COVID-19 Updates

COVID-19 Updates

Update as of September 16, 2023

Flu shots for the 2023-2024 Flu Season and the Updated Covid-19 vaccine are now available for $0 cost share to members.
These vaccines may be obtained at a pharmacy or provider office.

2023-2024 Pfizer-BioNTech and Moderna COVID-19 vaccines formulations for ages 6 months to 11 years
NDC Product Name
59267433101 PFIZER COVID 2023-24(5-11Y)EUA
59267433102 PFIZER COVID 2023-24(5-11Y)EUA
59267431501 PFIZER COVID 2023-24(6M-4Y)EUA
59267431502 PFIZER COVID 2023-24(6M-4Y)EUA
80777028792 MODERNA COVID 23-24(6M-11Y)EUA
80777028707 MODERNA COVID 23-24(6M-11Y)EUA


2023-2024 Pfizer-BioNTech and Moderna COVID-19 vaccines for ages 12 years and older
NDC Product Name
00069236201 COMIRNATY 2023-24(12Y UP) VIAL
00069236210 COMIRNATY 2023-24(12Y UP) VIAL
00069239201 COMIRNATY 2023-24(12Y UP) SYRG
00069239210 COMIRNATY 2023-24(12Y UP) SYRG
80777010201 SPIKEVAX 2023-24 (12Y UP) SYRG
80777010204 SPIKEVAX 2023-24 (12Y UP) VIAL
80777010293 SPIKEVAX 2023-24 (12Y UP) SYRG
80777010295 SPIKEVAX 2023-24 (12Y UP) VIAL
80777010296 SPIKEVAX 2023-24 (12Y UP) SYRG


Update as of October 7, 2023 Novavax Covid-19 Vaccine is also available at $0 Cost share to members

2023-2024 Novavax Covid-19 Vaccine for ages 12 and older
NDC Product Name
80631010501 NOVAVAX COVID 2023-24 VL (EUA)
80631010502 NOVAVAX COVID 2023-24 VL (EUA)

The COVID-19 Public Health Emergency (PHE) will expire Thursday, May 11, 2023, according to an announcement from the Biden Administration.
Starting on May 12, 2023 over-the-counter (OTC) Covid-19 test kits will no longer be covered at $0 cost share. On May 12, 2023 test kits will be subject to the retail or market price and will no longer process as a claim under the pharmacy benefit. Members will be responsible for the full retail price when purchasing OTC Covid-19 test kits.

COVID-19 Testing: Starting June 1, 2023 Covid-19 testing and related office visits will no longer be covered at $0 cost share. On June 1, 2023 testing and office visit will be subject to the member’s plan benefits and member will be responsible for all related cost share amounts. Covid-19 vaccines will be covered under the member’s preventive benefit with $0 member cost share