Effective August 1, 2016, many Plan Sponsors began to reimburse pharmacies for the dispensing and administration of vaccines. Please note that the vaccines covered can vary on a Plan Sponsor-by-Plan Sponsor basis. This communication provides a list of participating plan sponsors as of August 30, 2016.

NOTE: The information provided in this notice is intended to assist participating Providers with claim submission. If you do not participate and do not intend to participate in a particular client-specific or other contracted vaccine administration network, please disregard this information.

Claims Submission Information

When submitting administered vaccines claims to CVS Caremark, utilize “MA code processing” and NCPDP fields 44Ø -E5 and 438-E3. As a reminder—pharmacists are required to be certified and/or trained to administer vaccines. Please check with individual state boards of pharmacy to determine if pharmacists can administer vaccines in your respective state(s).

Please see attached PDF file for more information.