Shingles vaccination

Do any of you administer the Shingles shot for your patient if you do not supply. We have on occassion allowed our pts. to go and purchase at their local pharmancy (since we do not supply) and come back and their PCP has administered. Now we are hearing that if the PCP is not docing or dispensing it we should not be administering it?

We did

but...you can only bill for the admin fee and you have to either bill the D plan thru edispense.com or have the patient pay cash (you cannot bill part B for Medicare pts), you cannot be sure the vaccine was kept frozen and you have no idea about how it was handled in the pharmacy.

So we decided it was not worth the liability. If you do not stock it, contact your local pharmacies to see which administer it. You can read more about billing at
http://www.ccjm.org/content/76/3/152.2.full