Get vaccinated for free at any in-network pharmacy, using your pharmacy benefit.
- How much does it cost? $0, it’s free!
- Which vaccines are available? Influenza, Pneumonia, Tetanus, Hepatitis, Shingles, Measles, Mumps, Human Papillomavirus (HPV), Respiratory Syncytial Virus (RSV), Pertussis, Varicella, Meningitis, Covid are available.
- COVID-19 vaccines are covered by medical benefits for all members and by pharmacy benefits for non-Medicare members.
Why Get Vaccinated at the Pharmacy?
Medicare Members
Save money and skip the paperwork by getting vaccinated at the pharmacy. When you receive a vaccination at the pharmacy, you won't pay anything out-of-pocket, and there is no reimbursement paperwork to fill out.
When receiving a vaccination other than the Influenza or Covid-19 vaccine at your doctor's office, you must pay the full cost out-of-pocket. To be reimbursed, submit paperwork to Navitus. Navitus will reimburse the vaccine cost but not administration fees from your doctor's office. Influenza and Covid-19 vaccines, covered under Medicare Part B, are available at $0 cost at your doctor's office.
To have your Influenza or Covid-19 vaccines covered at the pharmacy for $0, ensure that your pharmacy can bill Medicare Part B. Present your red, white, and blue Medicare card at the pharmacy before receiving your vaccine. For all other vaccines covered under Medicare Part D, members should present their Navitus card.
Employees and Retirees without Medicare
Consider getting vaccinated at the pharmacy if it's more convenient. You can get vaccinated at either the doctor's office or the pharmacy at no cost.
Getting Vaccinated at the Pharmacy
If you are considering getting your vaccine/immunization from the pharmacy, here are a few things to keep in mind:
- Contact the pharmacy ahead of time. Not all pharmacies are able to administer all vaccines/immunizations, for various reasons. Call ahead to:
- Make sure they have the vaccine/immunization in stock.
- Find out if they require an appointment.
- Determine if the pharmacy is authorized to give vaccines/immunizations to kids.
- Use an in-network pharmacy.
- While most pharmacies participate in the Navitus network and can administer vaccines/immunizations, not all of them do.
- A claim for a vaccine/immunization will be rejected if you use an out-of-network pharmacy and you will have to pay the full cost. If the pharmacy you prefer to use for your vaccine/immunization is not in the Navitus network (e.g. CVS), contact your health plan to see if they will cover your claim through the pharmacy under the medical benefit.
- Bring your Navitus ID card and give it to the pharmacist. This will ensure your claim gets processed correctly.