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 MAIN STREET VACCINES

 Frequently Asked Questions (FAQ's)

   

What are the basic features of your vaccine contracts?

Are your vaccine contracts connected?

Can you please explain the Main Street Rewards Program?

How do I get specific contract information and prices?

What else do you do?

How do I join?

Is there a membership fee?

How long does it take to become a member?

How long do I have to stay with the contract?

What happens if get a “deal” somewhere or purchase competing products?

Can you really tell if I am buying vaccines outside the contract?

Can I be in more than one group buying contract at the same time?

What about COMVAX/ActHib? Isn’t that a conflict?

Do we get preferential treatment if vaccines are scarce?

Can I use a credit card to pay for orders?

Is there a specific order size or ratio?

Do I have to change the way I order under your agreements?

What happens if Sanofi Pasteur or Merck runs a special sale?

What happens if Merck or Sanofi can’t deliver on contracted vaccines?

My State provides basic childhood vaccines so I don’t use all of the vaccines that you mention in your contracts; can I still participate and get discounts?

I get a lot of my vaccines for Medicaid or indigent patients through a State plan. Do I have to use Merck and Sanofi vaccines?

I see mostly adults, (or women, or subspecialty patients), so I don’t use childhood vaccines. Can I order just the products I need and still get the benefits of your contracts?

Why do I need a different credit card processing company?

I am happy with my local med/surg supplier. Why should I change?

I have gotten different prices on vaccines at different times. How is that possible on your contracts?

I’m already a member. Why don’t I get your prices for Merck vaccines?

I'm new to vaccine coding. Can you help?

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

Q:What are the basic features of your vaccine contracts?

A: We get rock bottom prices on Sanofi Pasteur and Merck Vaccines by agreeing to their exclusive use.  Main Street Vaccines and its member practices may not use competing vaccines except for explicit reasons of medical necessity or product unavailability. 

The Sanofi Pasteur contract requires preferential use of ActHib, (Tripedia or DAPTACEL, Pentacel), Adacel, Menactra, and IPOL.  Vaccine prices are discounted and a year end rebate based on total sales, less Federal excise tax, is issued if the group as a whole meets compliance targets. We have paid this rebate every year since our formation.  (Click Contracts and sign in to review the Sanofi Agreement.)

We also have preferential purchasing rights and pricing for FLUZONE. Additionally, the FLUZONE PARTNERS PROGRAM generates a 1% invoice discount on the rest of Sanofi Pasteur’s core pediatric vaccines. 
(Click Fluzone.)

The Sanofi Pasteur VaxMax Program offers members up to an additional 6% discount on vaccines for coordinated vaccine orders.  (Click Contracts and sign in to review a spread sheet.)

If you are switching from another group Sanofi Pasteur requires submission of a Contract Change Form.     

The Merck contract requires exclusive, use of RECOMBIVAX, VAQTA, RotaTeq, Gardasil, and PNEUMOVAX 23.    Invoice discounts are given on ProQuad, MMR-II, VARIVAX, PNEUMOVAX 23, RotaTeq, ZOSTAVAX, and Gardasil.  Other vaccines are steeply discounted off current catalogue prices.  Participants in both the Merck and Sanofi Pasteur contracts are eligible for an additional 1% MAIN STREET REWARDS rebate on RotaTeq, M-M-R-II, and Gardasil. (Click Contracts and sign in to review the Merck Agreement.) 

Merck has a general policy of permitting vaccine purchases at existing rates for 30 days after a price increase is announced; our contract freezes prices for 60 days.  The qualifying period for their 2% prompt discount is 90 days.     

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Q: Are your vaccine contracts connected?

A: Partly. Our vaccine agreements are separate and discrete entities but you save more by participating in both.  Enrollment in one does not enroll you in the other.  However, the product lines interlock and the prices on each contract are the lowest the company offers. You must participate in both the Sanofi Pasteur and Merck Agreements to be eligible for Main Street Rewards rebates and bonuses.  

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Q: Can you please explain Main Streets Rewards Program?

A: SureBut it is a work in progress. 

We have basic agreements that govern terms, conditions and prices with our contract partners.  We use this program to add value whenever an opportunity arises.  At the present time the core of the program is annual 1% rebates on  RotaTeq, MMR-II, and Gardasil purchases less FET.

To qualify for Main Street Rewards you have to participate in both the Sanofi Pasteur and Merck Agreements and be a Main Street Member in good standing.  If you only participate in one contract and/or are not fully compliant with contract terms you are not eligible for these benefits.   If you participate, but don’t use the vaccines involved you obviously can’t get a rebate.

The program is funded by Main Street Vaccines and is completely independent of and in addition to any Merck or Sanofi Pasteur discounts, rebates, or promotions.

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Q: How do I get specific contract information and prices?

A:

 To access specific contract information, prices, and enrollment forms please click CONTRACTS and create an account.  There is no charge for this and it will not commit you to anything. 

The vaccine price lists represent our negotiated price before any other discounts or promotions.  Your actual cost per product may be as much as 10-12% lower depending on how you order, how quickly you pay, how effectively you use VaxMax, Fluzone Partners participation, and Main Street Rewards eligibility.  Any seasonal or other promotional savings are in addition to contract savings.

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Q: What else do you do?

A:  Members save money on

·        medical/surgical supplies
·
       
credit card processing
·
       
vaccine storage refrigerators 
·
       
telephone/computer system design and support

We have a steeply discounted online purchasing program for general medical/surgical/office supplies from VaxServe. Participation is limited to members in good standing of the Main Street/Sanofi Pasteur Contract.  Members are automatically eligible. Orders for Sanofi Pasteur vaccines and everyday supplies from VaxServe may be simultaneously placed at www.VaccineShoppe.com .  The system automatically recognizes our members and shows them the discount catalog.  (Click the Medical/Surgical Supplies tab for more information about “regular discounts” as well as periodic specials, or call (888) 482-6246, ext 5 to speak with a representative.)  

We offer an exclusive, low cost merchant’s credit card processing service through 1st Financial Merchant Group.  This is a simple way to minimize the charges you incur when you take a credit/debit card in your office. Members of either contract qualify for this benefit. (Click the 1st Financial Merchant Group tab or call (888) 482-6246, ext 6  for information.)  

Our contracts get you the savings of high volume purchasing without having to tie up all your capital in vaccines.  In spite of this, it is not unusual for a medium size practice to store over $100,000.00 worth of perishable vaccines on site.  We don’t think it makes much sense to keep something that valuable in a refrigerator designed to hold a few hundred dollars worth of food and drinks.   Gem Refrigerators are specifically designed and constructed to meet all government and manufacturer standards for the safe storage of vaccines.  Main Street members in good standing receive special discounts on the entire Gem product line.  (Click the Contracts tab on the home page and sign in to access models and prices.) 

Practices in the North Jersey/Eastern Pennsylvania area are  eligible for discount telephone and computer systems/software design and support through Grand Solutions. (Click their tab on the home page or call (888) 482-6246, ext 4 for information.)

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Q: How do I join?

A: You cannot enroll in either contract unless you have an account with the vaccine manufacturer!

If you do not already have Sanofi Pasteur account you can set one up at:

https://www.vacineshoppe.com/index.cfm?fa=anon.enroll.

If you do not already have a Merck account you can set one up at:

https://www.merckvaccines.com/oaa/startRegistration.do?WT.svl=2 

Enrollment in the Sanofi Pasteur contract may be through Main Street Vaccines or your local Sanofi Pasteur representative.  Enrollment in the Merck contract is through us. Enrollment forms and prices for both are available under CONTRACTS.   You will have to sign up (lower left corner of the box) and log in to access this and other password protected  information.  There is no charge for this and it does not obligate you to anything. 

You must be enrolled in one of the vaccine contracts to participate in the 1st Financial Merchants Group credit card processing service.  Click Merchants Credit Card tab for information and enrollment link.

If you have ANY questions please call us at our toll free number:

(888) 482-6246.  (888 HUB MAINSTREET)

 Or contact Kate Beggerow, administrator@mainstreetvacs.com .

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Q: Is there a membership fee?

A:  No.  There never has been one and there never will be one!  This program is supposed to lower your costs, not increase them.

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Q: How long does it take to become a member?

 A:  We can usually have you on either vaccine contract within two business days of the time we receive your application.  You are automatically enrolled in the discount med/surg supply program when you become a member of the Sanofi Pasteur Contract.   1st Financial Merchant Group and Grand Solutions  enroll you when you contact them either through this site or (888) HUB-MAIN (888 482-6246).

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Q: How long do I have to stay with the contract?

 A:  We think there is a lot of value in our programs.  Over 99% of all the doctors that ever joined are still with us. We hope you will want to continue with us indefinitely, but you can stop any time you want to.  Just let us know and we will remove you from the contract(s).  However, you will lose any accrued benefits if you withdraw.

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Q:  What happens if get a “deal” somewhere or purchase competing products?

 A:  The only restrictive agreements we have are on vaccines.  We know that many companies want your vaccine business, and that it is always possible to get a deal of some kind. We are, however, interdependent.  When you purchase outside the contracts you jeopardize the benefits and savings for all of us.  For the protection of the group, compliance is monitored and non-compliant practices may lose accrued benefits and/or be removed without prior notice.  Anyway, experience has taught us that our contracts invariably beat the “deals” over time, and no competitor can deliver the entire line of vaccines we need.  

Our med/surg/office supply program is non-restrictive.  You can order supplies from us and from anyone else you wish to. (But we think our prices are extremely competitive and the convenience is hard to beat.)

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Q:  Can you really tell if I am buying vaccines outside the contract?

 A:  Yes, we can.  When that happens you may receive a warning or a notice terminating your membership with the loss of all accrued benefits.

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Q:  Can I be in more than one group buying contract at the same time?

 A:  No, at least not for vaccines; that violates rules we didn’t make.  You can sign up with our vaccine contracts or with someone else’s, but not both.  If you are changing from another contract Sanofi Pasteur requires submission of a Contract Change Form. 

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Q:  What about COMVAX/ActHib?  Isn’t that a conflict?

 A:  Yes it is, but it is OK, our contracts let you use whichever you prefer.  Anyway, COMVAX is currently unavailable.

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Q:   Do we get preferential treatment if vaccines are scarce?

 A:  Not directly, but we usually hear about it early and can get contract adjustments or compensations.    

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Q:  Can I use a credit card to pay for orders?

 A:  Absolutely. Both vaccine contracts will let you automatically bill to a credit card at the end of the prompt payment interval, which effectively gives you an extra 30 days net terms.  Many of our practices do this and generate enormous rewards accounts or cash rebates.

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Q:  Is there a specific order size or ratio?

 A:  No. We have found plans with those almost too complicated to succeed.  Except for some special promotions there are no order size or ratio requirements.
You do not have to tie up your refrigerator and capital with vaccines.  There are service charges on orders under $600.00, but an analysis of our practices indicates this affects almost no one.  

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Q:  Do I have to change the way I  order under your agreements?

 A:  No. Our programs are intended to simplify your life, not complicate it.  You place your order just as you always have. Ordering and shipment of vaccines is not altered in any way by participation in our contracts. Remember, Sanofi Pasteur requires a Contract Change Form if you are switching from another buying group.

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Q:  What happens if Sanofi Pasteur or Merck runs a special sale?

 A:  That happens all the time. You remain eligible for any promotional discounts or terms that either company may offer on either vaccines or general supplies.  Our contract prices represent your minimal savings exclusive of any other temporary programs.

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Q:  What happens if Merck or Sanofi can’t deliver on contracted vaccines?

 A:  In a “failure to supply” situation we usually can arrange a temporary release from the contract terms and/or a compensatory price adjustment on current products.  We are still trying to figure out what to do when no one has a vaccine due to a national emergency (influenza 2009).

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Q:  My State provides basic childhood vaccines so I don’t use all of the vaccines that you mention in your contracts; can I still participate and get discounts?

 A:  Yes.  This question usually references the newer adolescent and adult vaccines that some States cannot afford to provide.  Our prices and rebates are based on the products you purchase so this would only be an issue if, for example, you used our contracts to get great rates on Menactra or Gardasil but used competing vaccines for the rest of your immunization schedule.

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Q:  I get a lot of my vaccines for Medicaid or indigent patients through a State plan.  Do I have to use Merck and Sanofi vaccines?

 A:  Not absolutely.  But why wouldn’t you? Merck and Sanofi products are available through all VFC plans.  Aren’t immunization protocols complicated enough? Why would you want to keep two or more sets of schedules in your charts?

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Q:  I see mostly adults, (or women, or subspecialty patients), so I don’t use childhood vaccines.  Can I order just the products I need and still get the benefits of your contracts?

 A:  Certainly.  As long as you are not ordering childhood or adolescent/adult vaccines from another source we can usually waive our requirements.

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Q:  Why do I need a different credit card processing company?

 A:  You may not.  But just in case you are being over-charged or subject to hidden fees, (or you just can’t understand your present bill,) it would be wise to contact 1st Financial Merchant Group and find out how you can save a few dollars a month. It’s painless, costs you nothing, and commits you to nothing.  Our average practice saves about 10%.  (Click Merchants Credit Card and Contract tabs for information and enrollment link or call them at our toll free number, (888) 482-6246).

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Q:  I am happy with my local med/surg supplier.  Why should I change?  

 A:  You may not want to; but why not try it?  You have nothing to lose.

We think we have negotiated extremely competitive prices for the hundreds of items that keep our offices running smoothly.  In most practices the cost of these is nowhere near what we spend on vaccines, but it is still substantial. There are also periodic specials on big and small items that are spectacular. Ordering vaccines and supplies at the same site (www.VaccineShoppe.com ) and at the same time makes sense.  It is easy and it saves money. It also makes it very likely that your bill will exceed $600.00 and you will never have to pay a service fee for Sanofi Pasteur products

Shipment and terms are the same as for Sanofi Pasteur vaccines.  Click Med/Surg Supplies for specific information.

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Q:  I have gotten different prices on vaccines at different times. How is that possible on your contracts?

 A:  It’s not easy, but it can be done.  Except for a prompt payment discount the Merck Contact is pretty hard to vary.  You get invoice discounts from Merck and you get a bonus from Main Street.  Other than special promotions that’s it.

The Sanofi Contract has a few more options.  It gives you invoice discounts and a rebate.  There are discounts for prompt payment and online ordering. There are also special promotions.  However, Sanofi  VaxMax which can save you up to 6% on a given invoice for ordering multiple types, (not increased amounts), of vaccines.  (See spread sheet under Contracts/Sanofi Pasteur). You can check with your rep for a better explanation of this exceptional program.  There is also a 1% across the board pediatric vaccine discount if you accept greater than 95% of your ordered Fluzone.  Most variation is due to VaxMax or the Fluzone/pediatric vaccine discount.

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Q:  I’m already a  member.  Why don’t I get your prices for Merck vaccines?

A: There are two common reasons for this. 

First and most commonly, you may have only enrolled in the Sanofi contract and presumed that attached you to the Merck agreement.   Not so!  You need to sign up for both contracts.

A second reason is that you have enrolled in both contracts but are using www.vaccineshoppe.com to order Merck products.

That will not get you anywhere near our Merck contract prices.  You need to order Merck vaccines directly from them, not from vaccineshoppe. 

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Q:  I'm new to vaccine coding.  Can you help?

A: Yes. 

The direct link for our coding webinar with Dr. Richard Tuck is on the face page.  Many of our members use it as a reference.

 


   

   
 
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