Vaccine Information

This sections contains useful information regarding vaccines; including vaccine claim forms, locations where you can get a vaccine administered, and more.

Vaccine Claim Forms

Directions on how to submit these forms are included on the form.

• Vaccine Claim Form - For Members
  English - PDF | Spanish - PDF
• Vaccine Claim Form - For Physicians
  English - PDF

Directory of Pharmacies Administering Vaccines

• Ft. Lauderdale & Palm Beach Areas
  
  Broward | Palm Beach

  English - PDF | Spanish - PDF

Additional Information

You can find more information on vaccines on the pages below.

» How to Bill for Administration of Covered Part D Vaccines

» Part B versus Part D Vaccine Information

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