Annual Update of AWP Payment Allowance Limit for Vaccines

20.5.9 - Annual Update of AWP Payment Allowance Limit for Vaccines (Rev. 1357, Issued: 10-26-07, Effective: 09-01-07, Implementation: 11-26-07) The payment allowance limits for influenza, Pneumococcal and Hepatitis B vaccines are 95 percent of the AWP as reflected in the published compendia except where the vaccine is furnished in a hospital outpatient department. Where the vaccine is administered in the hospital outpatient department, the vaccine is paid at reasonable cost. Medicare contractors will be receiving subsequent annual updates of the vaccine payment allowance limits for influenza and pneumococcal vaccines communicated by a Recurring Update Notification.