New Vaccine for Prevention of Shingles in adults 50 years of age and older.

There is a new vaccine for the prevention of shingles in adults 50 years of age and older. This vaccine is called Shingrix and is different from Zostavax (the previous shingles vaccine) in several ways.

  • Age:
    • Zostavax is recommended for people who are over 60 years of age.
    • Shingrix (the new shingles vaccine) can be given to people who are 50 years of age and older.
  • Eligibility:
    • Zostavax is a live vaccine, which means that people with certain medical conditions or who are on immunosuppressive medications could not get the vaccine.
    • Shingrix is a recombinant vaccine, which means that it can be given to people who are immunocompromised.
  • Efficacy:
    • The Advisory Committee on Immunization Practices (ACIP) determined that Shingrix is more effective than Zostavax based on factors such as the prevention of shingles, the prevention of post-herpetic neuralgia, and duration of protection.
    • ACIP recommends that people over the age of 50 should be vaccinated with Shingrix, even if you have already received Zostavax

The older you are, the larger the difference in efficacy between Shingrix and Zostavax. Efficacy in the first year after vaccination in people 70 years of age and older was 97.6% (Shingrix) compared to 38% (Zostavax).

Shingrix is given in two doses, into the deltoid muscle on your upper arm. The second dose is given two to six months after the first dose. The most common side effects of the vaccination are pain, myalgia and fatigue, but only about 10% of people who receive the vaccine will have a side effect. You may experience a side effect on either the first or the second doses or with both doses.

ACIP recommends that you should be vaccinate with Shingrix even if you received Zostavax. You need to wait two months (8 weeks) if you recently received Zostax and want to be vaccinated with Shingrix.

Cost per dose is $197.00. To inquire about insurance coverage, use CPT code 90750.

Note: GlaxoSmithKline, the maker of the Shingrix vaccine, stated that the vaccine has proved so popular, that it has not been able to produce it quickly enough and that you should call around in your community to see who may have the vaccine.  As supply is restored, we will start taking appointments again.  Sorry for any inconvenience


References: MMWR

For more information:


Additional Older Adult Vaccinations

Although many people tend to think that only infants and school-aged children need vaccinations, there are a number of vaccinations recommended for older adults in order to prevent a variety of illnesses that can result in more serious complications or even death. Older adults (typically 65 and up) are in a more high risk category for certain diseases, including influenza and pneumonia.

With a convenient location near downtown Bozeman, the Gallatin City-County Health Department provides older-adult-recommended vaccinations, including:

• Shingles

Shingles Vaccine Information Sheet

• Pneumonia (pneumococcal disease)

Pneumoccocal Vaccine Information Sheet

• Influenza (flu)

Flu Vaccine Information Sheet

• Tetanus, diphtheria, pertussis (Tdap)

 Tdap Vaccine Information Sheet



We have an income-based sliding fee scale, and we can bill insurance for those who have it. Please call for pricing questions, 406-582-3100.


Call to schedule an appointment for older adult recommended vaccinations: 406-582-3100


Gallatin City-County Health Department

215 West Mendenhall in Bozeman


CDC information about vaccinations for older adults

Vaccine Recommendations for Adults by Age and Condition