Flu Shot Opportunities – Fall/Winter 2018 State

FLU SHOT OPPORTUNITIES – FALL/WINTER 2018

STATE SYSTEM Health Plan – Highmark PPO Members

• All Highmark members (who are age 9 and older) can obtain a no-cost flu shot at any CVS, Giant, Giant Eagle, or Rite Aid pharmacy in Pennsylvania, and at many other pharmacy locations (see attached list). No appointment is needed – the member must present their Highmark member ID card. The State System health plan will be billed directly for this service.

• Rite Aid, Giant Eagle, select CVS pharmacy locations and many other pharmacies will conduct an on- site campus flu shot administration, if the campus would like to pursue this option. There will be no additional fees specific to this event – the State System health plan will be billed for the number of vaccines administered to its State System Highmark members. Many campuses have already been approached by a pharmacy. If you have not, and you would like to pursue this option, please notify me, and I will put you in touch with the appropriate individual. If an on-site clinic is offered, all State System Highmark members (and Highmark members covered under an unrelated employer plan) can receive a no-cost flu shot at the event (they must present their Highmark member ID card). For individuals who are not covered by a participating health plan, there is the opportunity for them to receive a flu shot at the campus event on a self-pay basis (cash or personal check, the logistics of this will need to be addressed with the pharmacy vendor in advance of the event). They may have the ability to submit the receipt for this flu shot with a claim form to their health plan and receive reimbursement.

• Highmark members of all ages can obtain a flu shot from their physician (an office visit co-pay may be charged).

STATE SYSTEM Health Plan – UPMC HMO Members

• UPMC HMO members of the State System plan can obtain a no-cost flu shot at the following retail pharmacies: o Rite Aid o Giant Eagle

• If the campus does an on-site flu shot program with Rite Aid, the UPMC HMO member can obtain a no- cost flu shot at that event. This needs to be coordinated in advance with Rite Aid and UPMC.

• UPMC HMO members can obtain a flu shot at their doctor’s office (an office visit co-pay may apply).

• UPMC HMO members can also obtain a flu shot at any pharmacy or clinic. They may then submit a claim form with a receipt to UPMC and they will receive reimbursement. The claim form is attached.

Page 1 of 2 PEBTF Health Plan – ALL Members (both PPOs and all HMOs)

• If you choose to have Rite Aid, CVS or another in-network pharmacy conduct an on-site campus flu shot administration, ALL PEBTF members can receive a no-cost flu shot. They should present their CVS/Caremark RX ID card for this service. (Note: If a Highmark PEBTF member accidently presents their Highmark medical ID card, the benefit will still be provided under the medical plan. The PEBTF has advised us that their preference is for members to use the CVS RX card as the negotiated rate for the flu shot is lower. This also allows all PEBTF HMO members the ability to receive a no-cost flu shot at an on-site event, as all PEBTF members have the same RX plan).

• All PEBTF members (who are age 9 and older) can obtain a no-cost flu shot at any pharmacy that participates in the CVS Caremark Flu Shot network, which includes most chain pharmacies such as Acme, Giant, Giant Eagle, Target, Weis and Rite Aid, in addition to CVS pharmacies and many independent pharmacies. No appointment is needed – the member must present their CVS/Caremark RX member ID card. The PEBTF health plan will be billed directly for this service. PEBTF members can contact the number on the back of their medical card or prescription card to find participating providers.

• PEBTF members of all ages can obtain a flu shot from their physician (an office visit co-pay may be charged). The member should present their medical ID card.

Page 2 of 2 Highmark contracted pharmacy vaccination suppliers As of August 2018 (new suppliers are added regularly)

Central Pennsylvania Region Northeastern Pennsylvania Region Bath Drug Brundage's Waymart Pharmacy Birdsboro Pharmacy Cooks Pharmacy (multiple locations) Chambers Apothecary (multiple locations) CVS (multiple locations) CVS (multiple locations) DePietro Pharmacy East Berlin Pharmacy, Inc. Giant (multiple locations) Giant (multiple locations) Harrold's Pharmacy, Inc (multiple locations) Health Depot Pharmacy (multiple locations) Keller & Munro Inc Kmart (multiple locations) McElroy Pharmacy Kmart (multiple locations) Middletown Pharmacy Mill Hall Pharmacy Inc Minnichs Colonial Pharmacy Northeast Med Equip Newhard Pharmacy Old Forge Pharmacy Palmyra Pharmacy Price Chopper Pharmacy (multiple locations) Rite Aid (multiple locations) Rite Aid (multiple locations) Steelton Pharmacy Sheehan Pharmacy The Medicine Shoppe (multiple locations) Townville Pharmacy Walgreens (multiple locations) Walgreens (multiple locations) Wegmans (multiple locations) Weis (multiple locations) Wegmans (multiple locations) Weis (multiple locations)

Eastern Pennsylvania Region Amber Pharmacy CVS (multiple locations) Giant (multiple locations) Kmart (multiple locations) Professional Pharmacy of Pennsburg Inc Rite Aid (multiple locations) Walgreens (multiple locations) Wegmans (multiple locations) Weis (multiple locations) Yorke Pharmacy

Page 1 of 2 Western Pennsylvania Region AHN Pharmacy Lebanon Shops Pharmacy Asti's South Hills Pharmacy Mainline Pharmacy BEAVER HEALTHMART PHARMACY Martins (multiple locations) Bill's Hometown Pharmacy Mill Run Community Pharmacy Blairsville Pharmacy (multiple locations) Mission Pharmacy Services Brockway Drug Co, Inc National Wellness Supply Center for Pharmacy Care Northwest Pharmacy Solutions, LLC City Drugs of Curwensville Patton Pharmacy and V and S Variety Community Pharmacy Pechin Pharmacy Connected Health Pharmacy Penn Highlands Community Pharmacy Curtis Pharmacy (multiple locations) Perry Drug Store LLC CVS (multiple locations) Pleasant Hills Apothecary Diamond Drugs (multiple locations) Port Allegany Pharmacy Diamond Pharmacy (multiple locations) Porter's Prescription Pharmacy Dicks Pharmacy Primary Care Pharmacy Services Inc Duncansville Pharmacy Punxsutawney Hometown Pharmacy LLC Evans City Pharmacy Reynolds Pharmacy Ferri Pharmacy Rite Aid (multiple locations) Forest Hills Pharmacy, Inc. Rx Xpress Pharmacy Gatti Pharmacy Shop and Save Pharmacy Gaughn's Drug Store St Marys Pharmacy Inc. (multiple locations) Giant (multiple locations) The Medicine Shoppe (multiple locations) Giant Eagle (multiple locations) Union City Pharmacy Hilltop Pharmacy Value Specialty Pharmacy LLC Hometown Pharmacy (multiple locations) Village Pharmacy Hunter Pharmacy Group Walgreens (multiple locations) Jeffreys Drug Store Inc Wegmans (multiple locations) Johnsons Pharmaceutical Services Inc Weis (multiple locations) Klingensmith's Drug Stores (multiple locations) Wilson's Pharmacy Kmart (multiple locations) Woodward Pharmacy

Outside Pennsylvania Region Vendor Region Vendor Delaware CVS (multiple locations) West Virginia Giant (multiple locations) Delaware Giant (multiple locations) West Virginia Giant Eagle Delaware Living Well Pharmacy LLC West Virginia Herbert's Pharmacy Delaware Rite Aid (multiple locations) West Virginia Kmart (multiple locations) Delaware Walgreens (multiple locations) West Virginia Kroger (multiple locations) New Jersey CVS (multiple locations) West Virginia Martins (multiple locations West Virginia Anile Pharmacy Inc West Virginia Med Center Specialty Pharmacy West Virginia CVS (multiple locations) West Virginia Moundsville Pharmacy West Virginia Drug Emporium (multiple locations) West Virginia Rite Aid (multiple locations) West Virginia Eppys Drug Store Inc West Virginia Walgreens (multiple locations) West Virginia Fruth Pharmacy (multiple locations) West Virginia White Hall Pharmacy LLC

Page 2 of 2 Flu Shot Reimbursement Form

Fill out this form if you paid for a flu shot for yourself or for others on your plan. Complete one form per individual. You MUST include a receipt.

Plan subscriber information:

Name: ......

Address: ......

City: ...... State: ...... ZIP: ......

Fill in the information below for each person who received a flu shot, including yourself. Attach additional forms if needed.

Member ID# ......

Name: ......

Date of birth: ......

Cost of flu shot: ......

Date received: ......

Facility or pharmacy where received: ......

Member signature: ......

I have paid for my flu shot(s) out-of-pocket, and I am requesting reimbursement for that cost.

Mail this form and a copy of your flu shot receipt(s) to: Attention: Special Processing UPMC Health Plan PO Box 2966 Pittsburgh, PA 15230