[MCOH-EH] [EXTERNAL]Re: Choosing 2-dose vs 3-dose hepatitis B vaccine regimen

[Stephanie Perkins]

We switched to Heplisav as well because hunting people for the 3rd vaccine we found was difficult as well. I love that it's a 2 dose series. With retention being what it is, not many employees made it to their 3rd dose and then you have people with the series unfinished. At least with Heplisav it's 2 doses separated by 4 weeks, and most people are at a position for at least a month, so we decided to switch as well. In fact, when I brought it to our medical directors' attention, he shared the vaccine information with all the providers at our clinic. Now a lot of our providers use it for their patients as well. For employee health, I still have a stock of the Engerix for those who may be pregnant and want the series, as Heplisav has a pregnancy contraindication. However, the majority of Hep B vaccinations I provide in employee health are Heplisav.

Stephanie Perkins, MSN RN
Employee Health Nurse
Clinical Educator
North Bend Medical Center
541.267.5151 X 1667
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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Giovannetti, Mary
Sent: Thursday, May 9, 2024 4:47 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL]Re: [MCOH-EH] Choosing 2-dose vs 3-dose hepatitis B vaccine regimen

We chose to switch to Heplisav at Spartanburg Regional. We are a hospital based Employee Health and do not bill for the vaccine. For us, it was worth it to not hunt people down for the 3rd vaccine. We have indeed had Hepatitis B positive exposures at our facility.





Mary C Giovannetti, DNP, APRN, FNP

Director/Nurse Practitioner| Employee Health

Physician's Center, -100 East Wood St., Suite 204 | Spartanburg, SC 29303

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o: 864-560-6514 c: 864-497-4087 | f: 864-560-6509

e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/>



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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Galaid, Edward via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Wednesday, May 8, 2024 8:26 AM
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Subject: [EXTERNAL] [MCOH-EH] Choosing 2-dose vs 3-dose hepatitis B vaccine regimen

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Cross posting OEM and MCOH.



I went over the financials with our Director of Pharmacy yesterday.  Even with a generous allowance for the cost of providing the third dose in the series, plus the heartburn of chasing folks down, etc., etc....there is still a substantial difference in the retail cost of the vaccines (rather than the Medicare reimbursement).



In our community here in South Carolina, in our hospitals, and in public safety workforces, I do not recall the last time we had an HBsAg-positive source in any of the BBFEs we have managed.



When the option for the Heplisav was presented, curious as to how you decided to either switch to it, or continue with one of the recombinant vaccines.



Thanks for the time to respond.



Ed Galaid



Edward I. Galaid, MD, MPH, FACOEM

ABIM, ABPM (OM)

Medical Director, Occupational Medicine

Roper Saint Francis Healthcare

Charleston, SC 29401

Vice Chair, Public Safety Medicine Section, American College of Occupational and Environmental Medicine

Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee

843-402-5053



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