medicare coverage for shingles (Zostravax) immunization

Will medicare cover a shinges immunization given in the office - or would the patient be better off to go to the local pharmacy and have this covered by Part D?

No

Medicare B does not pay for the vaccine or the administration. You may administer it and charge the patient whatever you want and let them apply to their D provider for reimbursement or register at edispence.com to bill thru them or send them to the pharmacy. Read more here- http://www.ccjm.org/content/76/3/152.2.full.pdf