Bulletin: 2022-2023 no-cost flu vaccine is here! Learn about reimbursement from VA.

VA no-cost 2022-2023 flu vaccine is here

No-cost flu shots are available from Sept. 1, 2022-April 30, 2022 at VA medical centers and more than 70,000 in-network retail pharmacies and urgent care clinics nationwide.

VA’s Community Care Network (CCN) retail pharmacies and urgent care clinics provide eligible Veterans with flu vaccines paid for by VA. Community Care Network (CCN)

If you are part of VA’s CCN, scan the QR code below for billing information or read on to learn how to provide a flu shot to eligible Veterans and be reimbursed.

Scan or print billing information

Providing a Flu Vaccine

1. Identify your CCN region and steps for reimbursement by scanning the above provider billing information QR code or follow the steps listed below. If you are located in the following U.S. states and/or territories: AL, AR, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
   NC, ND, NE, NH, NJ, NY, OH, OK, PA, PR, RI, SC, SD, TN, VA, VI, VT, WI, WV, you are part of:
   • CCN Regions 1-3, administered by Optum^®/CVS Caremark^®. Contact Optum at 800-364-6331 if you need to confirm you are in-network.
     

If you are a retail pharmacy or urgent care provider located in one of the following U.S. states:

AK, AZ, CA, CO, HI, ID, MT, NM, NV, OR, TX, UT, WA, WY you are part of

• CCN Regions 4-5, administered by TriWest Healthcare Alliance^®/Express Scripts^®. Contact TriWest at 800-922-1557 if you need to confirm you are in-network.

2. Confirm the Veteran’s identity by checking their government-issued ID.
3. To check a Veteran’s eligibility for the flu vaccine, paid for by VA:

• Ask for the Veteran’s 10-digit Veteran ID number, then check their eligibility electronically.
  • Can’t check eligibility electronically? Call Optum at 888-901-6609 (Regions 1-3) or TriWest at 833-483-8669 (Regions 4-5) to confirm their eligibility. The system will indicate urgent care eligibility which includes flu vaccines.
  • The Veteran doesn’t know their 10-digit Veteran ID number? , Ask for their Social Security Number (SSN), then call Optum at 888-901-6609 (Regions 1-3) or TriWest at 833-483-8669 (Regions 4-5) to confirm their eligibility. The system will indicate urgent care eligibility which includes flu vaccines.

4. Enter the electronic billing information below according to the CCN region in which you are located.

Regions 1-3 (Optum/CVS Caremark™)

• Step 1:Enter BIN: 004336
• Step 2:Enter PCN: ADV
• Step 3:Enter Rx Group: Flu Shot or COVID-19 Vaccine: Rx3841
• Step 4:Enter Veteran ID: 10-digit Veteran ID or SSN
• Step 5:Enter Veteran’s date of birth (YYMMDD format)

Call the CVS Caremark™ Pharmacy Help Desk with questions at 800-364-6331 (Open 24/7).

Regions 4-5 (TriWest/Express Scripts)

• Step 1:Enter BIN: 003858
• Step 2:Person Code: 01
• Step 3:Enter PCN: A4
• Step 4:Enter Rx Group: Flu Shot or COVID-19 Vaccine: VAPC3RX
• Step 5:Enter Veteran ID: 10-digit Veteran ID or SSN
• Step 6:Enter Veteran’s date of birth (YYYYMMDD format)

Call the Express Scripts Pharmacy Help Desk at 800-922-1557 with questions (Open 24/7).

5. Administer the flu vaccine.
6. Send flu shot documentation to VA.

• Retail pharmacies can provide a copy of the flu shot documentation to the Veteran and urge them to provide it to their VA primary care provider’s office.
• Urgent care providers can ask the Veteran for the name and location of their home VA Medical Center and submit the flu vaccine documentation to that facility 
  within 30 calendar days of the date of service.

Find a VA medical facility online using the VA Facility Locator.

Visit the CCN provider webpage currently being updated for the 2022-2023 flu season. 

For more information contact VHA_16_IVC_Communications_All_Staff@va.gov