The CDC has included HPV vaccine as part of its adolescent and adult immunization schedules published for 2007. MCI has adopted this schedule.   Since the CDC has not yet published its final opinion regarding the HPV vaccine, in the interim MCI has the following recommendations:

1. HPV vaccine will be available in clinics at the discretion of the physicians at that site. 
2. HPV vaccine should be recommended to women ages 11 – 26 at the provider’s discretion.
3. The vaccine in given in three doses at 0, 2, and 6 months.
4. Vaccination is not recommended during pregnancy. If a woman is found to be pregnant after initiating the vaccination series, the remainder of the 3-dose regimen should be delayed until after completion of the pregnancy.
5. Insurance coverage for HPV vaccine is not universal.  The issue of insurance coverage should be addressed with patients before giving the vaccine.

Reference:  http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5540-Immunizationa1.htm

Variation from this guideline is always acceptable, if in the opinion of the attending physician, individual circumstances require it.

MCI Quality Committee 1-07