{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:49:04Z","timestamp":1777884544812,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100011770","name":"skaggs institute for chemical biology, scripps research institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011770","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005496","name":"American Foundation for Pharmaceutical Education","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005496","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Technology"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Background: Rates of zoster vaccination in US adults aged 60+ were approximately 30.6% in 2015. Out-of-pocket cost-sharing has been identified as a major barrier to vaccination for patients. To date, herpes zoster vaccine cost-sharing requirements for adults aged 60 to 64 has not been described. Objective: Compare the cost-sharing requirements for zoster vaccination in adults aged 60 to 64 and adults aged 65+. Methods: A retrospective cohort design examined pharmacy claims for zoster vaccination from the Utah All Payer Claims Database for adults aged 60+. Descriptive statistics and a 2-part cost model compared cost-sharing requirements for adults aged 60 to 64 and adults 65+. Results: Of the 30\u2009293 zoster vaccine claims, 13\u2009398 (45.8%) had no cost-sharing, 1716 (5.9%) had low cost-sharing (defined as $1 to less than $30), and 14\u2009133 (48.3%) had high cost-sharing (defined as $30 or more). In the cost models, adults aged 65+ had higher odds of any cost-sharing (odds ratio = 39.86) and 29% higher cost-sharing as compared with adults aged 60 to 64. Conclusions: Adults aged 60 to 64 encounter lower cost-sharing requirements than adults aged 65+. Providers should be cognizant of this dynamic and encourage zoster vaccination prior to the age of 65.<\/jats:p>","DOI":"10.1177\/8755122519860074","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T08:41:31Z","timestamp":1562143291000},"page":"258-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cost-Sharing Requirements for the Herpes Zoster Vaccine in Adults Aged 60+"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1203-1782","authenticated-orcid":false,"given":"Casey R.","family":"Tak","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill, NC, USA"},{"name":"UNC Health Sciences at MAHEC, Asheville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaewhan","family":"Kim","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Gunning","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine M.","family":"Sherwin","sequence":"additional","affiliation":[{"name":"Wright State University, Dayton, OH, USA"},{"name":"Dayton Children\u2019s Hospital, Dayton, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Nickman","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph E.","family":"Biskupiak","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"bibr1-8755122519860074","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6611a1"},{"key":"bibr2-8755122519860074","unstructured":"US Government Accountability Office. Medicare: many factors, including administrative challenges, affect access to Part D vaccinations. http:\/\/www.gao.gov\/products\/GAO-12-61. Published December 15, 2011. Accessed June 17, 2019."},{"issue":"33","key":"bibr3-8755122519860074","first-page":"729","volume":"63","author":"Hales CM","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr4-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.2011.02359.x"},{"key":"bibr5-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000763"},{"key":"bibr6-8755122519860074","unstructured":"Kaiser Family Foundation. 2016 Employer Health Benefits Survey. http:\/\/www.kff.org\/report-section\/ehbs-2016-section-thirteen-grandfathered-health-plans\/. Published September 14, 2016. Accessed August 23, 2017."},{"key":"bibr7-8755122519860074","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2016.22.4.S1"},{"key":"bibr8-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2017.1416347"},{"key":"bibr9-8755122519860074","unstructured":"Utah Department of Health. Healthcare cost in Utah: brief summary of the 2014 Utah All Payer Claims Database. Utah Health Status Update. https:\/\/ibis.health.utah.gov\/pdf\/opha\/publication\/hsu\/SE01_APCD.pdf. Published 2016. Accessed June 17, 2019."},{"issue":"5","key":"bibr10-8755122519860074","first-page":"1","volume":"57","author":"Harpaz R","year":"2008","journal-title":"MMWR Recomm Rep"},{"key":"bibr11-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1086\/522153"},{"key":"bibr12-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.20.1.125"},{"key":"bibr13-8755122519860074","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2008.14.1.50"},{"key":"bibr14-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.08.029"},{"key":"bibr15-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-012-0020-7"},{"key":"bibr16-8755122519860074","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2015.21.10.S1"},{"key":"bibr17-8755122519860074","doi-asserted-by":"publisher","DOI":"10.2165\/11314000-000000000-00000"},{"key":"bibr18-8755122519860074","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6703a5"},{"key":"bibr19-8755122519860074","volume-title":"Diffusion of Innovations","author":"Rogers EM.","year":"1983","edition":"3"},{"key":"bibr20-8755122519860074","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2016.05.014"},{"key":"bibr21-8755122519860074","unstructured":"Cubanski J, Neuman T, Damico A. Medicare\u2019s role for people under age 65 with disabilities. https:\/\/www.kff.org\/medicare\/issue-brief\/medicares-role-for-people-under-age-65-with-disabilities\/. Published August 12, 2016. 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