National Immunisation Program update – Respiratory Syncytial Virus (RSV) vaccine Arexvy® free for older Australians

21 April 2026

From 15 May 2026, the Respiratory Syncytial Virus (RSV) vaccine Arexvy® will be funded under the National Immunisation Program (NIP) for eligible older adults at increased risk of severe RSV disease.

RSV is a common virus that can lead to severe illness, hospitalisation, and death, particularly in older adults and aged care residents.

Eligibility

From 15 May 2026, a single dose of Arexvy® RSV vaccine is free and recommended under the NIP for:

  • Adults aged 75 years and older
  • Aboriginal and Torres Strait Islander peoples aged 60–74 years

Private vaccines

  • Adults aged 60–74 years, and people with medical conditions that increase their risk of severe RSV disease, may consider privately purchasing an RSV vaccine.
  • These vaccines cannot be claimed through the NIP.

Ordering vaccines

  • Online ordering via Onelink opens Wednesday 22 April 2026. Supply is limited and order limits apply.
  • Weekly ordering is supported (orders must be at least 7 days apart).
  • Allow a minimum of 7 business days for processing and delivery during influenza season. (No rural deliveries on Mondays)
  • Providers requiring additional stock should contact immunisation@health.vic.gov.aubefore ordering.

Timing of vaccination

  • Vaccination should be offered before the start of the RSV season where possible.
  • RSV infections most commonly occur between April and September, peaking in June and July, often before influenza season.
  • Arexvy® can be administered as soon as stock is available.

Clinical guidance

  • Arexvy® may be given at the same visit as other vaccines for older adults, including COVID‑19, influenza (including adjuvanted influenza), pneumococcal and shingles vaccines.
  • Refer to the Australian Immunisation Handbook and NCIRS RSV FAQs for clinical guidance.
  • Australian Government resources for health professionals and consumers will be made available in the coming weeks.
  • All Arexvy® vaccinations must be reported to the Australian Immunisation Register. 

Resources

NOTE – Arexvy® vaccine is not registered for use in children. 

The content in this article was provided by the Victorian State Government, Department of Health.

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