I just bought a vial of Pneumovax 23.
Here are the stats:
Cost/dose: 53.16
Medicare listed payment for our geographic area:
Vaccine 90732: 57.19
Administration G0009: 24.69
Have you all looked at your current numbers?
Some years ago, my supply company was charging way too much, and yes, the cost exceeded the reimbursement, so I changed suppliers.