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New Gardasil vaccine faces several obstacles
Thursday, 08 February 2007
by AUBREY RESECH
News Reporter

The advertising campaigns for the Gardasil vaccine would indicate that the treatment is experiencing genuine success.

However, throughout the past few months, obstacles have arisen in regards to Gardasil.  

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Geneva Hennessee, a nurse with the OB/GYN practice of Dr. John J. Freeman, prepares a vaccine Wednesday morning. Hennessee voiced her concern over the high prices of Gardasil, a vaccine to help prevent the human papillomavirus (HPV).

Gardasil, a vaccine that became available in 2006 for women ages 9 to 26, helps prevent the contraction of several forms of the human papillomavirus (HPV), which can lead to cervical cancer and genital warts.

The vaccine’s push is a response to the fact that three out of four Americans between the ages of 15 and 49 have been infected with HPV at some point in their lifetime, according to the Centers of Disease Control.

At Appalachian, 33 women have either started the three-part shot series of Gardasil or are on their second shot, Sarah E. Summers, a nurse practitioner for Mary S. Shook Student Health Services, said.

The vaccines cost $125 each – a total of $375 for all three. Summers said cost complaints from her patients have been minimal.

“I would like to see all of our female students who fall under the guidelines for administration receive the vaccine,” Summers said. “The vaccine provides up to 100 percent coverage against some strains of HPV that are the highest risk for causing cervical cancer.”

However, cost for the vaccine is still a major hurdle for both medical practices and the general public. Many patients are frustrated that there is a great HPV prevention option that is cost-prohibitive.

According to CNN, some patients are charged a $25 co-pay in addition to the vaccine cost, which in some instances can be $450 for the three-shot series.

“My family has a significant history of cancer cases, and so I definitely plan to receive the Gardasil vaccine,” Alexandra R. Kothmayer, a freshman nursing major, said. “With regards to any form of cancer prevention, cost is of no object for my parents because they want to make sure my chances are lessened. However, it would be ideal for the vaccines to be less expensive.”

High costs make it more difficult for medical offices to purchase and offer the vaccine to patients.

For some medical practices, the situation is dire enough that they refuse to stock and pay the $360 cost for the vaccine because their insurance policies offer little or no reimbursement, according to CNN.

One Boone OB/GYN practice, the office of Dr. John J. Freeman, experienced the challenges of Gardasil’s high costs. Geneva Hennessee is a nurse in Freeman’s office.

“We are very concerned, because each of the vaccines costs us about $130 and we need to make at least that much in return just to cover our own purchase costs,” Hennessee said. “We look forward to the cost decreasing over the next year so that we can provide more patients with the Gardasil vaccine in a more cost-effective manor.”

The Gardasil manufacturer, Merck & Co., Inc., does offer the vaccine as part of its patient assistance program, which allows individuals meeting specific criteria to fill out an application and obtain free coverage. 

Merck strongly advises all women seeking the vaccine to confirm with their health insurance companies as to what the actual cost of the vaccine will be and how they are covered.  
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