Vaccines

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Opinion

Coverage Should Follow the Approval, Not the Advice

A regulator decides a vaccine is safe and effective. A separate body decides who should prioritise getting it. Insurance is wired to the second document, which turns a clinical prioritisation into a payment rule nobody voted for. The wiring is the error, and it is fixable without touching the science.

By Margaret Holloway · 2 hours ago

Explainer

The FDA Approved It. Whether You Can Get It Depends on a Different Document.

Updated 2026-27 COVID vaccines from Pfizer/BioNTech, Moderna and Novavax have FDA approval and target the circulating XFG variant. Eligibility guidance has narrowed to those 65 and over and younger adults with qualifying conditions. Insurers say they intend to cover. Three different documents, and only one of them is the one a pharmacy reads.

By Thomas Gutierrez · 4 hours ago