OAR 333-046-0055: Billable Vaccine

(1) Clinics that administer billable vaccines will be billed quarterly for the purchase price of the vaccine by the Oregon Health Authority (Authority). (2) The vaccine price list will be updated biannually by the Authority, on January 1 and July 1. (3) Enrolled clinics must submit payment within 60 days of receiving their quarterly bill. (4) Enrolled clinics may not bill more for the vaccine than the published price in effect on the date of administration. (5) Clinics may charge an administration fee for billable vaccines that covers their cost of providing the service. Billable vaccines are not subject to the administration fee limits imposed on Vaccines for Children (VFC) and 317 vaccines. (6) Clinics may bill a patient’s insurer for both the billable vaccine and the administration fee.