MA (Medication Administration).
    Be careful to submit the correct vaccine unit, which is often less than 1.0.