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GARDASIL®

Quadrivalent Human Papillomavirus (Types 6, 11, 16, and 18) Recombinant Vaccine


HEALTH PLAN COVERAGE FOR GARDASIL®

FIGURING IT OUT DOESN’T HAVE TO BE DIFFICULT

While many private health plans are providing coverage for GARDASIL®, levels of coverage can vary. Your coverage can even change over time. Because your healthcare professional has many patients with different health insurance benefits, he or she may not know your specific level of coverage for GARDASIL®. Before you visit the healthcare professional’s office, you may want to call your health plan to find out more about your level of coverage. 

By contacting your health plan directly, you can get the most accurate information about your plan’s coverage for GARDASIL®.

Call the phone number on your medical benefit card to learn whether any co-pays, co-insurance, deductibles, or other limitations may apply.

The questions below are meant to start the conversation with your health plan—there may be other questions you should be asking based on your plan’s benefits.

  1. Does my health insurance provide coverage for GARDASIL®?
  2. Are there any restrictions on coverage? If so, what are the restrictions?
  3. Will I have to pay for anything? For example:
    • Co-pay or co-insurance? If so, what amount?
    • Deductibles that may apply to GARDASIL®? If so, what amount?
    • Extra cost if an out-of-network provider is used? If so, what amount?
  4. Is there an annual maximum coverage (such as a limit on wellness or preventive services) that may affect my coverage for GARDASIL®? If so:
    • What is the maximum coverage?
    • What is the current balance against the maximum coverage? (The amount in your health insurer’s records may not include amounts of pending insurance claims that have not been processed.)

If there is an annual maximum coverage (such as on wellness or preventive services), we suggest you discuss this issue with your healthcare professional.


IMPORTANT INFORMATION ABOUT GARDASIL®

In girls and women ages 9 to 45, GARDASIL® helps prevent infection caused by HPV types 6, 11, 16 and 18 and the following diseases associated with the HPV types included in the vaccine: cervical, vaginal, and vulvar cancers caused by HPV types 16 and 18; abnormal and precancerous vaginal and vulvar lesions, abnormal and precancerous cervical lesions as found in Pap tests, caused by types 6, 11, 16 and 18; and genital warts caused by types 6 and 11.

In girls and women ages 9 to 26, GARDASIL® also helps protect against anal cancer caused by HPV types 16 and 18, and abnormal and precancerous anal lesions caused by types 6, 11, 16 and 18.

In boys and men ages 9 to 26, GARDASIL® helps protect against infection caused by HPV types 6, 11, 16 and 18 and the following diseases associated with the HPV types included in the vaccine: anal cancer caused by HPV types 16 and 18, genital warts caused by types 6 and 11, and abnormal and precancerous anal lesions caused by types 6, 11, 16 and 18.

GARDASIL® helps prevent these diseases, but it does not treat them. And just like all vaccines, GARDASIL® may not fully protect everyone who gets it. GARDASIL® does not protect against all types of HPV. Duration of protection continues to be studied. GARDASIL® does not protect against other sexually transmitted infections.

Even if vaccinated with GARDASIL®, it is still important for women to continue having regular Pap tests. Recipients of GARDASIL® should not discontinue anal cancer screening if it has been recommended by a healthcare provider. Vaccination with GARDASIL® is not recommended during pregnancy.

Like all vaccines, GARDASIL® may cause some side effects. GARDASIL® has been shown to be generally well tolerated in adults and children as young as age 9. The most commonly reported side effects included pain, swelling, itching, bruising and redness where the shot was given, fever, nausea, dizziness, headache, vomiting and pain in extremity.

Fainting has been reported. Fainting can occur after vaccination, most commonly among adolescents and young adults. Although fainting episodes are uncommon, vaccinees should be observed for 15 minutes after they receive GARDASIL®.

Allergic reactions that may include difficulty breathing, wheezing (bronchospasm), hives, and rash have been reported.

These were not all the side effects reported. If you notice any unusual or severe symptoms after receiving GARDASIL®, contact your healthcare professional as soon as possible.

Information about GARDASIL® is provided in the Consumer Information. To retrieve this information you will be re-directed to a page within our main Merck Website, which contains the Consumer Information.

Click here to go to the Gardasil® Consumer Information.

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VACC-1158121-0000 FE 2017