Adult patients on immunosuppressants, biologics and cancer treatments would be eligible for subsidised access to Shingrix (herpes zoster) vaccine, under the latest recommendation from PBAC.
The expert committee has also backed the addition of a new 20-valent pneumococcal vaccine for children and a meningococcal ACWY jab for adolescents on the NIP, following its most recent meeting.
It comes after funding for Shingrix, a varicella zoster virus recombinant vaccine, was expanded in November to include all Australians over 65 (and over 50 for Indigenous patients).
Eligibility also included immunocompromised adults aged 18 years and over with haemopoietic stem cell transplants, solid organ transplants, haematological malignancy and advanced or untreated HIV.
However, consideration of the broader population of immunocompromised adults was deferred by the committee until its November 2023 meeting.
Findings included that the vaccine was likely to be cost-effective at the requested cost per dose in the moderate and high risk populations aged 18-64 years, the PBAC reported in an outcome statement (link here).
The move has been noted by advocacy groups such as MS Australia, which noted that previously, Zostavax, which is a live-attenuated vaccine against shingles, was part of the NIP and was not recommended for people who are immunocompromised.
Those with contraindications were paying over $300 for each of the two doses of Shingrix.