Updated Vaccine Coverage and Prior Authorization Information

mResvia and Capvaxive vaccine coverage:

Effective 9/1/24, 90683 mResvia (RSV vaccine) and 90684 Capvaxive (pneumococcal 21-valent conjugate vaccine) are covered vaccinations under SHP’s Immunization Benefit Reimbursement policy. Certain age restrictions apply.

Prior Authorization no longer required for Adjunctive, non-implanted continuous glucose monitor or receiver (CPT E2102):

Effective 10/1/24, prior authorization is not required for HCPCS code E2102

Please reach out to our team with any questions.

Thank you!