Ramona Whittington

From: Roxana Cruz Sent: Tuesday, February 23, 2021 10:02 PM To: [email protected]; [email protected]; Myrta Garcia; Lindsay Lanagan; catherine.threatt; [email protected]; Medical Directors; Dental Directors; [email protected]; [email protected] Cc: ClinicalTeam; Cassandra Caravello; Jana Eubank; Daniel Diaz; Shelby Tracy; Nancy Gilliam; Ramona Whittington Subject: COVID-19 Vaccine Weekly Update: Week 11 (02/22/2021) Attachments: COVIDVaccineAllocation-Week11_final.pdf; americanlungassociation_vaccineeducationtoolkit.pdf; ACP_Addressing Mistrust About COVID-19 Vaccines.pdf; COVIDVaccineAllocation-Week10.pdf

Dear Fellow CMOs and Vaccine Coordinators, We hope you are well and that your communities have recovered since last week’s winter storm. As I am sure you know by now, COVID vaccine distribution was put on hold last week 2/15‐ 2/19 (Week 10) due to the inclement weather. Per the weekly DSHS Call today, the following updates were provided: • 100K of 1st dose vaccine not shipped/distributed • 300K of 2nd dose vaccine not shipped/distributed • 1 million vaccine doses will be distributed this week, to include last and this week’s allotments. • 600k 1st doses will go to 563 providers in 230 counties • Mass vaccination clinics this week: Dallas, Tarrant, Harris Counties

COVID‐19 Vaccine Weekly Update: Week 11 (02/22/2021)

During week 11, there were 61 health center sites that received allocations that total 18,550 doses this week. Vaccine Allocations for Week 11 (02/22/2021) attached w/orange highlighted health center sites. Vaccine Allocations for Week 10 (02/15/2022) although previously sent out, we have attached this list again for your reference.

This brings total doses allocated to health centers: 117,525 vaccine doses to date.

 266 Texas Health Center sites have been approved  218 Health Center sites have been approved and allocated vaccines  15 Health Center sites, which have been APPROVED by DSHS as registered COVID Vaccine Providers, but have not been allocated any vaccines to date. TACHC continues to advocate to DSHS and EVAP to obtain allocations for these sites.  6 health center sites have PENDING APPROVAL status as COVID Vaccine Providers, TACHC is working with DSHS to have these approved as quickly as possible.

GOOD NEWS: Announcement on 2nd Dose‐ do not need to request 2nd dose through VAOS‐ 2nd dose will be automatically shipped ( 28 days; Pfizer 4 weeks). ** Please note, if/when transferring Vaccines Allocations from Health Center Organization to another Organization, it is the responsibility of the health center site that received the 1st dose shipment and then transferred this to another organization/facility, to transfer 2nd dose shipment to the other organization/facility.

FQHC Federal initiative to begin this week

1 As the White House announced on February 9, 2021, the Health Resources and Services Administration (HRSA) is working with the Centers for Disease Control and Prevention (CDC) to launch the first phase of a new Health Center COVID‐19 Vaccine Program. More than 1,300 HRSA‐funded health centers provide primary care services in underserved communities, serving almost 30 million people across the country. Two‐thirds of the population that these health centers serve are living at or below the federal poverty line, and 60 percent are racial and/or ethnic minorities.

The goal of the Health Center COVID‐19 Vaccine Program is to provide a direct supply of COVID‐19 vaccines to health centers who serve the most vulnerable communities, in order to address health equity and reach those who have been hardest hit by the pandemic. This new program is being designed to complement—and not supplant—the COVID‐19 vaccine doses currently being distributed by states and jurisdictions. The program will be phased in as vaccine supply increases nationally and is being carried out in coordination with jurisdictions and health centers. The Health Center COVID‐19 Vaccine Program will initially include 250 health centers and up to one million doses. Over time, it will become available to all health centers and Health Center Program look‐alike organizations.

More information on this program is available at http://www.hrsa.gov/coronavirus/health‐center‐program, including a list of the 250 health centers invited to be in the program’s initial phase. Participating Health Centers in Texas: The first list below names the initial 25 health centers that are participating in the program as of Monday, February 15. COMMUNITY ACTION CORPORATION OF SOUTH TEXAS ALICE TX UNITED MEDICAL CENTERS EAGLE PASS TX LEGACY COMMUNITY HEALTH SERVICES, INC. HOUSTON TX GATEWAY COMMUNITY HEALTH CENTER INC LAREDO TX BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC. SAN ANTONIO TX Invited Health Centers in Texas: The second list shows the additional health centers that HRSA invited to participate. TRAVIS COUNTY HEALTHCARE DISTRICT AUSTIN TX DALLAS COUNTY HOSPITAL DISTRICT DALLAS TX CENTRO SAN VICENTE EL PASO TX LONE STAR CIRCLE OF CARE GEORGETOWN TX HARRIS HEALTH SYSTEM HOUSTON TX EL CENTRO DEL BARRIO SAN ANTONIO TX HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. WACO TX

HRSA used a data‐driven approach to determine the initial health centers chosen for this program, including those that serve a large volume of one of the following disproportionately affected populations: • Individuals experiencing homelessness, • Migrant/seasonal agricultural workers, • Public housing residents, or • Patients with limited English proficiency. HRSA and CDC staff have coordinated with DSHS and also shared how information about vaccines allocated and administered through the ‘Health Center COVID‐19 Vaccine Program’ to support jurisdictional planning and management. HRSA has also worked in close coordination with TACHC to help determine health center willingness and readiness to participate. HRSA staff also conducted a formal readiness assessment with each health center to ensure their vaccine provider sites had the capacity to receive and administer additional vaccines from this new program. Additionally, health centers who agree to participate are required to: • Enroll in CDC’s COVID‐19 Vaccination Program and comply with all conditions in the COVID‐19 Vaccination Program Provider Agreement; • Complete HRSA’s Health Center COVID‐19 Vaccine Program Readiness Assessment to document and certify vaccine administration capacity; • Report required data, including the weekly HRSA Health Center COVID‐19 survey and addendum and any other state, local, and federal data reporting requirements; and

2 • Ensure timely administration of COVID‐19 vaccines provided through the program to established health center patients, as well as other individuals who present for such services (i.e. new patients) as capacity permits, while following priority guidelines established by the health center’s jurisdiction.

The first 25 health centers and approximately 160 sites were able to start ordering vaccines as early as February 19, 2021. Vaccine Updates: “Delayed Second Dose versus Standard Regimen for Covid‐19 Vaccination” DOI: 10.1056/NEJMclde210198 UPDATED February 10, 2021 Interim Clinical Considerations for use of mRNA COVID‐19 Vaccines Currently Authorized in the Please note specifically:  Appendix A Vaccine Administration Errors and Deviations (3/4 down page)  Clarification on Contraindication and Precaution  New recommendations for administration errors  Guidance updates on quarantine and exposure MMWR 2/19/2021‐ First Month of COVID‐19 Vaccine Safety Monitoring

Johnson & Johnson coronavirus vaccine could receive FDA approval as early as next week; however, DSHS indicated that there is not a large supply for this vaccine if/when approved. The allocations will be shipped with minimum quantity of 2400 vaccines.  Johnson & Johnson Announces Single‐Shot Janssen COVID‐19 Vaccine Candidate Met Primary Endpoints in Interim Analysis of its Phase 3 ENSEMBLE Trial (https://www.jnj.com/johnson‐johnson‐announces‐single‐shot‐ janssen‐covid‐19‐vaccine‐candidate‐met‐primary‐endpoints‐in‐interim‐analysis‐of‐its‐phase‐3‐ensemble‐trial  J& J vaccine is an adenovirus vector‐based vaccine, developed by its subsidiary Janssen Pharmaceutical  J&J’s vaccine was 85% overall effective in preventing severe disease and demonstrated complete protection against Covid‐19‐related hospitalization and death 28 days after vaccination.

Novavax Covid‐19 vaccine [NVX‐CoV2373]  Novavax 2‐dose vaccine showed 89.3% efficacy in a Phase III UK trial.  Novavax is a recombinant nanoparticle of the SARS‐CoV‐2 spike protein with a saponin‐based adjuvant. Although efficacy rates are 66% for the J& J single‐dose vaccines and Novavax’s candidate showed a more potent efficacy of 89.3% with two doses, strategies to consider include consideration that potentially twice as many people can get vaccinated with J&J’s vaccine in the same time frame.

Bloomberg’s COVID‐19 Vaccine Tracker: https://www.bloomberg.com/graphics/covid‐vaccine‐tracker‐global‐ distribution/

Therapeutics for COVID‐19: Therapeutics Mini‐Series: Equity and Underserved Populations Wednesday, February 24, 2021 scheduled for 11:00 AM ‐ 12:00 PM CST For Registration and Connection Information ‐ Please Click Here

CDC Updates: Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to SARS‐CoV‐2 As of February 16, 2021 CDC interim guidance was updated to:  Clarified that work restriction of asymptomatic HCP with a higher‐risk exposure who have recovered from SARS‐ CoV‐2 infection in the prior 3 months might not be necessary. Additional information about this scenario is available here.  Clarified that work restriction of fully vaccinated HCP with a higher‐risk exposure continues to be recommended. Additional information is available here.

3 Strategies to Mitigate Healthcare Personnel Staffing Shortages  Added, as contingency strategies options to allow: o Asymptomatic HCP who have had a higher‐risk exposure to SARS‐CoV‐2 (the virus that causes COVID‐19) but are not known to be infected to shorten their duration of work restriction as described in Options to Reduce Quarantine for Contacts of Persons with SARS‐CoV‐2 Infection Using Symptom Monitoring and Diagnostic Testing. o Asymptomatic fully vaccinated HCP who have had a higher‐risk exposure to SARS‐CoV‐2 but are not known to be infected to continue to work onsite throughout their 14‐day post‐exposure period.

Messaging: The role of systemic racism plays a big factor in influencing patients’ health decisions, including vaccination. Your health care colleagues offer practical tips to address COVID 19 vaccine mistrust among Black, Latino, and indigenous patients, including asking open ended questions, tailoring specific responses that are both nonjudgmental and collaborative, and using accessible language when describing the regulatory and development processes surrounding COVID 19 vaccines.  “Addressing Mistrust About COVID‐19 Vaccines Among Patients of Color” https://www.acpjournals.org/doi/10.7326/M21‐0055 (attached)  COVID‐19 HEALTH INEQUITIES IN CITIES PROJECT https://www.covid‐inequities.info/  https://www.healthcenterinfo.org/priority‐topics/covid‐19/covid‐19‐vaccine‐distribution/covid‐19‐vaccine‐ resources‐vaccine‐confidence‐communications/  Vaccine Education Toolkit: https://www.lung.org/getmedia/ec3ef385‐7239‐44d2‐94af‐ c09051dfdae1/americanlungassociation_vaccineeducationtoolkit.pdf (attached)

Thank you for keeping us updated and for your continued commitment to your health centers. ~ Roxana

Roxana L. Cruz, MD , FACP Director of Medical & Clinical Affairs

Texas Association of Community Health Centers 5900 Southwest Parkway, Bldg. #3 Austin, Texas 78735 P (512) 329-5959 F (512) 329-9189 e-mail: [email protected] www.TACHC.org

If you are not the intended recipient of this email, please let the sender know and then delete the email completely from your system. Thank you.

4 Annals of Internal Medicine IDEAS AND OPINIONS Addressing Mistrust About COVID-19 Vaccines Among Patients of Color Douglas J. Opel, MD, MPH; Bernard Lo, MD; and Monica E. Peek, MD, MPH, MS

he health care system has failed me and my family Four specific communication strategies may help pro- “Tmany times before. Why should I believe this mote trust among patients of color about COVID-19 vac- vaccine will be any different?” Clinicians may feel ill- cines. First, lead with listening. Patients, particularly those equipped to address concerns about the coronavirus from marginalized communities, desire health care interac- disease 2019 (COVID-19) vaccine that are rooted in the tions in which their experiences are heard and validated. sociopolitical mistrust of communities that experience Consider beginning the COVID-19 vaccine conversation health disparities, discrimination, and structural injustice with an open-ended invitation for the patient to share their in their everyday lives. Current recommendations for perspective, such as “You may be hearing a lot about talking to patients about COVID-19 vaccines do not pro- COVID vaccines. Tell me what you think about them.” vide specific guidance on how to discuss mistrust (1). We Doing so can also help avoid erroneous assumptions about suggest specific strategies and language that clinicians a patient's self-identity or experience. can use to address mistrust of COVID-19 vaccines This approach differs from standard vaccine commu- among racial and ethnic minorities. nication practices for well-established and routinely rec- Reducing COVID-19 vaccine mistrust is a national ommended vaccines. For these vaccines, starting the priority. Mistrust of COVID-19 vaccines is widespread, conversation with the implicit assumption that vaccina- particularly among people of color. Only 18% of Black tion will happen, such as “You're due for your tetanus Americans and 40% of Latinx Americans trust that a booster today,” has been associated with increased vac- COVID-19 vaccine will be effective (2). Even fewer trust cine uptake. For COVID-19 vaccines, however, which that it will be safe. The impact of this mistrust is alarming: have, to date, been made available only through an emer- Fewer than half of Black Americans intend to get vacci- gency use authorization, a more appropriate approach is nated against COVID-19 (3). to facilitate shared decision making. Mistrust in COVID-19 vaccines must be addressed to Second, tailor responses to patient concerns. If patients reduce the disproportionate burden of COVID-19 mor- respond to an invitation to share their perspective about bidity and mortality among people of color. This mistrust COVID-19 vaccines either equivocally (such as “I'm not is multifactorial and is not restricted to concerns about sure.”) or negatively (such as “Those vaccines aren't for COVID-19 vaccine safety and efficacy. It is rooted in a his- me.”), do not provide reassurance prematurely. Doing so tory of unethical medical and public health experimenta- maybeineffectiveifitisdonebeforelisteningtoand tion involving communities of color, as well as structural exploring the patient's concerns in detail. Rather, engage inequities in government institutions (for example, with the patient nonjudgmentally and collaboratively. police, criminal justice, child welfare, and public schools). Motivational interviewing (MI) techniques can facilitate this As a result, a primary strategy to decrease mistrust has engagement (6) (Table, top) and have been found to be been to leverage trusted community leaders to engage effective in improving vaccine uptake among those who communities of color in public health campaigns. voice reluctance (7). These techniques can also be used to Clinicians can play an important role in mitigating explore and address COVID-19 vaccine concerns rooted in mistrust of COVID-19 vaccines. The personal clinicians of structural injustice (Table, bottom), complementing other Black and Latinx patients, regardless of clinician race, suggested COVID-19 communication approaches (8). Of remain trustworthy sources of COVID-19 vaccine infor- importance, a clinician's vaccine recommendation, a fac- mation (4). Although race-concordant patient–clinician tor associated with increased uptake (9), can be inte- relationships may nurture trust among patients of color grated with MI. For instance, consider asking permission and may even facilitate information-seeking behaviors to make a recommendation and, if granted, stating, “In about COVID-19 (5), most patients of color do not have a my view, the benefits of COVID-19 vaccination outweigh race-concordant clinician. Addressing COVID-19 vaccine the risks. I am strongly recommending these vaccines to mistrust can be a powerful way for any clinician to convey my patients.” an openness to discussing patient concerns about Third, briefly describe the regulatory and develop- COVID-19 vaccination and also an interest in patients' ment processes surrounding COVID-19 vaccines using lived experiences with structural injustice. accessible language. There may be confusion about, These discussions with patients about COVID-19 and negative connotations with, terms used to describe vaccines can occur now as an important part of health the vaccine regulatory process (10). The term “emer- promotion and counseling. Initiating these discussions gency use authorization,” for instance, may lead to mis- early can start the process of building trust in COVID-19 understanding or exacerbate mistrust. Patients may vaccines among patients of color. Anticipate the possibil- believe that a new vaccine, for instance, has been author- ity of a multivisit process, rather than a single discussion. ized “emergently” before any data could be reviewed,

This article was published at Annals.org on 9 February 2021.

Annals.org Annals of Internal Medicine © 2021 American College of Physicians 1

Downloaded from https://annals.org by Roxana Cruz on 02/23/2021. IDEAS AND OPINIONS Addressing Mistrust About COVID-19 Vaccines Among Patients of Color

Table. COVID-19 Vaccine Communication Strategies for the Clinical Encounter to Help Address Mistrust

Motivational Interviewing Techniques Technique Rationale Example Open-ended questions Helps identify, explore, and understand patients’ "Can you tell me more about what is worrying you?" COVID-19 vaccine concerns Reflection statements Encourages partnerships, deepens rapport, and “I hear that you want to be sure that the COVID vaccine broadens understanding of patient motivations is safe for you.” Affirmation statements Helps patients feel supported, appreciated, and “You’re not alone. Several of my patients have similar understood, which can improve their concerns.” engagement in an open discussion Ask permission to share Puts patients in a less defensive posture and "May I share my view with you?" improves receptivity to information being shared Statements that support patient Enhances a patient’s sense of control and helps “I want you to know that this is your decision to make.” autonomy them feel more at ease with the conversation Rolling with resistance Meeting patient resistance with curiosity (an "I am hearing that you don't think you'll get the COVID opportunity to understand more about the vaccine anytime soon. Tell me more about what is patient's perspective in a nonjudgmental, concerning you." respectful way) rather than confrontation encourages continued patient engagement

Responding to COVID-19 Vaccine Concerns Rooted in Injustice Concern Example Response I am really worried I'll get sick after the "You want to make sure that if you get vaccinated, it won't impact your ability to work. That makes sense." After vaccine and won't be able to go to listening and further exploring the patient's concerns, consider: "It's true that some people will experience work. side effects. These side effects are similar to those from other vaccines—muscle aches, fever, and soreness at the injection site. You might want to get vaccinated before having a few days off.” Why should I trust the government "I understand why you have a lot of mistrust. The government and research systems have not always treated your since people like me have been community fairly." After listening and further exploring the patient's concerns, consider: "There are now guinea pigs for testing in the past? people of color leading and working in research studies to make sure their communities are protected from harm, yet have equal access to the benefits of scientific discovery. Would it be OK if I shared my medical perspective on how COVID vaccines were tested?" I just hear a lot of talk about how the "You are not the only one with those concerns. There is a lot of information out there on COVID and the vaccine, vaccine will give people COVID. and it is hard to know what is true and what is false." After listening and further exploring the patient's concerns, consider: "This is one of those false pieces of information. You cannot get COVID from the vaccine. Can I tell you about how about the COVID vaccine works?" I hear if you get the vaccine you can "What a frightening thing to hear. Can you tell me more about what you heard?" After listening and further get deported. exploring the patient's concerns, consider: "I want to assure you that no information about immigration status is collected when you get vaccinated. It is important that everyone who needs this vaccine is able to get it." It scares me that the military is giving "I can understand how that sounds scary." After listening and further exploring the patient's concerns, consider: the vaccine. "The military is only helping to make sure the vaccine gets delivered to all parts of the country. No soldiers will be giving the vaccine. Only doctors, nurses, and health care workers are giving the vaccine." harkening back to days of experimentation on enslaved discussions now in routine clinic visits, even over other people, indigenous people, prisoners, immigrants, and health maintenance or stable chronic disease manage- unknowing Black Americans. Consider simple factual ment issues, may help increase the acceptance of statements that avoid confusing terminology, such as COVID-19 vaccinations and improve health outcomes “The FDA has authorized these vaccines now after among persons of color. reviewing a lot of evidence carefully” (see also bottom part of the Table). Lastly, acknowledge uncertainty. The shortage of From University of Washington School of Medicine, Seattle, COVID-19 vaccines is unprecedented, and delivery Washington (D.J.O.); University of California, San Francisco, San schedules are changeable. There is much not yet known Francisco, California (B.L.); and University of Chicago, Chicago, about COVID-19 vaccines, particularly regarding their Illinois (M.E.P.). long-term safety, their effect on transmission of severe acute respiratory syndrome coronavirus 2, and their effi- Acknowledgment: The authors thank Sean O’Leary MD, MPH, cacy against new strains. Acknowledging uncertainty cre- for his input on the top part of the Table and Barbara Pahud ates transparency, and transparency is key to facilitating MD, MPH, and Doriane Miller, MD, for their input and critical trust during public health emergencies. review of the bottom part of the Table. COVID-19 vaccines are not routine vaccines, nor are these routine circumstances. This past year has laid bare Disclosures: Disclosures can be viewed at www.acponline.org harsh health disparities and structural injustice in the /authors/icmje/ConflictOfInterestForms.do?msNum=M21-0055. United States, activating and exacerbating mistrust among people of color. Clinicians need to address this Corresponding Author: Monica E. Peek MD, MPH, MS, 5841 mistrust to help patients at highest risk for COVID-19 South Maryland Avenue, MC 2007, Chicago, IL 60637; e-mail, gain the benefits of COVID-19 vaccines. Prioritizing these [email protected].

2 Annals of Internal Medicine Annals.org

Downloaded from https://annals.org by Roxana Cruz on 02/23/2021. Addressing Mistrust About COVID-19 Vaccines Among Patients of Color IDEAS AND OPINIONS

Ann Intern Med. doi:10.7326/M21-0055 5. Alsan M, Stanford FC, Banerjee A, et al. Comparison of knowl- edge and information-seeking behavior after general COVID-19 References public health messages and messages tailored for black and latinx communities: a randomized controlled trial. Ann Intern Med. 2020. 1. Centers for Disease Control and Prevention. Talking to doi:10.7326/M20-6141 recipients about COVID-19 vaccines. 2 November 2020. Accessed 6. Miller WR, Rollnick S. Motivational Interviewing: Preparing at www.cdc.gov/vaccines/covid-19/hcp/talking-to-patients.html on 7December2020. People for Change. Guilford Pr; 1991. 2. COVID Collaborative; UnidosUS; NAACP. Coronavirus Vaccine 7. Dempsey AF, Pyrznawoski J, Lockhart S, et al. Effect of a health Hesitancyin Black and Latinx Communities. 2020. Accessed at care professional communication training intervention on adoles- https://static1.squarespace.com/static/5f85f5a156091e113f96e4d3 cent human papillomavirus vaccination: A cluster randomized clini- /t/5fb72481b1eb2e6cf845457f/1605837977495/VaccineHesitancy cal trial. JAMA Pediatr. 2018;172:e180016. [PMID: 29507952] doi: _BlackLatinx_Final_11.19.pdf on 7 December 2020. 10.1001/jamapediatrics.2018.0016 3. Funk C, Tyson A. Intent to get a COVID-19 vaccine rises to 8. VitalTalk. COVID collaborative resources. 2021. Accessed at 60% as confidence in research and development process increases. www.vitaltalk.org/topics/covid-collaborative-resources/ on 22 January Pew Research Center; 3 December 2020. Accessed at www.pew 2021. research.org/science/2020/12/03/intent-to-get-a-covid-19-vaccine 9. National Vaccine Advisory Committee. Recommendations from -rises-to-60-as-confidence-in-research-and-development-process the National Vaccine Advisory committee: standards for adult -increases/ on 14 December 2020. immunization practice. Public Health Rep. 2014 Mar-Apr;129:115- 4. Hamel L, Kirzinger A, Muñana C, et al. KFF COVID-19 vaccine 23. [PMID: 24587544] monitor: December 2020. Kaiser Family Foundation; 15 December 10. Liu BF, Quinn SC, Egnoto M, et al. Public understanding of 2020. Accessed at www.kff.org/coronavirus-covid-19/report/kff-covid medical countermeasures. Health Secur. 2017 Mar/Apr;15:194- -19-vaccine-monitor-december-2020/ on 15 December 2020. 206. [PMID: 28388223] doi:10.1089/hs.2016.0074

Annals.org Annals of Internal Medicine 3

Downloaded from https://annals.org by Roxana Cruz on 02/23/2021. Current Author Addresses: Dr. Opel: University of Washington Author Contributions: Conception and design: B. Lo, D.J. Opel, School of Medicine, 1900 Ninth Avenue, M/S: JMB-6, Seattle, M.E. Peek. WA 98101. Drafting of the article: B. Lo, D.J. Opel, M.E. Peek. Dr. Lo: University of California San Francisco School of Critical revision for important intellectual content: B. Lo, D.J. Medicine, 1701 Divisidero Street, Fifth Floor, San Francisco, CA Opel, M.E. Peek. 94115. Final approval of the article: B. Lo, D.J. Opel, M.E. Peek. Dr. Peek: 5841 South Maryland Avenue, MC 2007, Chicago, IL 60637

Annals of Internal Medicine Annals.org

Downloaded from https://annals.org by Roxana Cruz on 02/23/2021.

POWER & PROTECTING OUR LEGACY

IMMUNITY An introduction to this 4 guide An informational guide for understanding immunization and the COVID-19 vaccine HOW THE HOW TO USE THIS GUIDE BODY FIGHTS DISEASE National vaccination initiatives in the United States support the critical work of achieving health equity for African American, Indigenous, and other people of color. Understanding how 9 While this guide is not intended to be a persuasive tool, viruses and vaccines it has been developed to provide families and individuals with the information they need to explore concerns, work answer questions, and start a conversation about general immunization and the COVID-19 vaccine.

The information you'll find here is a brief compilation of WARP SPEED the vast information provided by the Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA), and other credible sources. It also Understanding how 12 features trusted African American voices and celebrates COVID-19 vaccines were their continued contributions in saving American lives. (and were not) Use this guide: accelerated to supplement your own research on the vaccines; to start a dialogue with your friends, physician, pastor and family members; to share accurate information on social media; to get to know the contributions of African American scientists and public health advocates who are helping to bring this pandemic to an end. INSIDE

The most influential voices are often those closest to you. Use this guide to help keep one another Key Talking Points 17 accountable as you seek out the best information for Understanding Clinical Trials making personal and community health decisions. 23 HBCUs Joint Statement 27 Social Media Shareables 30 Proudly Sponsored By

#powerandimmunity "

INFORMATION SESSIONS "WE KNOW THAT OUR COLLECTIVE ROLE IN HELPING TO CREATE A VACCINE THAT WORKS FOR BLACK PEOPLE— AND THAT WE TRUST—HAS AN IMPACT ON OUR VERY SURVIVAL."

AMERICA'S BLACK DOCTORS AND NURSES & THE BLACK COALITION AGAINST COVID-19 LOVE LETTER TO BLACK AMERICA WWW.BLACKCOALITIONAGAINSTCOVID.ORG

Making It Plain: African Americans and the COVID-19 Vaccine Watch the replay: http://bit.ly/makingitplain

#powerandimmunity 5 19 HISTORY FROM THE BEGINNING

It is a little-known fact that African Americans have progressed our country toward nationwide immunization since the early days. Most notably, a West African slave known as Onesimus was responsible for introducing the concept of inoculation to the U.S. in 1716.

When smallpox was ravaging the city of Boston (and the world), Onesimus shared a practice from sub-Saharan Africa that could prevent the spread of the disease. He called it "an operation, which had given him something of the smallpox and would forever preserve him from it." Onesimus said, "Whoever had the courage to use it was forever free of the fear of contagion."

The "operation" to which Onesimus referred involved rubbing a little pus from an infected person into the broken skin of a healthy person. Introducing a small amount of the infection produced an immune response and effectively inoculated most participants against smallpox. While this method is considered unethical by modern standards, the practice saved hundreds of lives and laid the foundation for the smallpox vaccine that followed 100 years later.

An Important Chapter In SMALLPOX HISTORY

1716 1721 1796 1980 2016

Slaveholder Cotton West African slave World Health Organization Boston Magazine Mather popularizes Edward Jenner Onesimus shares declares smallpox first names Onesimus method decreasing introduces smallpox method for (and only) disease to be "Best Bostonian death rate from 1 in 7 to vaccine. inoculation. eradicated from the earth. of All Time." 1 in 40. Source: https://www.history.com/news/smallpox-vaccine-onesimus-slave-cotton-mather 6 INFORMATION SESSIONS "WE NEED TO BRING A MESSAGE OF HOPE, BUT ALSO WE WANT TO LISTEN TO THE PEOPLE. WE NEED TO KNOW THE MYTHS AND THE MISCONCEPTIONS SO WE CAN CLARIFY THEM WITH SCIENCE. I HOPE THAT WE CAN EMPOWER OUR COMMUNITIES WITH KNOWLEDGE SO THAT THEY CAN ACT UPON THAT KNOWLEDGE."

DR. VLADIMIR BERTHAUD PROFESSOR OF MEDICINE & DIRECTOR OF INFECTIOUS DISEASES MEHARRY MEDICAL COLLEGE

The Center for Black Health & Equity Presents: Turn Amen into Action Watch the replay: http://bit.ly/amenintoaction

#powerandimmunity 7 "

INFORMATION SESSIONS "BUILDING EQUITY IN PLANS TO DISTRIBUTE THE VACCINES INCLUDING CULTURALLY SENSITIVE, MULTI-LINGUAL OUTREACH TAILORED FOR LOCAL COMMUNITIES WILL BE ESSENTIAL FOR CLOSING GAPS IN HEALTH OUTCOMES."

LEON MCDOUGLE, MD, MPH PRESIDENT, NATIONAL MEDICAL ASSOCIATION CHAIR OF NMA COVID-19 TASK FORCE ON VACCINES AND THERAPEUTICS

NMA COVID-19 TASKFORCE CLINICAL TRIALS STATEMENT

The National Medical Association serves as a leading voice for quality healthcare and elimination of health disparities and established its COVID-19 Task Force on Vaccines and Therapeutics to advise NMA members, healthcare partners and patient constituents about the safety and efficacy of COVID-19 vaccines and treatments. The Task Force reviewed the clinical trial data in search of differences in health outcomes that would place the Black community at higher risk of unfavorable outcomes from the vaccine and determined the following:

Ten percent of people who enrolled in both Persons receiving the vaccine were > 94% the Pfizer and Moderna clinical trials were less likely to develop COVID-19 infection as Black, equaling more than 4,400 and 3,000 compared to the placebo group. people, respectively. Efficacy and safety were observed and Both the percentage and number of Black consistent across age, gender, race, people enrolled are sufficient to have ethnicity and adults over 65 years of age. confidence in health outcomes of the clinical trials.

Read the complete statement here: https://www.nmanet.org/news/544970/NMA-COVID-19-Task-Force-on- Vaccines-and-Therapeutics.html 11

ADDRESSING COVID-19 IN AFRICAN NATIONS African countries have experienced just 3.4% of the world’s coronavirus infections. The continent has been able to capitalize on knowledge from the Ebola epidemic which prepared them with improved health policies, surveillance systems, public education tactics, and the infrastructure to address COVID- 19 early on. While African nations benefit greatly from having younger populations and lower rates of obesity and diabetes (which reduce risk of severe COVID-19), their approach to mitigating COVID-19 and preparing for the vaccine are worth a salute.

SLOWING PREPARING FOR EQUITY ISSUES THE SPREAD THE VACCINE OF CONCERN

Closed their international *Nearly 80% of citizens **Vaccines will be in short borders and instituted across Africa would take a supply as Western countries lockdowns before the first COVID-19 vaccine if it were have secured more than case was documented. deemed safe and effective. 50% of available COVID-19 vaccine although they are Add a little bit of body text Rolled out 4-hour rapid Dispelling myths and only 14% of the world’s COVID-19 testing. addressing mistrust due to population. medical colonialism. Utilized mobile app to Laboratory in Nigeria plans connect infected patients Prioritizing most vulnerable to develop its own with medical providers and as first recipients of vaccine. inoculation. move people into quarantine. Resolving financial and Governments plan to logistical challenges in distribute vaccine in places obtaining, storing and of work, worship and at distributing vaccine. events to ensure access for all citizens.

*According to an Africa Centre for Disease Control and Prevention (Africa CDC) report 14 ** According to a recent Johns Hopkins report INFORMATION SESSIONS "A LARGE AMOUNT OF EFFORT WAS PUT INTO ENSURING THAT THIS PROCESS, EVERY STEP OF THE WAY, HAD THE EYES OF PEOPLE OF COLOR. MODERNA'S CEO AGREED TO SLOW DOWN ENROLLMENT SO WE COULD GET BETTER REPRESENTATION OF PEOPLE OF COLOR IN PHASE 3 TRIALS."

DR. KIZZMEKIA CORBETT SCIENTIFIC LEAD FOR THE CORONAVIRUS VACCINES & IMMUNOPATHOGENESIS TEAM NATIONAL INSTITUTES OF HEALTH (NIH),

UNMASKED: A COVID 19 Virtual Town Hall Watch the replay: http://bit.ly/unmaskednaacp

#powerandimmunity 15 "

"

" ‑

#powerandimmunity " JOINT STATEMENT ON THE INTEGRITY OF VACCINE TRIALS AND THE INCLUSION OF BLACK, INDIGENOUS AND DAVID M. CARLISLE, MD, PHD PEOPLE OF COLOR (BIPOC) PRESIDENT AND CEO OF CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE

We, as representatives of the four historically Black medical schools in our nation are committed to the inclusion of Black, Indigenous, and people of color (BIPOC) as we engage in research initiatives focused on the novel coronavirus, SARS CoV-2.

The virus, COVID-19, disproportionately impacts the number of infections, complications, and deaths in our communities.

Our research efforts will be governed by the basic principles of DR. WAYNE A. I. FREDERICK PRESIDENT OF HOWARD respect of persons, beneficence, and justice. UNIVERSITY

Respect for persons demands that our communities enter into research voluntarily and with adequate information. Beneficence ensures that our communities will recognize the benefits and risks that may result from the improvement of knowledge through their participation in research. And finally, justice will be achieved by ensuring that no person is denied participation in research without good reason, nor will anyone be unduly burdened by their participation.

Our decisions to recommend participation in clinical studies, VALERIE MONTGOMERY RICE including vaccine trials, will always be informed by rigorous PRESIDENT OF MOREHOUSE science carried out under international rules governing the safe SCHOOL OF MEDICINE and ethical conduct of research.

Our approach will be unbiased nor influenced by financial or non-financial conflicts.We will rely on peer-reviewed, transparent science is an important component in protecting the welfare of persons who volunteer to participate in clinical studies.

JAMES E.K. HILDRETH, PH.D, M.D. PRESIDENT AND CHIEF EXECUTIVE OFFICER OF MEHARRY MEDICAL #powerandimmunity COLLEGE Specifically, we stand together to:

Protect the members of our communities by maintaining the highest standard of integrity and respect which have always been, and will remain as cornerstones of our engagement;

Listen to our communities and address concerns and fears surrounding research related to COVID-19- including clinical trials, vaccine candidate trials, and therapeutic and diagnostic research- by providing accurate information based on scientific evidence;

Ensure that the manner and context in which information regarding participation in research is conveyed is culturally and linguistically appropriate;

Confirm that individuals enter into research voluntarily, and agreement to participate in research constitutes a valid consent;

Uphold, no matter what, the fundamental guiding ‘Hippocratic’ maxim ‘to do no harm’; and lastly,

Promote equity as it relates to access to opportunities to improve the quality of health and wellness, ensuring that each community we engage gets what they need when they need it, and in the amount that they need.

These fundamental principles are inherent to each of us as individual medical schools, and collectively we pledge to use our unified voice to advocate for all who consider and those who participate in COVID-related clinical and translational research.

#powerandimmunity 28 "

" Monderna Fact Sheet and FAQ https://www.fda.gov/media/144638/download

Pfizer Fact Sheet and FAQ https://www.fda.gov/media/144414/download

V-safe After Vaccination Health Checker https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html

Coronavirus in Black and Latinx Communities https://bit.ly/3oYInAW

National American Association COVID-19 resources https://www.nmanet.org/page/COVID-19-Resources

Why Are Vaccines Important? https://www.lung.org/blog/why-are-vaccines-important

National Immunization Awareness Month: How Vaccines Have Helped Reduce the of Death and Disease in the U.S. https://www.lung.org/media/press-releases/national-immunization-1

COVID-19 Vaccine FAQ https://www.lung.org/lung-health-diseases/lung-disease-lookup/covid-19/vaccine/faq

NAACP Coronavirus Equity Considerations https://naacp.org/wp-content/uploads/2020/04/Coronavirus-Equity- Considerations.pdf

How CDC Is Making COVID-19 Vaccine Recommendations https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations-process.html

NAACP CORONAVIRUS (COVID-19) INFORMATION https://naacp.org/coronavirus/

Black Coalition Against COVID Resources https://blackcoalitionagainstcovid.org/resources/

Texas COVID-19 Vaccine Allocation - Week of Feb. 15 (Week 10) This list includes only first doses of vaccine. Addresses are shipping addresses, not necessarily where vaccination is occurring.

HUB PROVIDERS Pfizer Moderna Total Provider Name Address City County Doses Doses Doses Lhd Angelina County And Cities Health District (Re) 503 Hill St Ste 100 Lufkin ANGELINA - 2,000 2,000 Medical Clinic Of Muleshoe 708 S 1st St Muleshoe BAILEY 975 - 975 A+ Life Style Medical Group 815 Hwy 71 W Bastrop BASTROP - 1,000 1,000 Christus Spohn Health System Beeville 1500 E Houston St Beeville BEE 1,950 - 1,950 Community Action Health Center 301 S Hillside Dr Ste 5 Beeville BEE - 1,000 1,000 Lhd Bell County Public Health District (Re) 820 N 31st Street Temple BELL 3,900 - 3,900 Samhd Main Immunizations Clinic 210 N Mel Waiters Way San Antonio BEXAR - 1,000 1,000 University Health System - Inpatient 4502 Medical Dr San Antonio BEXAR 10,725 - 10,725 Wellness 360 (Adult) 7703 Floyd Curl Dr San Antonio BEXAR 5,850 - 5,850 Christus St Michael Health System 2600 Saint Michael Dr Texarkana BOWIE - 2,000 2,000 Chi St Joseph Health College Station Hospital 1604 Rock Prairie Rd College Station BRAZOS - 3,000 3,000 BSW Medical Center Marble Falls 810 Tx-71w Marble Falls BURNET 975 - 975 Ut Health Rgv Multispecialty 2106 Treasure Hills Blvd Ste 1.326 Harlingen CAMERON 975 - 975 Ccdhhs San Benito Nursing Office 1390 W Expressway 83 San Benito CAMERON - 6,000 6,000 CHAMBERS COUNTY HEALTH DEPT ANAHUAC 102 AIRPORT RD Anahuac CHAMBERS - 1,200 1,200 Allen Fire Department 310 Century Pkwy Allen COLLIN - 2,000 2,000 City Of Mckinney Fire Department 2200 Taylor Burk Dr McKinney COLLIN - 2,000 2,000 Collin County Healthcare Services 825 N Mcdonald St Ste 145 McKinney COLLIN - 2,700 2,700 Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd Plano COLLIN 3,900 - 3,900 Coryell Health Medical Clinic 1507 W Main St Gatesville CORYELL 975 - 975 Coon Memorial Hospital 1411 Denver Ave Dalhart DALLAM 975 - 975 Baylor University Med Cntr Dallas 3500 Gaston Ave Dallas DALLAS 4,875 - 4,875 City Of Dallas 650 S Griffin Street Dallas DALLAS - 5,000 5,000 LHD Dallas County Health And Human Services (Re) 2377 N Stemmons Fwy Dallas DALLAS - 9,000 9,000 Parkland Hospital 5200 Harry Hines Boulevard Dallas Dallas 10,725 - 10,725 UT Southwestern Medical Center 5323 Harry Hines Blvd Dallas DALLAS 10,725 - 10,725 Lhd Garland (City Of) Health Dept (Re) 206 Carver Dr Garland DALLAS - 1,000 1,000 LHD Denton County Public Health (RE) 535 S. Loop 288 Denton DENTON 9,750 - 9,750 Dimmit Regional Hospital 704 Hospital Dr Carrizo Springs DIMMIT 975 - 975 Medical Center Hospital 400 W 4th Odessa ECTOR 3,900 - 3,900 City of El Paso Fire Department 301 George Perry El Paso EL PASO - 6,000 6,000 University Medical Center of El Paso 4815 Alameda Ave El Paso EL PASO 6,825 - 6,825 Baylor Scott And White Medical Center - Waxahachie 2400 N. I-35e Waxahachie ELLIS - 2,500 2,500 Falls Community Hospital & Clinic 322 Coleman St Marlin FALLS 975 - 975 Tmc Bonham Hospital 504 Lipscomb St Bonham FANNIN 975 - 975 LHD FORT BEND COUNTY HEALTH DEPARTMENT (HHS) (RE) 4520 Reading Rd Rosenberg FORT BEND 6,825 - 6,825 University Of Texas Medical Branch Hospital 301 University Blvd Galveston GALVESTON 4,875 - 4,875 LHD Galveston County Health District (RE) 9850 B Emmett F Lowry EXpy Texas City GALVESTON - 1,000 1,000 Hill Country Memorial Hospital 1020 S State Highway 16 Fredericksburg GILLESPIE - 1,200 1,200 CHRISTUS Good Shepherd Medical Center Longview 700 E Marshall Ave Longview GREGG 2,925 - 2,925 Chi St Lukes Health 6720 Bertner Ave Houston HARRIS 1,950 - 1,950 HCPH Main Office 2223 West Loop South Houston HARRIS - 9,000 9,000 Houston Health Department Immunization Bureau 8000 N Stadium Dr Houston HARRIS - 9,000 9,000 Houston Methodist Hospital 6565 Fannin St Houston HARRIS 12,675 - 12,675 Memorial Hermann Memorial City Medical Center 921 Gessner Rd Houston HARRIS 3,900 - 3,900 School Of Nursing - Main Building 1851 Crosspoint Ave. Houston HARRIS 3,900 1,000 4,900 Lhd Hays County Health Department (Re) 401 Broadway St Ste A San Marcos HAYS 1,950 2,500 4,450 DHR Health 5501 South McColl Road Edinburg HIDALGO 6,825 - 6,825 Lhd Hidalgo County Health Department (Re) 1304 S 25th Ave Edinburg HIDALGO - 6,000 6,000 Ut Health Rgv Employee Health Edinburg 1210 W Schunior St Edinburg HIDALGO 975 - 975 Jefferson County Immunization Clinic 7933 Viterbo Rd Ste 100 Beaumont JEFFERSON - 11,000 11,000 Christus Spohn Health System Alice 2500 E Main St Alice JIM WELLS 975 - 975 Cleburne Fire Department 114 W. Wardville Dr. Cleburne JOHNSON - 1,000 1,000 Christus Spohn Health System Kleberg 1311 General Cavazos Blvd Kingsville KLEBERG 975 - 975 Kleberg County Sheriff's Office 1500 East King Kingsville KLEBERG - 1,000 1,000 La Salle County Regional Health Authority 247 Mars Drive Cotulla LA SALLE 975 - 975 Lhd Paris-Lamar Co Health Dept (Re) 400 W Sherman St Paris LAMAR - 1,000 1,000 Emergency Hospital Systems, LLC 300 E Crockett Cleveland LIBERTY 975 - 975 Lhd Lubbock City Health Dept (Re) 806 18th St Lubbock LUBBOCK - 5,000 5,000 Eagle Pass Fire Department 2558 El Indio Hwy Eagle Pass MAVERICK - 1,200 1,200 Lhd Waco-Mclennan Co Phealth Dist (Re) 225 W Waco Dr Waco MCLENNAN - 1,500 1,500 Providence Health - Providence Health Center 6901 Medical Pkwy Waco MCLENNAN 1,950 - 1,950 Midland Memorial Hospital 400 Rosalind Redfern Grover Pkwy Midland MIDLAND 4,875 - 4,875 CHI ST LUKES HEALTH WOODLANDS HOSP 17200 ST LUKES WAY Conroe MONTGOMERY 1,950 - 1,950 Lone Star Family Health Center 605 S. Conroe Medical Dr Conroe MONTGOMERY - 2,000 2,000 LHD Corsicana-Navarro Public Health District (RE) 618 N Main Corsicana NAVARRO - 1,500 1,500 Driscoll Health System 3533 S. Alameda Corpus Christi NUECES 975 - 975 LHD Corpus Christi-Nueces County Public Health District (RE) 1702 Horne Road Corpus Christi NUECES - 5,000 5,000 Parker County Hospital District 1130 Pecan Dr Weatherford PARKER 1,950 - 1,950 LHD Amarillo DOH 1000 Martin Rd Amarillo POTTER - 5,000 5,000 Pecos Valley Rural Health Clinic 2335 S Pigman St Pecos REEVES 975 - 975 Lhd Nethealth (Re) 815 N Broadway Ave Tyler SMITH 1,950 - 1,950 UT Health Science Center Tyler 11937 Us Highway 271 Tyler SMITH 1,950 - 1,950 Arlington Fire Department 620 W Division St. Arlington TARRANT - 7,000 7,000 Tarrant Co Ph Imm Outreach 1101 S Main St Ste 1350 Fort Worth TARRANT - 9,000 9,000 Texas Health Medical Support 1100 Bridgewood Fort Worth TARRANT 9,750 - 9,750 Lhd Abilene-Taylor County Health Department (Re) 850 N 6th St Abilene TAYLOR 2,925 - 2,925 Shannon Pharmacy 119 E. Beauregard Ave San Angelo TOM GREEN 1,950 - 1,950 Austin Public Health 15 Waller Street Austin TRAVIS - 12,000 12,000 Ut Health Austin (Dell Medical School) 1601 Trinity Avenue Austin TRAVIS 1,950 - 1,950 Uvalde Memorial Hospital 1025 Garner Field Rd. Uvalde UVALDE 975 - 975 Victoria County Public Health Department 2805 N Navarro Victoria VICTORIA - 2,000 2,000 Washington County Ems 1875 Highway 290 W Brenham WASHINGTON - 3,000 3,000 City Of Laredo Health Department 2600 Cedar Ave Laredo WEBB - 5,000 5,000 Family Emergency Rooms Cedar Park 3620 E. WHITESTONE BLVD. Cedar Park WILLIAMSON - 6,000 6,000 ADDITIONAL PROVIDERS Pfizer Moderna Total Provider Name Address City County Doses Doses Doses Brookshires Pharmacy 030 2107 S Loop 256 Palestine ANDERSON - 100 100 Lhd Andrews City-County Health Department (Re) 208 Nw 2nd St Andrews ANDREWS - 200 200 Walgreens Pharmacy 09205 1309 Highway 35 N Rockport ARANSAS - 200 200 Archer City RHC/Archer Family Clinic 404 EAST CHESTNUT Archer City ARCHER - 100 100 King Venture PLLC 100 Trice St Claude ARMSTRONG - 100 100 HEB Pharmacy 19 19337 Mcdonald St Lytle ATASCOSA - 100 100 Atascosa Health Center Inc. 310 W Oaklawn Rd Pleasanton ATASCOSA - 100 100 Brookshires Pharmacy 39 - Bellville 720 S Front St Bellville AUSTIN - 100 100 Medina Lake Clinic 146 Laurel Vista Dr Pipe Creek BANDERA - 100 100 Lscc Bastrop Hlth Cl Wmn Wlns 605 Old Austin Hwy Bastrop BASTROP - 400 400 Seton Smithville Regional Hospital 1201 Hill Rd Smithville BASTROP - 400 400 Seymour Hospital 200 Stadium Dr Seymour BAYLOR - 100 100 HEB Pharmacy 39 2509 N Main Belton BELL - 100 100 DSHSHSR 7 HQ - Temple (RE) 2408 South 37th Street Temple BELL - 500 500 Carvajal Pharmacy - San Antonio - 3410 Roosevelt Ave 3410 Roosevelt Ave San Antonio BEXAR - 300 300 North Central Baptist Hospital 520 Madison Oak Dr San Antonio BEXAR - 300 300 Wellmed Ingram 6157 NW Loop 410 San Antonio BEXAR - 9,000 9,000 Blanco Pharmacy & Wellness 316 Pecan St. Blanco BLANCO - 100 100 North Blanco County Ems 105 Bill Watson Dr Johnson City BLANCO - 300 300 Brookshires Pharmacy 92 900 Fm 3220 Clifton BOSQUE - 100 100 BRAZORIA COUNTY HEALTH DEPT ALVIN 260 GEORGE ST Alvin BRAZORIA - 1,000 1,000 Brazoria County Health Department 434 E Mulberry St Angleton BRAZORIA - 1,000 1,000 Utmb-Angleton Danbury Campus 132 E Hospital Dr Angleton BRAZORIA - 2,000 2,000 Stephen F Austin Community Health Center Inc 905 N. Gulf Blvd Freeport BRAZORIA - 1,000 1,000 Brazoria County Health Department-Lake Jackson 202 Peach St Lake Jackson BRAZORIA - 1,000 1,000 Brazoria County Health Dept., Pearland 2436 South Grand Blvd. Pearland BRAZORIA - 1,000 1,000 Kelsey-Seybold Clinic - Pearland 2515 Business Center Dr Pearland BRAZORIA - 3,000 3,000 Sweeny Community Hospital 305 N Mckinney St Sweeny BRAZORIA - 500 500 Dshs Phr 9/10 Alpine 205 N Cockrell St Alpine BREWSTER - 100 100 Community Action Health Center- Brooks 1302 S St Marys St Ste A Falfurrias BROOKS - 100 100 Lhd Brownwood-Brown County Health Department (Re) 510 E Lee St Brownwood BROWN - 200 200 Brookshires Pharmacy 44 455 Hwy 36 N Caldwell BURLESON - 100 100 Brookshires Pharmacy 65 16800 Sh 36 South Somerville BURLESON - 100 100 Walgreens Pharmacy 11131 200 S Colorado St Lockhart CALDWELL - 100 100 Ascension Seton Luling Internal Medicine Ste D 130 Hays Street Luling CALDWELL - 100 100 Luling Community Health Center 111 S Laurel Ave Luling CALDWELL - 100 100 Memorial Medical Center 815 N Virginia St Port Lavaca CALHOUN - 100 100 Port Lavaca Clinic Associates P.A. 1200 N Virginia St Port Lavaca CALHOUN - 100 100 Resourcecare Cross Plains 301 S Main St Cross Plains CALLAHAN - 100 100 TEXAS DEPARTMENT OF STATE HEALTH SERVICES 601 W.SESAME DRIVE Harlingen CAMERON - 1,600 1,600 Panhandle Family Care Llc 102 Us Highway 60 Panhandle CARSON - 100 100 Christus St. Michael Hospital - Atlanta 1007 S William St Atlanta CASS - 100 100 East Texas Border Health Clinic dba Genesis PrimeCare - Atla 1011 S William Street Atlanta CASS - 100 100 Medical Center Of Dimmitt 300 W Halsell St Dimmitt CASTRO - 100 100 LHD Cherokee County Health Department (RE) 803 College Ave Jacksonville CHEROKEE - 300 300 Childress Regional Medical Center 901 Highway 83 North Childress CHILDRESS - 200 200 Ccmh Clinic 102 S Archer St Henrietta CLAY - 100 100 Coleman Medical Associates 310 S Pecos St Fl 2 Coleman COLEMAN - 100 100 Savon 4234 3001 S Central Expressway Suite 200 McKinney COLLIN - 100 100 Tom Thumb Pharmacy 0296 6800 W Virginia Parkway McKinney COLLIN - 100 100 LifeCare Hospital of Plano 6800 Preston Road Plano COLLIN - 200 200 Collingsworth Pharmacy, LLC 1016 16th Street Wellington COLLINGSWORTH - 100 100 Columbus Pharmacy LLC 1206 Fannin St. Columbus COLORADO - 100 100 Comal County Public Health Office (Re) 1297 Church Hill Drive New Braunfels COMAL - 2,000 2,000 Health Hero America 244 Flightline Spring Branch COMAL - 300 300 HEB Pharmacy 622 20725 Hwy 46 West Spring Branch COMAL - 100 100 Comanche County Medical Center 10201 Highway 16 Comanche COMANCHE - 100 100 CCH Pharmacy 614 Eaker St Eden CONCHO - 100 100 Tom Thumb Pharmacy 2557 200 N Grand Ave Gainesville COOKE - 200 200 Muenster Memorial Hospital PO Box 370 Muenster COOKE - 300 300 Crane County Rural Health Clinic 1310 S Alford St Crane CRANE - 100 100 Colleyville Drug, INC 622 w main street Crosbyton CROSBY - 100 100 Van Horn Rural Health Clinic Eisenhower Rd Fm 2185 Van Horn CULBERSON - 100 100 Kroger Pharmacy 492 11925 Elam Rd Balch Springs DALLAS - 200 200 Cash Saver Pharmacy 19 2130 E Ledbetter Dr Dallas DALLAS - 100 100 Community, A Walgreens Pharmacy #21319 2515 Inwood Rd, Ste 113 Dallas DALLAS - 100 100 Family Healthwatch 4041 W Wheatland Rd Ste 116 Dallas DALLAS - 100 100 Los Barrios Unidos Community Clinic 4732 W. Illinois Ave. Dallas DALLAS - 100 100 Los Barrios Unidos Community Clinic - Dallas 1 809 Singleton Blvd Dallas DALLAS - 100 100 Los Barrios Unidos Community Clinic - Dallas 2 3111 Sylvan Ave Dallas DALLAS - 100 100 Md Kids Pediatrics - Lancaster/Kiest 3200 S. Lancaster Dallas DALLAS - 100 100 Tom Thumb Pharmacy 2544 10455 N. Central Expressway Dallas DALLAS - 200 200 Tom Thumb Pharmacy 3597 11920 Preston Rd Dallas DALLAS - 100 100 Tom Thumb Pharmacy 3614 315 S Hampton Rd Dallas DALLAS - 100 100 Agrace Pharma 721 W Tarrant Rd Grand Prairie DALLAS - 100 100 Grand Prairie Fire Department 1525 arkansas ln, 3rd floor Grand Prairie DALLAS - 500 500 Savon 4231 215 N Carrier Parkway Grand Prairie DALLAS - 100 100 Dawson County Hospital District 2200 North Bryan Avenue Lamesa DAWSON - 200 200 Regence Health Network Inc Hereford 125 W Park Ave Hereford DEAF SMITH - 100 100 Carevide Cooper 91 W Side Sq Cooper DELTA - 100 100 Frisco Medical Center 5601 Warren Pkwy Frisco DENTON - 100 100 Cuero-Dewitt County Health Department 115 N Gonzales St Ste B Cuero DEWITT - 200 200 Carrizo Springs Kidney Disease Clinic 409 South 7th Street Carrizo Springs DIMMIT - 200 200 Clarendon Family Medical Center 1 Medical Center Drive Clarendon DONLEY - 100 100 SAN DIEGO PHARMACY 500 S Dr EE Dunlap st San Diego DUVAL - 100 100 Brookshires Pharmacy 99 1010 Avenue E Cisco EASTLAND - 200 200 Centro San Vicente-Homeless 1208 Myrtle Ave El Paso EL PASO - 100 100 Accelhealth Stephenville 135 River North Blvd Stephenville ERATH - 100 100 Erath County EMS 830 B East Rd Stephenville ERATH - 1,000 1,000 HEB Pharmacy 6 2150 W Washington St Stephenville ERATH - 100 100 Brookshires Pharmacy 54 2228 Island Byu Bonham FANNIN - 200 200 St. Marks Medical Center One St. Marks Place La Grange FAYETTE - 100 100 Tejas Healthcare Clinic 890 E Travis St La Grange FAYETTE - 100 100 Fisher County Hospital District 774 State Highway 70 N Rotan FISHER - 100 100 Cogdell Rural Health Clinic 320 N Main St Lockney FLOYD - 100 100 Ibn Sina Foundation Community Clinic 16345 S Post Oak Rd Houston FORT BEND - 200 200 HEB Pharmacy 615 25675 Nelson Way Katy FORT BEND - 100 100 Striker Pharmacy LLC 1330 Pin Oak Rd Katy FORT BEND - 100 100 Ft Bend Family Hlth Ctr Accesshealth - Missouri City 307 Texas Pkwy Ste 100 Missouri City FORT BEND - 200 200 HEB Pharmacy 727 23500 Circle Oak Pwky Richmond FORT BEND - 200 200 Memorial Hermann Sugar Land 17500 W Grand Pkwy S Sugar Land FORT BEND - 4,000 4,000 Brookshires Pharmacy 10 300 W Us Highway 84 Fairfield FREESTONE - 100 100 Frio Regional Hospital 200 S Interstate 35 Pearsall FRIO - 200 200 South Plains Public Health District - Seminole 704 Hobbs Highway Seminole GAINES - 200 200 Randalls Pharmacy 1031 2931 Central City Avenue Galveston GALVESTON - 100 100 Post-Garza Co EMS 902 N. Ave S Post GARZA - 100 100 Dshs Goliad 329 W. Franklin Goliad GOLIAD - 200 200 Memorial Hospital - Gonzales Po Box 587 Gonzales GONZALES - 100 100 Harvester Health And Wellness Clinic 701 N Price Rd Pampa GRAY - 200 200 PAMPA REGIONAL MEDICAL CENTER one medical plaza Pampa GRAY - 100 100 Brookshires Pharmacy 127 11205 N State Hwy 289 Pottsboro GRAYSON - 100 100 Wnj Regional Medical Center 500 N Highland Ave Sherman GRAYSON - 100 100 Louis Morgan Drug 4 110 Johnston St Longview GREGG - 100 100 Bis Community Clinic 22140 Highway 90 N Bedias GRIMES - 100 100 City of Schertz EMS 1400 Schertz Parkway Schertz GUADALUPE - 300 300 Kellum Family Medicine 3401 Fm 3009 Schertz GUADALUPE - 500 500 HARDEMAN COUNTY MEMORIAL HOSPITAL 402 MERCER ST Quanah HARDEMAN - 200 200 HEB Pharmacy 742 6430 Garth Rd Baytown HARRIS - 100 100 Deer Park Family Clinic, P.A. 2910 Center St Deer Park HARRIS - 100 100 Acres Home Health Center 818 Ringold St Houston HARRIS - 400 400 Aldine Health Center 4755 Aldine Mail Route Rd Houston HARRIS - 300 300 Ben Taub General Hospital 1504 Taub Loop Houston HARRIS - 4,000 4,000 COH Northside Health Center 8504 Schuller Houston HARRIS - 600 600 El Franco Lee Health Center 8901 Boone Rd Houston HARRIS - 200 200 HEB Pharmacy 541 10100 Beechnut Houston HARRIS - 100 100 HEB Pharmacy 551 11815 Westheimer Houston HARRIS - 100 100 HEB Pharmacy 744 3663 Washington Ave Ste 100 Houston HARRIS - 100 100 HOPE CLINIC 7001 corporate dr Houston HARRIS - 200 200 Hope Clinic West 12121 Westheimer Rd Houston HARRIS - 100 100 Ibn Sina Community 5012 North Shepherd Dr Houston HARRIS - 300 300 La Nueva Casa De Amigos Health Center 1809 N Main St Houston HARRIS - 400 400 Lbj Hospital - Harris County Hospital District 5656 Kelley St Houston HARRIS - 4,000 4,000 Mlk Health Center - Houston 3550 Swingle Rd Houston HARRIS - 300 300 Privia Medical Group Gulf Coast 1200 Binz St Houston HARRIS - 100 100 Randalls Pharmacy 1012 5219 Fm 1960 Rd W Houston HARRIS - 100 100 Settegast Health Center 9105 N Wayside Dr Houston HARRIS - 400 400 Sharpstown Health Services 6201 Bonhomme Houston HARRIS - 400 400 Sunnyside Health Center 4605 Wilmington St Houston HARRIS - 500 500 Brookshires Pharmacy 130 590 W Main St Hallsville HARRISON - 200 200 Kyle Communicare Health Center 2810 Dacy Ln Kyle HAYS - 100 100 Live Oak Health Partners Comm Cl 401 Broadway St Ste A San Marcos HAYS - 100 100 Nuestra Clinica Del Valle - Alton 201 S Los Ebanos Rd Alton HIDALGO - 100 100 Dshs Hillsboro 605 S Ivy St Ste 200 Hillsboro HILL - 200 200 Brookshires Pharmacy 036 1310 N Brazos St Whitney HILL - 100 100 COVENANT HOSPITAL LEVELLAND 1900 College Avenue Levelland HOCKLEY - 200 200 Granbury Hood County EMS Inc 2200 Commercial Ln Granbury HOOD - 500 500 HEB Pharmacy 631 3804 Us Hwy 377 Granbury HOOD - 100 100 Davy Crockett Drug Inc 107 S 4th St Crockett HOUSTON - 100 100 Hunt Regional Medical Center 4215 Joe Ramsey Blvd E Greenville HUNT - 500 500 Brookshires Pharmacy 87 8929 State Highway 34 S Quinlan HUNT - 100 100 City Drug Store of Jacksboro, Inc. 104 East Belknap Jacksboro JACK - 100 100 Brookshires Pharmacy 76 - Ganado 305 W York Ganado JACKSON - 100 100 Burleson Public Health Authority 828 sw alsbury Burleson JOHNSON - 3,000 3,000 Best Value Dan's Pharmacy 3521 Sw Wilshire Blvd Joshua JOHNSON - 100 100 Stamford Family Health Center 1303 Mabee Stamford JONES - 100 100 Otto Kaiser Memorial Hopsital 3349 South Highway 181 Kenedy KARNES - 100 100 Brookshires Pharmacy 023 1400 W. Moore St. Terrell Kaufman - 100 100 Terrell Fire Department 201 East Nash Street Terrell KAUFMAN - 1,000 1,000 DSHS Lampasas 205 Water Street Lampasas LAMPASAS - 100 100 Family Medicine Center - Groesbeck 701 Mcclintic Dr Groesbeck LIMESTONE - 100 100 Limestone Medical Center 701 Mcclintic Dr Groesbeck LIMESTONE - 500 500 Parkview Regional Hospital 600 S Bonham St Mexia LIMESTONE - 200 200 MidCoast Medical Center-Central 200 W. Ollie Street Llano LLANO - 200 200 Frontera Healthcare Network Mason Clinic 216 E College Mason MASON - 100 100 Nocona General Hospital 100 Park Rd Nocona MONTAGUE - 200 200 Montgomery County Phd 1300 S Loop 336 W Conroe MONTGOMERY - 2,000 2,000 Magnolia Pharmacy 18230 Fm 1488 Rd Ste 100 Magnolia MONTGOMERY - 500 500 Brookshires Pharmacy 109 609 Linda Dr Daingerfield MORRIS - 200 200 Nacogdoches Memorial Hospital 1204 N Mound St Nacogdoches NACOGDOCHES - 500 500 Lhd Sweetwater-Nolan Co Health Dept (Re) 301 E 12th St Sweetwater NOLAN - 200 200 United Pharmacy 525 2802 Hwy 83 South Perryton OCHILTREE - 100 100 Best Value Waddy Pharmacy 106 Sw 6th Ave Mineral Wells PALO PINTO - 100 100 Palo Pinto County Hospital District 400 Sw 25th Ave Mineral Wells PALO PINTO - 100 100 Walgreens Pharmacy 10258 201 Fm 1821 Mineral Wells PALO PINTO - 100 100 Hope Community Medicine-Carthage 820 West Panola St. Carthage PANOLA - 100 100 Friona Rural Health Clinic 1307 Cleveland Ave Ste B Friona PARMER - 100 100 Dshs Marfa 205 E El Paso St Marfa PRESIDIO - 500 500 Brookshires Pharmacy 4 959 East Us Hwy 69 Emory RAINS - 200 200 Rockwall Fire Department 305 E. Boydstun Ave. Rockwall ROCKWALL - 1,000 1,000 Ballinger Memorial Hospital District 608 Ave B Ballinger RUNNELS - 100 100 Sabine County Hospital 2301 Worth St Hemphill SABINE - 200 200 Fresh By Brookshires Pharmacy 801 6991 Old Jacksonville Hwy Tyler SMITH - 100 100 Starr County Memorial Hospital 128 N FM 3167 Rio Grande City STARR - 1,000 1,000 Kroger Pharmacy 543 945 W. Lamar Blvd. Arlington TARRANT - 200 200 Kroger Pharmacy 592 5101 W Sublett Rd Arlington TARRANT - 200 200 Oak Street Health 4801 S Cooper St #401 Arlington TARRANT - 100 100 Jps Hospital 1500 South Main St Fort Worth TARRANT - 1,000 1,000 Kroger Pharmacy 224 3510 Altamesa Blvd Fort Worth TARRANT - 100 100 Metropolitan Area EMS Authority 2900 Alta Mere Drive Fort Worth TARRANT - 500 500 Kroger Pharmacy 807 7201 Boulevard 26 North Richland Hills TARRANT - 100 100 HEB Pharmacy 0070 1345 Barrow St Abilene TAYLOR - 100 100 United Pharmacy 536 1401 Tahoka Rd Brownfield TERRY - 100 100 Renal Care Group Texas Inc DBA Mt. Pleasant Dialysis 628 S. Jefferson Ave Mount Pleasant TITUS - 100 100 Titus Regional Medical Center 2001 North Jefferson Mount Pleasant TITUS - 200 200 Communitycare East Austin 211 Comal St Austin TRAVIS - 500 500 DSHS CENTRAL PHARMACY WAREHOUSE 1111 NORTH LOOP Austin TRAVIS - 3,500 3,500 Brookshires Pharmacy 23 - Trinity 515 S Robb St Trinity TRINITY - 100 100 The Med-Shop Pharmacy 825 US HWY 271 N. Gilmer UPSHUR - 100 100 Mccamey Hospital 2500 S Highway 305 McCamey UPTON - 100 100 Brookshire's Pharmacy #019 1105 W South Commerce St Wills Point VAN ZANDT - 100 100 Monahans Pharmacy Inc. 801 E 4th St Monahans WARD - 100 100 El Campo Memorial Hospital 303 Sandy Corner Rd El Campo WHARTON - 100 100 Heb Pharmacy 233 1616 N Alabama Rd Wharton WHARTON - 100 100 Hyland's Pharmacy 1814 Bill Mack Rd Shamrock WHEELER - 100 100 LHD Wichita Falls-Wichita CO PH Dist (RE) 1700 3rd Street Wichita Falls WICHITA - 500 500 Americo M Baca PLLC 336 S 8th St Raymondville WILLACY - 100 100 HEB Pharmacy 580 2800 E Whitestone Cedar Park WILLIAMSON - 100 100 Wcchd Cedar Park 350 Discovery Blvd Ste 102 Cedar Park WILLIAMSON - 400 400 Wcchd Georgetown 100 W 3rd St Georgetown WILLIAMSON - 400 400 Curative Medical Associates PA 1608 Royston Lane Round Rock WILLIAMSON - 2,000 2,000 Wcchd Round Rock 355 Texas Ave. Round Rock WILLIAMSON - 400 400 Wcchd Taylor 115 W 6th St Taylor WILLIAMSON - 400 400 Conviva Floresville 260 Us Highway 181 N Floresville WILSON - 100 100 Winkler County Rural Health Clinic 828 Myer Ln Kermit WINKLER - 100 100 Wise Health System 609 Medical Center Dr Decatur WISE - 1,000 1,000 Graham Regional Medical Center 1301 Montgomery Rd Graham YOUNG - 400 400 Gateway Community Health Center 210 N Rathmell Ave Zapata ZAPATA - 200 200 Moderna Pfizer Total Provider Name Address City County Doses Doses Doses Dallas County Health and Human Services Fair Park Site Dallas DALLAS - 21,060 21,060 Harris County Public Health NRG Stadium Site Houston HARRIS - 42,120 41,210 City of Arlington AT&T Stadium Site Arlington TARRANT - 21,060 21,060 Lhd Angelina County And Cities Health District (Re) 503 Hill St Ste 100 Lufkin ANGELINA 2,000 - 2,000 Medical Clinic Of Muleshoe 708 S 1st St Muleshoe BAILEY - 1,170 1,170 A+ Life Style Medical Group 815 Hwy 71 W Bastrop BASTROP 2,000 - 2,000 Community Action Health Center 301 S Hillside Dr Ste 5 Beeville BEE 1,000 - 1,000

Christus Spohn Health System Beeville 1500 E Houston St Beeville BEE - 2,340 2,340 Lhd Bell County Public Health District (Re) 820 N 31st Street Temple BELL - 5,850 5,850 Wellness 360 (Adult) 7703 Floyd Curl Dr San Antonio BEXAR - 7,020 7,020 University Health System - Inpatient 4502 Medical Dr San Antonio BEXAR - 12,870 12,870 Samhd Main Immunizations Clinic 210 N Mel Waiters Way San Antonio BEXAR - 2,340 2,340 Christus St Michael Health System 2600 Saint Michael Dr Texarkana BOWIE 2,000 - 2,000 Chi St Joseph Health College Station Hospital 1604 Rock Prairie Rd College Station BRAZOS 4,000 - 4,000 BSW Medical Center Marble Falls 810 Tx-71w Marble Falls BURNET - 1,170 1,170 Ut Health Rgv Multispecialty 2106 Treasure Hills Blvd Ste 1.326 Harlingen CAMERON - 1,170 1,170 Ccdhhs San Benito Nursing Office 1390 W Expressway 83 San Benito CAMERON 6,000 - 6,000 CHAMBERS COUNTY HEALTH DEPT ANAHUAC 102 AIRPORT RD Anahuac CHAMBERS 1,200 - 1,200 Allen Fire Department 310 Century Pkwy Allen COLLIN 3,000 - 3,000 City Of Mckinney Fire Department 2200 Taylor Burk Dr McKinney COLLIN 3,000 - 3,000 Collin County Healthcare Services 825 N Mcdonald St Ste 145 McKinney COLLIN - 4,680 4,680 Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd Plano COLLIN - 7,020 7,020 Coryell Health Medical Clinic 1507 W Main St Gatesville CORYELL - 1,170 1,170 Coon Memorial Hospital 1411 Denver Ave Dalhart DALLAM - 1,170 1,170 Baylor University Med Cntr Dallas 3500 Gaston Ave Dallas DALLAS - 2,340 2,340 Parkland Hospital 5200 Harry Hines Boulevard Dallas Dallas - 9,360 9,360 UT Southwestern Medical Center 5323 Harry Hines Blvd Dallas DALLAS - 9,360 9,360 Lhd Garland (City Of) Health Dept (Re) 206 Carver Dr Garland DALLAS 500 - 500 LHD Denton County Public Health (RE) 535 S. Loop 288 Denton DENTON - 18,720 18,720 Medical Center Hospital 500 W 4th Odessa ECTOR - 5,850 5,850 City of El Paso Fire Department 301 George Perry El Paso EL PASO 6,000 - 6,000 University Medical Center of El Paso 4815 Alameda Ave El Paso EL PASO - 8,190 8,190 Baylor Scott And White Medical Center - Waxahachie 2400 N. I-35e Waxahachie ELLIS - 4,680 4,680 Falls Community Hospital & Clinic 322 Coleman St Marlin FALLS - 1,170 1,170 Tmc Bonham Hospital 504 Lipscomb St Bonham FANNIN - 1,170 1,170 LHD FORT BEND COUNTY HEALTH DEPARTMENT (HHS) (RE) 4520 Reading Rd Rosenberg FORT BEND - 9,360 9,360 University Of Texas Medical Branch Hospital 301 University Blvd Galveston GALVESTON - 5,850 5,850 LHD Galveston County Health District (RE) 9850 B Emmett F Lowry EXpy Texas City GALVESTON 1,000 - 1,000 Hill Country Memorial Hospital 1020 S State Highway 16 Fredericksburg GILLESPIE 1,200 - 1,200 CHRISTUS Good Shepherd Medical Center Longview 700 E Marshall Ave Longview GREGG - 3,510 3,510 School Of Nursing - Main Building 1851 Crosspoint Ave. Houston HARRIS - 4,680 4,680 Chi St Lukes Health 6720 Bertner Ave Houston HARRIS - 2,340 2,340 Houston Methodist Hospital 6565 Fannin St Houston HARRIS - 15,210 15,210 Memorial Hermann Memorial City Medical Center 921 Gessner Rd Houston HARRIS - 4,680 4,680 HCPH Main Office 2223 West Loop South Houston HARRIS 9,000 - 9,000 Houston Health Department Immunization Bureau 8000 N Stadium Dr Houston HARRIS 9,000 - 9,000 Lhd Hays County Health Department (Re) 401 Broadway St Ste A San Marcos HAYS - 4,680 4,680 DHR Health 5501 South McColl Road Edinburg HIDALGO - 8,190 8,190 Ut Health Rgv Employee Health Edinburg 1210 W Schunior St Edinburg HIDALGO - 1,170 1,170 Lhd Hidalgo County Health Department (Re) 1304 S 25th Ave Edinburg HIDALGO 6,000 - 6,000 Jefferson County Immunization Clinic 7933 Viterbo Rd Ste 100 Beaumont JEFFERSON 11,000 - 11,000 Christus Spohn Health System Alice 2500 E Main St Alice JIM WELLS - 1,170 1,170 Cleburne Fire Department 114 W. Wardville Dr. Cleburne JOHNSON 2,000 - 2,000 Christus Spohn Health System Kleberg 1311 General Cavazos Blvd Kingsville KLEBERG - 1,170 1,170 Kleberg County Sheriff's Office 1500 East King Kingsville KLEBERG 1,000 - 1,000 La Salle County Regional Health Authority 247 Mars Drive Cotulla LA SALLE - 1,170 1,170 Lhd Paris-Lamar Co Health Dept (Re) 400 W Sherman St Paris LAMAR 1,000 - 1,000 Emergency Hospital Systems, LLC 300 E Crockett Cleveland LIBERTY - 1,170 1,170 Lhd Lubbock City Health Dept (Re) 806 18th St Lubbock LUBBOCK 5,000 - 5,000 Eagle Pass Fire Department 2558 El Indio Hwy Eagle Pass MAVERICK 1,200 - 1,200 Providence Health - Providence Health Center 6901 Medical Pkwy Waco MCLENNAN - 2,340 2,340 Lhd Waco-Mclennan Co Phealth Dist (Re) 225 W Waco Dr Waco MCLENNAN 1,500 - 1,500 Midland Memorial Hospital 400 Rosalind Redfern Grover Pkwy Midland MIDLAND - 5,850 5,850

Lone Star Family Health Center 605 S. Conroe Medical Dr Conroe MONTGOMERY 2,500 - 2,500 CHI ST LUKES HEALTH WOODLANDS HOSP 17200 ST LUKES WAY Conroe MONTGOMERY - 4,680 4,680 LHD Corsicana-Navarro Public Health District (RE) 618 N Main Corsicana NAVARRO 1,500 - 1,500 Driscoll Health System 3533 S. Alameda Corpus Christi NUECES - 1,170 1,170 LHD Corpus Christi-Nueces County Public Health District 1702 Horne Road Corpus Christi NUECES 5,000 - 5,000 Parker County Hospital District 1130 Pecan Dr Weatherford PARKER - 3,510 3,510 LHD Amarillo DOH 1000 Martin Rd Amarillo POTTER 5,000 - 5,000 Pecos Valley Rural Health Clinic 2335 S Pigman St Pecos REEVES - 1,170 1,170 UT Health Science Center Tyler 11937 Us Highway 271 Tyler SMITH - 3,510 3,510 Lhd Nethealth (Re) 815 N Broadway Ave Tyler SMITH - 3,510 3,510 Texas Health Medical Support 1100 Bridgewood Fort Worth TARRANT - 11,700 11,700 Lhd Abilene-Taylor County Health Department (Re) 850 N 6th St Abilene TAYLOR - 3,510 3,510 Shannon Pharmacy 119 E. Beauregard Ave San Angelo TOM GREEN - 3,510 3,510 Ut Health Austin (Dell Medical School) 1601 Trinity Avenue Austin TRAVIS - 5,850 5,850 Austin Public Health 15 Waller Street Austin TRAVIS 12,000 - 12,000 Uvalde Memorial Hospital 1025 Garner Field Rd. Uvalde UVALDE - 1,170 1,170 Victoria County Public Health Department 2805 N Navarro Victoria VICTORIA 2,000 - 2,000 Washington County Ems 1875 Highway 290 W Brenham WASHINGTON 3,000 - 3,000 City Of Laredo Health Department 2600 Cedar Ave Laredo WEBB 5,000 - 5,000 Family Emergency Rooms Cedar Park 3620 E. WHITESTONE BLVD. Cedar Park WILLIAMSON 6,000 - 6,000 Palestine Regional Medical Center 2900 S Loop 256 Palestine ANDERSON 400 - Lhd Andrews City-County Health Department (Re) 208 Nw 2nd St Andrews ANDREWS 200 - Heb Pharmacy 562 1409 Highway 35 N Rockport ARANSAS 100 - Walgreens Pharmacy 09205 1309 Highway 35 N Rockport ARANSAS 100 - Eagle Pharmacy - Holiday 700 S. College Ave Holliday ARCHER 200 - Claude Family Medical Clinic 201 Parks St Claude ARMSTRONG 100 - Atascosa County EMS 915 Main St Jourdanton ATASCOSA 500 - Atascosa Health Center Inc. 310 W Oaklawn Rd Pleasanton ATASCOSA 100 - 100 Brookshires Pharmacy 39 - Bellville 720 S Front St Bellville AUSTIN 200 - Lscc Bastrop Hlth Cl Wmn Wlns 605 Old Austin Hwy Bastrop BASTROP 100 - 100 Seymour Hospital 200 Stadium Dr Seymour BAYLOR 100 - Texas Department of Criminal Justice McConnell 3001 S. Emily Dr. Beeville BEE 100 - Community Clinic At Santa Fe 600 S 25th St Temple BELL 100 - 100 Canyon Creek Behavioral Health 1201 Canyon Creek Drive Temple BELL 100 - DSHSHSR 7 HQ - Temple (RE) 2408 South 37th Street Temple BELL 400 - MEDCARE PLUS PHARMACY 3712 NEW MATHIS RD Elmendorf BEXAR 100 - Texas Department of Criminal Justice DOMINGUEZ 6535 Cagnon Rd San Antonio BEXAR 100 - BMA ALAMO CITY 805 CAMDEN STREET San Antonio BEXAR 100 - Broadway Kidney Disease Center 8840 Tradeway St San Antonio BEXAR 100 - Davita Northwest Medical Dialysis 5284 Medical Dr San Antonio BEXAR 100 - Heb Pharmacy 384 6030 Montgomery San Antonio BEXAR 100 - Wellmed Ingram 6157 NW Loop 410 San Antonio BEXAR 9,000 - Uhs Harlandale Clinic 834 W Southcross Blvd Ste 1 San Antonio BEXAR 100 - Dshs HSR 8 Hq - San Antonio (Re) 7430 Louis Pasteur Dr San Antonio BEXAR 1,000 - North Blanco County Ems 105 Bill Watson Dr Johnson City BLANCO 300 - Goodall Witcher Hospital 101 Posey Ave Bldg 1 Clifton BOSQUE 500 - Brookshires Pharmacy 92 900 Fm 3220 Clifton BOSQUE 100 - Clifton Medical Clinic 201 Posey Ave Clifton BOSQUE 100 - Encompass Health Rehabilitation Hospital of Texarkana 515 West 12th St. Texarkana BOWIE 200 - Fresenius Medical Care Alvin Dialysis Center 2625 South Loop 35 Alvin BRAZORIA 100 - BRAZORIA COUNTY HEALTH DEPT ALVIN 260 GEORGE ST Alvin BRAZORIA 500 - Utmb-Angleton Danbury Campus 132 E Hospital Dr Angleton BRAZORIA - 2,340 Brazoria County Health Department 434 E Mulberry St Angleton BRAZORIA 500 - Brazoria County Health Department-Lake Jackson 202 Peach St Lake Jackson BRAZORIA 500 - Brazoria County Health Dept., Pearland 2436 South Grand Blvd Pearland BRAZORIA 500 - Kelsey-Seybold Clinic - Pearland 2515 Business Center Dr Pearland BRAZORIA 1,000 - Texas Department of Criminal Justice Ramsey 1 1100 FM655 Rosharon BRAZORIA 100 - Texas Department of Criminal Justice Terrell 1300 FM 655 Rosharon BRAZORIA 100 - Fresenius Medical Care 3314 Longmire Drive College Station BRAZOS 100 - Family Health Services Of Alpine 1605 N Fort Davis Hwy Alpine BREWSTER 100 - 100 Dshs Phr 9/10 Alpine 205 N Cockrell St Alpine BREWSTER 100 - Cogdell Clinic Briscoe County 701 Commerce St Silverton BRISCOE 100 - HEB Pharmacy 200 800 S Saint Marys St Falfurrias BROOKS 100 - Lhd Brownwood-Brown County Health Department (Re) 510 E Lee St Brownwood BROWN 500 - Burleson St Joseph Health Center 1101 Woodson Dr Caldwell BURLESON 100 - Brookshires Pharmacy 44 455 Hwy 36 N Caldwell BURLESON 100 - Brookshires Pharmacy 65 16800 Sh 36 South Somerville BURLESON 100 - Lockhart Family Practice Center 2060 S Colorado St Lockhart CALDWELL 300 - 300 Heb Pharmacy 445 403 S Colorado St Lockhart CALDWELL 200 - Walgreens Pharmacy 11131 200 S Colorado St Lockhart CALDWELL 200 - DIsmukesRx, LLC 511 East Davis Street Luling CALDWELL 100 - Port Lavaca Clinic Associates P.A. 1200 N Virginia St Port Lavaca CALHOUN 200 - Resourcecare Clinic Clyde 1712 N Access Rd Clyde CALLAHAN 100 - 100 Fresenius Kidney Care Valley Hemodialysis 350 N Expressway Brownsville CAMERON 100 - South Texas Rehabilitation Hospital 425 E Alton Gloor Blvd Brownsville CAMERON 200 - Solara Hospital 508 Victoria Lane Harlingen CAMERON 100 - Garcia's Pharmacy LLC 101 S Stuart Place Rd Harlingen CAMERON 400 - TEXAS DEPARTMENT OF STATE HEALTH SERVICES 601 W.SESAME DRIVE Harlingen CAMERON 1,100 - Ut Health Pittsburg Hospital 2701 Us Highway 271 N Pittsburg CAMP 100 - Panhandle Family Care Llc 102 Us Highway 60 Panhandle CARSON 100 - East Texas Border Health Clinic dba Genesis PrimeCare - 1011 S William Street Atlanta CASS 200 - 200 Atla Medical Center Of Dimmitt 300 W Halsell St Dimmitt CASTRO 100 - Brookshires Pharmacy 7 272 N. Marcus Alto CHEROKEE 100 - LHD Cherokee County Health Department (RE) 803 College Ave Jacksonville CHEROKEE 100 - Brookshires Pharmacy 17 210 E Cherokee St Jacksonville CHEROKEE 100 - Chapman Pharmacy 108 E 5th St Rusk CHEROKEE 100 - Childress Regional Medical Center 901 Highway 83 North Childress CHILDRESS 100 - Fox Rural Health Clinic 1001 Us Highway 83 N Childress CHILDRESS 100 - Clay County Memorial Hospital 310 W South St Henrietta CLAY 200 - Cochran Memorial Hospital 201 E Grant Ave Ste 100 Morton COCHRAN 100 - Coleman Medical Associates 310 S Pecos St Fl 2 Coleman COLEMAN 100 - Fresenius Kideny Care of Allen 925 West Exchange Pkwy Allen COLLIN 100 - LifeCare Hospital of Plano 6800 Preston Road Plano COLLIN 100 - North Texas Hospital Physicians Group 6020 W Parker Rd Plano COLLIN 200 - Collingsworth Family Medicine 1011 15th St Wellington COLLINGSWORTH 100 - Colorado County EMS 305 Radio Lane Columbus COLORADO 500 - New Braunfels Regional Rehabilitation Hospital 2041 Sundance Parkway New Braunfels COMAL 100 - Comal County Public Health Office (Re) 1297 Church Hill Drive New Braunfels COMAL 2,000 - Health Hero America 244 Flightline Spring Branch COMAL 300 - Brookshires Pharmacy 93 400 W Central Ave Comanche Comanche 100 - Comanche County Medical Center 10201 Highway 16 Comanche COMANCHE 100 - CCH Pharmacy 614 Eaker St Eden CONCHO 100 - North Texas Medical Center 1900 Hospital Blvd Gainesville COOKE 1,000 - DSHS Gainesville 1714 Justice Center Blvd Gainesville COOKE 100 - Muenster Memorial Hospital 605 N. Maple St. Muenster COOKE 300 - Texas Department of Criminal Justice CRAIN 1401 Sate School Rd Gatesville CORYELL 100 - Texas Department of Criminal Justice Hughes 3201 FM 929 Gatesville CORYELL 100 - Texas Department of Criminal Justice Murray 1916 N. Hwy 36 Bypass Gatesville CORYELL 100 - Gatesville Drug Company 2513 S State Hwy 36 Gatesville CORYELL 100 - Crane County Rural Health Clinic 1310 S Alford St Crane CRANE 100 - Crosbyton Clinic Hosptital 710 W Main St Crosbyton CROSBY 100 - Van Horn Rural Health Clinic Eisenhower Rd Fm 2185 Van Horn CULBERSON 100 - Franklin County Rural Health Clinic 506 Texas Highway 37 Mount Vernon FRANKLIN 100 - 100 Freestone Medical Center DBA Freestone Health Clinic 734 West Commerce Fairfield FREESTONE 200 - 200 South Tx Rural Health Services Inc - Pearsall 150 Medical Dr. Pearsall FRIO 200 - 200

South Plains Public Health District - Seminole 704 Hobbs Highway Seminole GAINES 300 - 300 Post-Garza Co EMS 902 N. Ave S Post GARZA 300 - 300 Dshs Goliad 329 W. Franklin Goliad GOLIAD 100 - 100 Memorial Hospital - Gonzales Po Box 587 Gonzales GONZALES 300 - 300 PAMPA REGIONAL MEDICAL CENTER one medical plaza Pampa GRAY 100 - 100 United Pharmacy 528 1420 NORTH HOBART Pampa GRAY 100 - 100 Dshs Pampa 121 S Gillespie St Pampa GRAY 100 - 100 Brookshires Pharmacy 127 11205 N State Hwy 289 Pottsboro GRAYSON 100 - 100 Heritage Park Surgical Hospital Llc 3601 N Calais St Sherman GRAYSON 100 - 100 Grayson County Health Department-Sherman 515 North Walnut St. Sherman Grayson 100 - 100 Axtells Rite-Value Pharmacy Inc. 304 1/2 Charlie St Whitesboro GRAYSON 100 - 100 Grimes St Joseph Health Center 210 S Judson St Navasota GRIMES 100 - 100 Brookshires Pharmacy 6 309 N La Salle St Navasota GRIMES 100 - 100 Dshs Navasota 513 N La Salle St Navasota GRIMES 200 - 200 City of Schertz EMS 1400 Schertz Parkway Schertz GUADALUPE - 1,170 Kellum Family Medicine 3401 Fm 3009 Schertz GUADALUPE 500 - 500 Guadalupe Regional Medical Center 1215 E Court Seguin GUADALUPE 1,000 - Covenant Hospital Plainview 2601 Dimmitt Rd Plainview HALE 200 - 200 Hamilton General Hospital 400 N Brown St Hamilton HAMILTON 200 - 200 Hansford County Hospital District (Hospital) 707 Roland St Spearman HANSFORD 200 - 200 Hardeman County Clinic 404 Mercer St Quanah HARDEMAN 200 - 200 Biomedical Applications of Texas 2202 Rollingbrook Baytown HARRIS 100 - 100 CHANNELVIEW PHARMACY LLC 441 SHELDON RD. Channelview HARRIS 100 - 100 Baylor College Of Medicine 1 Baylor Plz Stop Bcm-667 Houston HARRIS 800 - 800 University of Houston Student Health Center 4849 Calhoun Rd. Houston HARRIS 1,000 - Acres Home Health Center 818 Ringold St Houston HARRIS 400 - 400 Mlk Health Center - Houston 3550 Swingle Rd Houston HARRIS 500 - 500 UTP Comprehensive Sickle Cell Center 1200 Binz St Ste 850 Houston HARRIS 200 - 200 BIO-MEDICAL APPLICATIONS OF TEXAS, INC 4740 West Bellfort Houston HARRIS 100 - 100 Fresenius Kidney Care 2254 holcombe blvd Houston HARRIS 100 - 100 Fresenius Medical Care Cypress Fairbanks Dialysis 10505 Jones Road Houston HARRIS 100 - 100 TC JESTER DIALYSIS 1800 W 26TH ST Houston HARRIS 100 - 100 HEALTHCARE FOR THE HOMELESS-HOUSTON 1934 CAROLINE ST Houston HARRIS 200 - 200 Houston Community Health Centers 424 Hahlo Street Houston HARRIS 100 - 100 Lone Star Circle Of Care At The University Of Houston 4849 Calhoun Road Houston HARRIS 300 - 300

Aldine Health Center 4755 Aldine Mail Route Rd Houston HARRIS 400 - 400 Ben Taub General Hospital 1504 Taub Loop Houston HARRIS - 5,850 COBALT REHABILITATION HOUSTON HEIGHTS HOSPITAL 1917 ASHLAND ST Houston HARRIS 100 - 100 Encompass Health Rehabilitation Hospital Cypress 13031 Wortham Center Drive Houston HARRIS 100 - 100 Encompass Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive Houston HARRIS 200 - 200 Lbj Hospital - Harris County Hospital District 5656 Kelley St Houston HARRIS - 5,850 New Horizon Hospital 17506 Red Oak Dr Houston HARRIS 200 - 200 United Memorial Medical Center 510 West Tidwell Road Houston HARRIS - 2,340 UT MD Anderson Cancer Center 1515 Holcombe Blvd Houston HARRIS - 2,340 COH Northside Health Center 8504 Schuller Houston HARRIS 600 - 600 La Nueva Casa De Amigos Health Center 1809 N Main St Houston HARRIS 600 - 600 Sharpstown Health Services 6201 Bonhomme Houston HARRIS 600 - Sunnyside Health Center 4605 Wilmington St Houston HARRIS 600 - Next Level Urgent Care Attucks 4330 Belfort Street Houston HARRIS 500 - HealthQuest Infusion Services 1311 W. Sam Houston Pkwy N. Houston HARRIS 100 - Legacy Community Health Pharmacy Lyons 3811 Lyons Ave Houston HARRIS 300 - 300 Walgreens Pharmacy 02135 6610 Tidwell Rd Houston HARRIS 200 - Centra Clinic 3751 South Dairy Ashford Road Houston HARRIS 500 Gordon Crofoot MD PA 3701 Kirby Dr. Houston HARRIS 100 - Wellmed East Alief 9380 W Sam Houston Pkwy Houston HARRIS 400 - Encompass Health Rehabilitation Hospital of Humble 19002 McKay Dr. Humble HARRIS 200 - Post Acute Medical Rehabilitation Hospital Of Humble 18839 Mckay Drive Humble HARRIS 200 - Southeast Texas Medical Ventures, LLC 1475 FM 1960 BYPASS E Humble HARRIS 100 - Harris County Emergency Services District 48 Fire 21201 Morton Road Katy HARRIS 200 - Kelsey-Seybold Clinic - West Grand Parkway 2510 W. Grand Parkway N. Katy HARRIS 300 - Texas Vaccine Institute 21811 Katy Fwy Ste D102 Katy HARRIS 500 - Fresenius Medical Care 4901 East Sam Houston Pkwy S. Pasadena HARRIS 100 - Vista Community Medical Center Llp - Pasadena - 4301 4301 Vista Rd Pasadena HARRIS 200 - North Houston Surgical Hospital, LLC 20635 Kuykendahl Rd Spring HARRIS 200 - Northwest Houston Heart Center 308 Holderrieth Blvd Tomball HARRIS 500 - Houston Physicians Hospital 333 N. Texas Ave Webster HARRIS 200 - Pam Rehabilitation Hospital Clear Lake North 655 E Medical Center Blvd Webster HARRIS 200 - Pam Rehabilitation Hospital Of Clear Lake Main 110 East Medical Center Boulevard Webster HARRIS 200 - Brookshires Pharmacy 130 590 W Main St Hallsville HARRISON 100 - East Texas Border Health Clinic dbs Genesis PrimeCare - 805 Lindsey Drive Marshall HARRISON 100 - 100 Marshall-Harrison County Health District (Re) 805 Lindsey Dr Marshall HARRISON 400 - 400 Haskell Memorial Hospital Clinic 1400 S 1st St Haskell HASKELL 100 - The Drug Store 100 S Avenue E Haskell HASKELL 100 - HEB Pharmacy 477 15300 Ih 35 S Buda HAYS 200 - Walgreens Pharmacy 10841 1660 Main St Buda HAYS 200 - Walmart Pharmacy 4219 690 Old San Antonio Rd Buda HAYS 200 - HEB Pharmacy 611 598 E Hwy Us 290 Dripping Springs HAYS 200 - Walgreens Pharmacy 12029 27495 Rr 12 Dripping Springs HAYS 200 - HEB Pharmacy 14 5401 South Fm 1626 Kyle HAYS 200 - Heb Pharmacy 243 641 E Hopkins St San Marcos HAYS 200 - Walgreens Pharmacy 04550 639 E Hopkins St San Marcos HAYS 200 - Walgreens Pharmacy 12521 1700 Rr 12 San Marcos HAYS 200 - Live Oak Health Partners Comm Cl 401 Broadway St Ste A San Marcos HAYS 200 - HEB Pharmacy 708 14501 Ranch Road 12 Wimberley HAYS 200 - Hemphill County Hospital 1020 S.4th Canadian HEMPHILL 100 - Renal Care Group Texas, Inc 1220 S Palestine Athens HENDERSON 100 - Family Circle Of Care Athens 1001 N Palestine St Athens HENDERSON 200 - 200 Ut Health East Texas Athens 2000 S Palestine St # 40024 Athens HENDERSON 200 - Brookshire's Pharmacy 011 807 E Tyler St Athens HENDERSON 100 - Christus Trinity Mother Frances 1505 Hwy 19 S Athens HENDERSON 200 - Lakeland 117 Medical Circle Athens HENDERSON 200 - Brookshires Pharmacy 84 703 HWY 31 E Chandler HENDERSON 100 - Brookshires Pharmacy 68 210 S Seven Points Dr Kemp HENDERSON 100 - Brookshires Pharmacy 064 1200 S 3rd St Mabank HENDERSON 100 - Lakeland Medical Associates - Tvfc 040207 170 Municipal Dr Mabank HENDERSON 200 - Wellmed Crossroads 1301 E Fern McAllen HIDALGO 400 - Nuestra Clinica Del Valle -Mission 611 N Bryan Rd Mission HIDALGO 100 - 100 Hill Regional Hospital 101 Circle Dr Hillsboro HILL 400 - Dshs Hillsboro 605 S Ivy St Ste 200 Hillsboro HILL 200 - COVENANT HOSPITAL LEVELLAND 1900 College Avenue Levelland HOCKLEY 200 - Levelland Clinic North 103 John Dupree Dr Levelland HOCKLEY 200 - Granbury Hood County EMS Inc 2200 Commercial Ln Granbury HOOD 1,500 - DSHS Granbury 214 N Travis St Granbury HOOD 100 - Brookshire's Pharmacy 013 809 Gilmer Rd. Sulphur Springs HOPKINS 100 - Christus Trinity Clinic - Sulphur Springs 105 Medical Plaza, Building 1 Sulphur Springs HOPKINS 200 - Brookshires Pharmacy 85 401 N 4th St Crockett HOUSTON 100 - Davy Crockett Drug Inc 107 S 4th St Crockett HOUSTON 100 - Brookshires Pharmacy 112 1111 N Hwy 287 Grapeland HOUSTON 100 - Scenic Mountain Medical Ctr 1601 W 11th Pl Big Spring HOWARD 400 - Project Vida Health Center 561 S. Knox Fort Hancock HUDSPETH 100 - 100 Hunt Regional Medical Center 4215 Joe Ramsey Blvd E Greenville HUNT 1,000 - High Plains Family Medicine 104 N Bryan St Borger HUTCHINSON 200 - Jack County Medical Clinic 215 Chisholm Trail Jacksboro JACK 300 - Jackson County Hospital District 1013 S Wells Edna JACKSON 100 - Rogers Pharmacy #6 1013 S Wells St, Edna JACKSON 100 - Jeff Davis County Ambulance 200 Court Ave Fort Davis JEFF DAVIS 100 - Beaumont Kidney Center 1085 S 23rd St Beaumont JEFFERSON 100 - PAM REHABILITATION HOSPITAL OF BEAUMONT 3340 Plaza 10 Blvd Beaumont JEFFERSON 200 - Gateway Community Health Center Inc. - Hebbronville 473 State Highway 285 Hebbronville JIM HOGG 100 - 100

Burleson Public Health Authority 828 sw alsbury Burleson JOHNSON 3,000 - Anson General Hospital 101 Avenue J Anson JONES 100 - DSHS Anson 2062 Us Hwy 277 North Anson JONES 100 - Texas Department of Criminal Justice CONNALLY 899 FM 632 Kenedy KARNES 100 - Otto Kaiser Memorial Hopsital 3349 South Highway 181 Kenedy KARNES 300 - Brookshires Pharmacy 89 427 PINSON ROAD Forney KAUFMAN 200 - Kroger Pharmacy 579 500 Marketplace Blvd Forney KAUFMAN 200 - Brookshires Pharmacy 035 2235 S Washington St Kaufman KAUFMAN 200 - DSHS Kaufman 2525 E. Hwy 175 Kaufman KAUFMAN 200 - Terrell Fire Department 201 East Nash Street Terrell KAUFMAN 3,000 - Brookshires Pharmacy 023 1400 W. Moore St. Terrell Kaufman 300 - Kendall County EMS 1175 N MAIN Boerne KENDALL 500 - HEB Pharmacy 621 420 W Bandera Boerne KENDALL 100 - Peterson Regional Medical Center - Kerrville 551 Hill Country Dr Kerrville KERR 500 - Kimble Hospital 349 Reid Rd Junction KIMBLE 200 - United Medical Centers #2 202 James Street Brackettville KINNEY 100 - 100 Knox County Hospital 701 Se 5th St Knox City KNOX 100 - Lamb Healthcare Center 1500 S Sunset Ave Littlefield LAMB 200 - Lhc Family Medicine - Dr Cindy George 1600 S Sunset Ave. A Littlefield LAMB 100 - Advent Health Rollins Brook Hospital 608 North Key Avenue Lampasas LAMPASAS 200 - AdventHelath Family Medicine Rural Health Clinics 187 PR 4060 Lampasas LAMPASAS 200 - Lavaca Medical Center 1400 N Texana St Hallettsville LAVACA 200 - Brookshires Pharmacy 74 - Hallettsville 1514 N Texana St Hallettsville LAVACA 100 - Lavaca Family Health Clinic 1406 North Texana Hallettsville LAVACA 300 - Brookshires Pharmacy 37 513 E Austin St Giddings LEE 100 - Pieratt's Pharmacy 233 S. Manse Giddings LEE 200 - 200 Brookshires Pharmacy 54 - Buffalo 1220 W Commerce Buffalo LEON 100 - 100 Brookshires Pharmacy 26 1117 N Main St Jewett LEON 100 - 100 Dshs Cleveland Clinic 300 Campbell St Cleveland LIBERTY 100 - 100 Limestone Medical Center 701 Mcclintic Dr Groesbeck LIMESTONE 100 - 100 Family Medicine Center - Groesbeck 701 Mcclintic Dr Groesbeck LIMESTONE 100 - 100 Parkview Regional Hospital 600 S Bonham St Mexia LIMESTONE 200 - 200 Teare Memorial Clinic 146 Pioneer Dr Booker LIPSCOMB 100 - 100 Live Oak County Health Department 301 Houston St Annex Bldg Rm 10 George West LIVE OAK 200 - 200 Corner Drug 600 Bessemer Ave Llano LLANO 100 - 100 Hill Country Direct Care 904 Ford St Llano LLANO 300 - 300 Joe Arrington Cancer Center 4101 22nd Place Lubbock LUBBOCK 200 - 200 Lubbock Vascular Access Center 1126 Slide Rd Lubbock LUBBOCK 100 - 100 Dshs Phr 1 Hq - Lubbock (Re) 6302 Iola Ave Lubbock LUBBOCK 300 - 300 Family Wellness Clinic 1809 Lockwood Ave Tahoka LYNN 100 - 100 Chi St. Joseph Madison Hospital 100 W Cross St Madisonville MADISON 100 - 100 Texas Department of Criminal Justice FERGUSON 12120 Savage Dr Midway MADISON 100 - 100 HEALTHIER WAY FAMILY CARE, PLLC 110 N WALNUT ST Jefferson MARION 100 - 100 Martin County Hospital District 600 Interstate 20 East Stanton MARTIN 100 - 100 Frontera Healthcare Network Mason Clinic 216 E College Mason MASON 100 - 100 Matagorda Regional Medical Center 104 7th Street Bay City MATAGORDA 300 - 300 Dshs Hsr 6/5s-Bay City 1700 Merlin St Bay City MATAGORDA 100 - 100 Palacios Medical Clinic 307 Green Ave. Palacios MATAGORDA 300 - 300 Frontera Healthcare-Brady 2205 S Bridge St Ste 300 Brady MCCULLOCH 200 - 200 Mcmullen Community Health Center 203 Hackberry St Tilden MCMULLEN 100 - 100 Medina Regional Hospital 3100 Avenue E Hondo MEDINA 300 - 300 LHD Medina CO Health Dept (RE) 1206 15th St Hondo MEDINA 300 - 300 Frontera Clinic-Menard 119 S. Ellis Menard MENARD 100 - 100 DSHS Midland 1101 N. Midland Dr. Midland MIDLAND 300 - 300 LHD MILAM CO HEALTH DEPT (RE) 209 S. Houston Ave Cameron MILAM 300 - 300 Mills County Medical Clinic - Mills county 1510 Hanna Valley Rd Goldthwaite MILLS 200 - 200 Mitchell County Hospital 997 W I20 Colorado City MITCHELL 300 - 300 Nocona General Hospital 100 Park Rd Nocona MONTAGUE 100 - 100 Sam Houston State University Dba Shsu Physicians 690 S Loop 336 W Ste 200 Conroe MONTGOMERY 100 - 100 Encompass Health Rehabilitation Hospital of The Wo 18550 IH 45 South Conroe MONTGOMERY 200 - 200 Encompass Health Rehabilitation Hospital Vision Pa 117 Vision Park Conroe MONTGOMERY 300 - 300 Solara Hospital Conroe 1500 Grand Lake Dr Conroe MONTGOMERY 100 - 100 Montgomery County Phd 1300 S Loop 336 W Conroe MONTGOMERY 2,500 - 2,500 Kroger Pharmacy 136 341 S Loop 336 W Conroe MONTGOMERY 200 - 200 Magnolia Pharmacy 18230 Fm 1488 Rd Ste 100 Magnolia MONTGOMERY 500 - 500 Kroger Pharmacy 142 20168 Eva St Montgomery MONTGOMERY 200 - 200 Kroger Pharmacy 138 22030 Market Place Dr New Caney MONTGOMERY 200 - 200 Fresenius Kidney Care Cypress Creek 9449 Grogans Mill Rd Spring MONTGOMERY 100 - 100 Kroger Pharmacy 137 3731 Riley Fuzzel Rd Spring MONTGOMERY 200 - 200 Moore County Hospital District 224 E 2nd St Dumas MOORE 200 - 200 Dshs Dumas 501 Success Blvd Dumas MOORE 100 - 100 Brookshires Pharmacy 109 609 Linda Dr Daingerfield MORRIS 100 - 100 Nacogdoches Memorial Hosp Care 1st 1106 South St Nacogdoches NACOGDOCHES 300 - 300 East Texas Community Health Services 1309 S. University Dr. Nacogdoches NACOGDOCHES 200 - 200 Nacogdoches Memorial Hospital 1204 N Mound St Nacogdoches NACOGDOCHES 500 - 500 Fresenius Medical Care Corsicana 1321 w 2nd ave Corsicana NAVARRO 100 - 100 Jasper-Newton County Phd (Newton) 210 High St Newton NEWTON 300 - 300 Rolling Plains Memorial Hospital Employee And Patients 200 E Arizona Sweetwater NOLAN 100 - 100 Lhd Sweetwater-Nolan Co Health Dept (Re) 301 E 12th St Sweetwater NOLAN 200 - 200 Christus Spohn Health System Shoreline 600 Elizabeth St Corpus Christi NUECES 500 - 500 Wellmed Morgan 2922 Morgan Avenue Corpus Christi NUECES 400 - 400 Dewitt Family Practice 3020 Garrett Dr Perryton OCHILTREE 100 - 100 Perryton Health Center 3101 Garrett Dr Perryton OCHILTREE 100 - 100 Family Care Clinic Of Boys Ranch 74 Patterson Circle Boys Ranch OLDHAM 200 - 200 Best Value Waddy Pharmacy 106 Sw 6th Ave Mineral Wells PALO PINTO 100 - 100 DSHS Mineral Wells 4113 Highway 180 E Mineral Wells PALO PINTO 100 - 100 Hope Community Medicine-Carthage 820 West Panola St. Carthage PANOLA 100 - 100 Brookshires Pharmacy 8 - Carthage 412 W Panola St Carthage PANOLA 100 - 100 Friona Rural Health Clinic 1307 Cleveland Ave Ste B Friona PARMER 200 - 200 PECOS COUNTY MEMORIAL HOSPITAL DBA FAMILY CARE 387 W IH 10 Fort Stockton PECOS 300 - 300 Iraan Rural Health Clinic 600 Hwy 349 North Iraan PECOS 300 - 300 Texas Department of Criminal Justice Polunsky 3872 FM 350 South Livingston POLK 100 - 100 Fresenius Kidney Care 5920 Amarillo Blvd W Amarillo POTTER 100 - 100 Dshs Marfa 205 E El Paso St Marfa PRESIDIO 500 - 500 Brookshires Pharmacy 4 959 East Us Hwy 69 Emory RAINS 200 - 200 DSHS Amarillo 3407 Pony Express Way Amarillo RANDALL 400 - 400 BSA Hospital, LLC EMS 615 West US Hwy 60 Canyon RANDALL 200 - 200 United Pharmacy 532 201 N 23rd St Canyon RANDALL 100 - 100 Reagan Memorial Hospital 1300 N. Main Street Big Lake REAGAN 100 - 100 Canyon Health Center 700 Frio St. Camp Wood REAL 100 - 100 Rolling Hills Health 121 Oak Hill Dr Leakey REAL 100 - 100 Prmc Healthcare Group, Inc - Clarksville 201 S Walnut St Clarksville RED RIVER 100 - 100 Refugio County Memorial Hospital District 107 Swift St Refugio REFUGIO 200 - 200 Wilson Drug 118 W 4th St Hearne ROBERTSON 100 - 100 Rockwall Fire Department 305 E. Boydstun Ave. Rockwall ROCKWALL 1,000 - 1,000 Rockwall County Health Authority 1010 W Ralph Hall Pkwy Rockwall ROCKWALL 1,000 - 1,000 The Health Center Of Helping Hands 401 W Rusk St Ste 100 Rockwall ROCKWALL 1,000 - 1,000 DSHS Ballinger 2017 Hutchins Avenue Ballinger RUNNELS 100 - 100 North Runnels Hospital District 7821 Hwy 153 Winters RUNNELS 200 - 200 Texas Department of Criminal Justice EAST TX ISF 900 Industrial Drive Henderson RUSK 100 - 100 Kroger Pharmacy 490 2415 Us Highway 79 S Henderson RUSK 100 - 100 Sabine County Hospital 2301 Worth St Hemphill SABINE 200 - 200 Hope Community Medicine-San Augustine 109 E Main St San Augustine SAN AUGUSTINE 200 - 200 Brookshires Pharmacy 72 - Coldspring 14761 Hwy 150 West Coldspring SAN JACINTO 100 - 100 Bay Area Dialysis Aransas Pass 709 S. Commercial St. Aransas Pass SAN PATRICIO 100 - 100 Lhd San Patricio Co Dept Of Health (Re) 313 N. Rachal Sinton SAN PATRICIO 700 - 700 Baylor Scott and White Healthcare 2005 W. Wallace San Saba SAN SABA 100 - 100 Schleicher County Family Clinic 100 N Us Highway 277 Eldorado SCHLEICHER 200 - 200 Scurry County Health Unit 911 26th St Snyder SCURRY 100 - 100 Cogdell Family Clinic 1700 Cogdell Blvd Snyder SCURRY 100 - 100 Resource Care Albany Hq 725 Pate St Ste 100 Albany SHACKELFORD 100 - 100 Hope Community Medicine-Center 620 Tenaha St Center SHELBY 100 - 100 Hope Community Medicine-Tenaha 157 Wall St Tenaha SHELBY 100 - 100 Stratford Family Medical Clinic Po Box 1189 Stratford SHERMAN 100 - 100 Watson Wise Dialysis 815 East First Street Tyler SMITH 100 - 100 UTHealth Tyler Hospital 1000 South Beckham Avenue Tyler SMITH 200 - 200 DSHS PHR 4/5N HQ - Tyler (RE) 2521 W Front St Tyler SMITH 1,000 - Glen Rose Medical Center 1021 Holden St Glen Rose SOMERVELL 300 - 300 Starr County 100 N FM 3167 Rio Grande City STARR 1,000 - Family Health Center Llp 2768 Pharmacy Rd Rio Grande City STARR 1,000 - Breckenridge Medical Center 101 S. Hartford Breckenridge STEPHENS 200 - 200 Stonewall Memorial Hospital 821 N Broadway St Aspermont STONEWALL 100 - 100 Lillian M Hudspeth Memorial Hospital 308 Hudspeth St Sonora SUTTON 100 - 100 Swisher Memorial Healthcare System 539 Se 2nd St Tulia SWISHER 100 - 100 Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd Arlington TARRANT 100 - 100 Oak Street Health 4801 S Cooper St #401 Arlington TARRANT 100 - 100 Dshs Hsr 2/3 Hq - Arlington (Re) 1301 S Bowen Rd Arlington TARRANT 500 - 500 Encompass Health Rehab Hospital of the Mid-Cities 2304 State Highway 121 Bedford TARRANT 200 - 200 Metropolitan Area EMS Authority 2900 Alta Mere Drive Fort Worth TARRANT 500 - 500 Encompass Health Rehabilitation Hospital City View 6701 Oakmont Blvd Fort Worth TARRANT 100 - 100 Jps Hospital 1500 South Main St Fort Worth TARRANT - 3,510 Lifecare Hospital Fort Worth - Fort Worth 6201 Overton Ridge Blvd Fort Worth TARRANT 100 - 100 Texas Department of Criminal Justice MIDDLETON 13055 FM 3522 Abilene TAYLOR 100 - 100 Bio- Medical Applications of Texas, Inc 1802 Pine Street Abilene TAYLOR 100 - 100 South Plains Public Health District - Brownfield 919 E Main St. Brownfield TERRY 200 - 200 Throckmorton Rural Health Clinic 802 N Minter Ave Ste B Throckmorton THROCKMORTON 100 - 100 Renal Care Group Texas Inc DBA Mt. Pleasant Dialysis 628 S. Jefferson Ave Mount Pleasant TITUS 100 - 100 Titus Regional Medical Center 2001 North Jefferson Mount Pleasant TITUS 400 - 400 San Angelo Health Department 2030 Pulliam St Ste 8 San Angelo TOM GREEN 200 - 200 Communitycare Arch 500 E 7th St Austin TRAVIS 200 - 200 CommUnityCare Sandra Joy Anderson 1705 E 11th St Austin TRAVIS 200 - 200 Communitycare William Cannon 6801 S IH 35 Frontage Rd Austin TRAVIS 200 - 200 Fresenius Medical Care 12221 Renfert Way Austin TRAVIS 100 - 100 Carousel Pediatrics Wm Cannon 6425 S Interstate 35 Ste 100 Austin TRAVIS 100 - 100 Communitycare Hornsby Bend Health Center 14312 Hunters Bend Rd Austin TRAVIS 200 - 200 Communitycare North Central 1210 W Braker Ln Austin TRAVIS 200 - 200 Communitycare Rundberg 825 E Rundberg Ln Ste B1 Austin TRAVIS 300 - 300 Communitycare- South Austin 2529 S 1st St Austin TRAVIS 200 - 200 Lone Star Circle Of Care At Collinfield 8913 Collinfield Dr Unit 1 Austin TRAVIS 100 - 100 Lone Star Circle Of Care At El Buen Samaritano 7000 Woodhue Dr Austin TRAVIS 200 - 200 Lone Star Circle Of Care Ben White 1221 W Ben White Blvd # B100 Austin TRAVIS 100 - 100 Lscc Fam Care Ctr Nw Fp 11111 Research Blvd Ste 320 Austin TRAVIS 100 - 100 People's Community Clinic - Austin 2 1101 Camino La Costa Ste 100 Austin TRAVIS 100 - 100 BSWIR JV 2000 Medical Drive Austin TRAVIS 200 - 200 Encompass Health Of Austin 330 West Ben White Blvd Austin Travis 100 - 100 Seton Medical Center Austin 1201 W 38th St Austin TRAVIS 3,000 - Refugee Services - Austin 1 1000 Toyath St Austin TRAVIS 200 - 200 Communitycare South East Health And Wellness Clinic 2901 Montopolis Dr Austin TRAVIS 200 - 200 AUSTIN EAR NOSE AND THROAT CLINIC 4315 JAMES CASEY Austin TRAVIS 500 - 500 Toth Enterprises Ii Victory Medical And Family Care 4303 Victory Dr Austin TRAVIS 100 - 100 Wellmed Ben White 706 W. Ben White Bldg. A Austin TRAVIS 400 - 400 Communitycare - Del Valle 3518 Fm 973 Ste A Del Valle TRAVIS 200 - 200 Manor Pharmacy 14008 Shadowglen Blvd Manor TRAVIS 100 - 100 DSHS CENTRAL PHARMACY WAREHOUSE 1111 NORTH LOOP Austin TRAVIS_DSHS 6,100 - Healthpoint Trinity 315 Prospect Dr Trinity TRINITY 200 - 200 Tyler County Hospital Family Medical Clinic 104 N Beech St Woodville TYLER 500 - 500 The Med-Shop Pharmacy 825 US HWY 271 N. Gilmer UPSHUR 100 - 100 Rankin County Hospital District 1611 Spur 576 Rankin UPTON 100 - 100 Emergency Operations Center 1051 West 10th Del Rio VAL VERDE 500 - 500 Christus Trinity Clinic Of Canton 18780 I20 Service Road Canton VAN ZANDT 300 - 300 Brookshires Pharmacy 033 205 W Frank St Grand Saline VAN ZANDT 100 - 100 Sam Houston State University - Student Health Center 1608 Avenue J Huntsville WALKER 100 - 100 Texas Department of Criminal Justice ELLIS 1697 FM 980 Huntsville WALKER 100 - 100 Texas Department of Criminal Justice ESTELLE 264 FM 3478 Huntsville WALKER 100 - 100 Texas Department of Criminal Justice Huntsville 815 12th Street Huntsville WALKER 100 - 100 Brookshires Pharmacy 33 - Huntsville 2601 11th St Huntsville WALKER 100 - 100 Kroger Pharmacy 145 223 Interstate 45 S Huntsville WALKER 200 - 200 Huntsville Family Medicine - Huntsville 2 123 Medical Park Ln Ste A Huntsville WALKER 300 - 300 Ft Bend Family Hlth Ctr Accesshealth - Brookshire 533 Fm 359 S Brookshire WALLER 200 - 200 Ward Memorial Hospital 406 S Gary Ave Monahans WARD 200 - 200 HEB Pharmacy 584 306 N Mechanic St El Campo WHARTON 200 - 200 Midcoast Medical Clinic 305 Sandy Corner Rd Ste 120 El Campo Wharton 200 - 200 Shamrock General Hospital 1000 S Main St Shamrock WHEELER 100 - 100 Hyland's Pharmacy 1814 Bill Mack Rd Shamrock WHEELER 100 - 100 Texas Department of Criminal Justice Allred 2101 FM 369 N Iowa Park WICHITA 100 - 100 Fresenius Medical Care 1600 9th Street Wichita Falls WICHITA 100 - 100 LHD Wichita Falls-Wichita CO PH Dist (RE) 1700 3rd Street Wichita Falls WICHITA 700 - 700 Wilbarger General Hospital 920 Hillcrest Dr Vernon WILBARGER 200 - 200 Su Clinica - Raymondville 131 Fm 3168 Raymondville WILLACY 100 - 100 Lone Star Circle Of Care At Cedar Park 1401 Medical Pkwy Ste 311 Bldg B Cedar Park WILLIAMSON 200 - 200 Family Health And Wellness At Lake Aire 2423 Williams Dr Georgetown WILLIAMSON 100 - 100 Lake Aire Med Ctr Sr Health Wellnes 2423 Williams Dr Ste 113 Georgetown WILLIAMSON 100 - 100

Lscc Tamu Hlth Science Ctr Family Hlth 3950 N A W Grimes Blvd # 301 Round Rock WILLIAMSON 100 - 100

Seton Circle Of Care Senior Health 3950 N A W Grimes Blvd # 104 Round Rock WILLIAMSON 100 - 100 Encompass Health of Round Rock 1400 Hesters Crossing Rd Round Rock WILLIAMSON 200 - 200 Pam Rehabilitation Hospital Of Round Rock 351 Seton Parkway Round Rock WILLIAMSON 200 - 200 Wcchd Round Rock 355 Texas Ave. Round Rock WILLIAMSON 1,600 - Curative Medical Associates PA 1608 Royston Lane Round Rock WILLIAMSON 2,000 - Lone Star Circle Care Taylor Hlth Ctr 601 Mallard Ln Ste A Taylor WILLIAMSON 100 - 100 Connally Memorial Medical Center 499 10th St Floresville WILSON 600 - 600 Winkler County Rural Health Clinic 828 Myer Ln Kermit WINKLER 200 - 200 Wise Health System 609 Medical Center Dr Decatur WISE - 1,170 Brookshire's Pharmacy 015 1478 N Beaulah St Hawkins WOOD 100 - 100 Brookshires Pharmacy 031 1224 N Pacific St Mineola WOOD 100 - 100 South Plains Public Health District - Denver City 415 Mustang Dr Denver City YOAKUM 200 - 200 Graham Regional Medical Center 1301 Montgomery Rd Graham YOUNG 300 - 300 Olney Hamilton Hospital District 901 W Hamilton St Olney YOUNG 200 - 200 Zapata Primary Care - Zapata 1 105 S Us Highway 83 Zapata ZAPATA 300 - 300 Chldns Cl Dimmit& Zavala Pa 1313 Veterans Ave Ste C Crystal City ZAVALA 100 - 100 Medical Arts Kidney Center of Ennis 711 S. Clay Street Ennis ELLIS 411 E Jefferson St Bldg B Waxahachie ELLIS 100 Hope Clinic - Waxahachie 830 B East Rd Stephenville ERATH Erath County EMS Tarleton State University Student Health Services 600 N. Rome Stephenville ERATH 742 FM 712 Marlin FALL Texas Department of Criminal Justice Hobby One St. Marks Place La Grange FAYETTE St. Marks Medical Center 450 E Travis St La Grange FAYETTE Heb Pharmacy 416 774 State Highway 70 N Rotan FISHER Fisher County Hospital District 200 S Main St Floydada FLOYD Payne Family Pharmacy 200 North 1st Street Crowell FOARD Foard County Clinic 3 Jester Rd Richmond FORT BEND Texas Department of Criminal Justice Jester III 1730 B F Terry Blvd Rosenberg FORT BEND Fresenius Medical Care Brazos 14815 Southwest Fwy Sugar Land FORT BEND 300 St. Hope Foundation Sugar Land 17500 W Grand Pkwy S Sugar Land FORT BEND Memorial Hermann Sugar Land Sugar Land Rehabilitation Hospital 1325 Highway 6 Sugar Land FORT BEND 306 State Hwy 37 South Mount Vernon FRANKLIN Brookshires Pharmacy 58 Parkland Health and Hospital System 5184 Tex Oak Ave. Ron J. Anderson Dallas Dallas

Cash Saver Pharmacy 19 2130 E Ledbetter Dr Dallas DALLAS

Community, A Walgreens Pharmacy #21319 2515 Inwood Rd, Ste 113 Dallas Dallas

Family Healthwatch 4041 W Wheatland Rd Ste 116 Dallas DALLAS

Md Kids Pediatrics - Lancaster/Kiest 3200 S. Lancaster Dallas DALLAS

Vibra Specialty Hospital of Desoto 2700 Walker Way Desoto DALLAS

Grand Prairie Fire Department 1525 arkansas ln, 3rd floor Grand Prairie DALLAS

Agrace Pharma 721 W Tarrant Rd Grand Prairie DALLAS

Fresenius Medical Care Metro East Dialysis 909 gross rd Mesquite DALLAS

South Plains Public Health District - Lamesa 503 S 1st St Lamesa DAWSON

Hereford Health Clinic 540 W 15th St Hereford DEAF SMITH

DSHS Hereford 600 N 25 Mile Ave Ste 500 Hereford DEAF SMITH 300 Health Services Of North Texas 4304 Mesa Dr Denton DENTON

Community Pharmacy 4400 Teasley Lane Denton DENTON

Baylor Scott & White Medical Center Trophy Club 2850 East State Hwy 114 Roanoke DENTON

Cuero Regional Hospital 2550 N. Esplanade Cuero DEWITT

Cuero-Dewitt County Health Department 115 N Gonzales St Ste B Cuero DEWITT

Carrizo Springs Kidney Disease Clinic 409 South 7th Street Carrizo Springs DIMMIT

Clarendon Family Medical Center 1 Medical Center Drive Clarendon DONLEY

Brookshires Pharmacy 99 1010 Avenue E Cisco EASTLAND Foremost Family Hlth Ctr Balch Springs 3515 Shepherd Ln Balch Springs Dallas 100 Texas Department of Criminal Justice Hutchins Los Barrios Unidos Community Clinic - Dallas 1 809 Singleton Blvd 100 Los Barrios Unidos Community Clinic - Dallas 2 3111 Sylvan Ave Dallas Dallas 100 Baylor Scott and White Institute for Rehabilitation Methodist Dallas Medical Center Davita Loma Vista Dialysis 1382 Lomaland Dr Ste A El Paso EL PASO El Paso EL PASO El Paso Gateway Dialysis 10767 Gateway Blvd W Ste 600 El Paso EL PASO Cobalt Rehabilitation Hospital El Paso 1600 E. CLIFF DRIVE El Paso EL PASO Legent Hospital of El Paso 1416 George Dieter Dr El Paso EL PASO Rio Vista Behavioral Health 1390 North Western The Hospitals of Providence Memorial Campus 2001 N Oregon St El Paso EL PASO Wellmed Remcon 7430 Remcon Circle El Paso EL PASO