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Human Papillomavirus (HPV) Vaccine

Covered by TRICARE?Limits
Yes

TRICARE covers the following types of the HPV vaccine:

  • Gardasil® - covered for females and males
  • Gardasil® 9 - covered for females and males
  • Cervarix® - covered for females only

TRICARE coverage of the HPV vaccine can begin at age 9.

Centers for Disease Control and Prevention Recommendations

  • Girls age 11 or 12 should get the 3 doses (shots) of the HPV vaccine (any brand) to protect against cervical cancer.
  • Girls and young women ages 13-26 should get HPV vaccine if they didn't get any or all doses when they were younger.
  • Gardasil® for all boys age 11 or 12, and for males ages 13-21 years, who didn't get any or all of the three recommended doses when they were younger.
  • All men can get the vaccine through age 26, and should speak with their doctor to find out if getting vaccinated is right for them.

Getting the Vaccine from TRICARE-Authorized Providers

You can get covered vaccines from any TRICARE-Authorized ProviderAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network..

  • If enrolled in a Prime option and want to get the vaccine from a non-network provider, you must have a referral and authorization to avoid paying point-of-service fees.
  • If you get the vaccine from your provider, you may have to pay copayments or cost shares for the office visit or other services received during the office visit.

Getting the Vaccine at a Network Pharmacy

You can get the HPV vaccine at participating network pharmacies at no cost. Not every pharmacy is able to administer the HPV vaccine. Call first to make sure if the pharmacy:

  • participates in the vaccine program,
  • has the vaccine in stock, and
  • can administer the vaccine.  

To find a participating network pharmacy, call Express Scripts at 1-877-363-1303 or search online.

For more information about the vaccine, please visit CDC's Questions & Answers on HPV.

Disclaimer:

This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.

Did you know?

TRICARE coverage for vaccines is based on recommendations from the Centers for Disease Control and Prevention (CDC). Visit the CDC website to learn more.

Last Updated 10/15/2015