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COVID-19 Vaccine Coverage

All members can get a no-cost COVID-19 shot from an in-network provider. If you paid out of pocket, please submit a claim form for reimbursement.

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Prescription Claim Form

ID: 3272 (04/23)

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Applicable Products:
Commercial PPO/EPO &
Exchange POS/EPO

Applicable Products:
Commercial HMO & POS