Opinions expressed by MPPG Contributors are their own

Reduce Costs by Decreasing Patient No-Shows


This article by Fierce shares 4 steps to cut down on patient no-shows.  This is a frustrating and costly problem for many practices but can be improved.

  1. Educate patients on the importance of showing up for appointments
  2. Prioritize patient accessibility and answer every incoming call
  3. Increase internal awareness and attention
  4. Adopt specialized, flexible approaches for each medical specialty

Influenza Vaccine May Be a Life Saver


This is a poignant story shared and reported in The Washington Post.  It’s a mother’s reflection on her child’s fight with influenza and why he survived.  It also reports on another mother’s story that unfortunately, did not end as well.  Pediatricians may appreciate sharing these mothers’ experiences or the article itself to encourage parents to vaccinate their children against flu each year.

HD Flu Vaccine Higher Efficacy in Elderly


study published yesterday in The Journal of Infectious Diseases reported the high-dose Influenza vaccine is 38% more effective in preventing laboratory confirmed flu in the elderly when compared to the standard flu vaccine.  There were other advantages reported as in the reduction in hospitalizations.  The study authors said that this adds to a growing body of evidence suggesting the high-dose influenza vaccine should be the choice for use in the senior population. Fluzone High-Dose Vaccine Prescribing Information 2017-2018 Formula.

It’s Preteen Vaccination Week


It’s that designated week, February 11-17 to remind practices and parents alike to review the immunization status of their preteen patients or children.  There are several practice resources and suggestions to assist physicians in this important endeavor.

Wednesday Wisdom


 “Say good-bye to vaccine manufactures’ invoices that make you cry.  Don’t let these vaccine bills mount, save big with a physicians’ buying group contracted discount. Start to feel fine by improving your practice’s bottom line.  It’s really not hard, continue to order vaccines direct for this improved effect, simply join MPPG today and soon you’ll be saying hooray!”

ACIP 2018 Immunization Schedules


The ACIP’s 2018 Immunization Schedules and recommendations for all age groups & catch ups are now available on the CDC’s website.  There have been some important changes from the 2017 schedule, particularly for adults.  These updates range from Shingles and MMR vaccines to wording on other vaccine recommendations. The versions of the schedules for your iOS or Android devices will not be available until early March.

Current CDC Vaccine Price List


The updated vaccine price list has been posted on the CDC site.  This information on the contracted pricing is relevant for special immunization programs not for private providers, i.e. The Vaccines For Children program, also known as VFC.  Private sector prices, vaccine trade names, vaccine acronyms, packaging and NDC numbers are listed as well for general reference.

Wednesday Wisdom


“There is no satisfactory substitute for excellence.”- A. BECKMAN

Pneumococcal Vaccine Confusion?


This article in Medscape reports on a small survey taken by Laura Hurley, MD MPH at University of Colorado Anschutz Medical Campus and Children’s Hospital Colorado, Aurora and colleagues.  It is suggested that perhaps some additional measures could be taken to increase use of pneumococcal vaccines Prevnar 13 (PCV13 vaccine) and Pneumovax 23 ( 23 valent pneumococcal polysaccharide vaccine).  Review the latest ACIP recommendations to access relevant information on the use of pneumococcal vaccines.

Flu Vaccine Pre-Booking has Begun


Medical practices are now able to place influenza vaccine flu reservations for next season’s needs.  This current year’s usage is a good indicator of how many doses will be needed for the 2018-2019 flu season.  The advantage to pre-booking Fluzone and Flublok flu vaccines by the March 31st deadline is receiving the desired quantity of vaccine and shipping commitment timelines.  Vaccine supply and shipping timelines after this date will be subject to availability.  

Information on Flu Vaccine Manufacturing


This article published 23 hours ago by MCNBC has quick information about Influenza vaccine manufacturing.  Making flu vaccine isn’t perfect and this article explains why. Attached are two videos that supplement the text.

Vaccine Pricing for Medical Practices


Researching pricing on various immunizations can be a daunting task.  It is important however to have a reference for list, or catalog pricing.  This can be and found in one place, the CDC price list.  Those practices needing access to special discount pricing may do so through physician buying groups, like MPPG.  MPPG works with Merck Vaccines, Sanofi Pasteur Vaccines and Pfizer Vaccines for best pricing regardless of volume ordered.  Medical practices regardless of size can benefit from participating in this form of contracted discount for vaccines purchasing.

Accessing Vaccine Prescribing Information


A large portion of physicians do not visit pharma websites reporting it takes them too long to find the information they’re looking for.  Those clinicians looking to review the information on vaccines may easily do so using the FDA site, AKA

This information may also be found by simply typing into the search engine the trade name of the vaccine followed by pi then selecting the FDA option.  See sample below:

  1. Type:  “Trumenba pi” then hit enter
  2. Select from resulting list the option from the FDA

3rd MMR Dose Details


The ACIP recommends a third dose of MMR vaccine for those who’ve previously had two doses, specifically those at increased risk of Mumps infection due to an outbreak.  The MMWR published on-line today the rationale and essential information regarding this change in the MMR immunization recommendations.

Flublok Available for Pre-booking



Flublok Quadrivalent Influenza vaccine is now available to order for the 2018-2019 influenza season.  Flublok is indicated for adult patients 18 years of age and older.  In a recent study published in the New England Journal of Medicine, in patients 50 years of age and older, Flublok was found to be 30%-43% more effective in preventing influenza disease than the standard dose quadrivalent influenza vaccine.  Flublok contains 3x the hemagglutinin antigen (HA) content (45 mcg per strain) compared to a standard-dose influenza vaccine (15 mcg HA per strain ).

Meningitis B Outbreak on OSU Campus


Oregon State University (OSU) has had 6 students come down with Meningitis B.  This has prompted mandatory MenB vaccine to prevent further cases.  OSU has approximately 7,000 students vaccinated thus far with 7,000 to 8,000 more to go to cover their approximately 15,000 students. More information here.

Current Flu Activity is Widespread


According to the most recent report from the CDC, week 52 flu activity is widespread in 46 U.S. states.  DC is designated with “Local Activity” where Hawaii, Maine, New Hampshire and New Jersey are designated with “Regional”.  ACIP Influenza vaccine recommendations can be found here.

Savings on Trumenba, Pfizer’s Vaccine for MenB


For MPPG member practices actively linked to the Pfizer contract, January is a good time to order Trumenba.  Not only do MPPG members receive a 15% discount off list price, they are able to do so at 2017 pricing until February 1st.   Any medical practices and/or physicians who would like to access MPPG discounts may do so by simply clicking on the Join Now button above or by contacting Leslie at (818) 332-7057.

Happy New Year!


Wishing all the best to MPPG member practices physicians and staff, potential members and followers for 2018.

 “Setting goals is the first step in turning the invisible to the visible.”


Thursday Thoughts


“Imagine the action of a vaccine in terms of how it affects a single body, but also in terms of how it affects the collective body of a community.”