ANNOUNCING THE NALC FLU & PNEUMOCOCCAL VACCINE ADMINISTRATION NETWORK, offering FREE influenza, pneumococcal, and H1N1 vaccines to NALC Health Benefit Plan members and their eligible dependents when the NALC Health Benefit Plan is the primary payer for medical expenses.  (FluMist is not covered through this program.) The NALC Health Benefit Plan has partnered with more than 12,900 local NALC CareSelect pharmacies to provide this free and convenient service. A full list of participating pharmacies is available at http://www.pharmacyshots.com/vaccine_network_01.pdf, or you can call Caremark Customer Service at 1-800-933-NALC (6252) to locate a local pharmacy who participates in the NALC Flu and Pneumococcal Vaccine Administration Network.

Since state regulations and the policies of NALC CareSelect pharmacies vary, contact your CareSelect pharmacy directly to see if your state requires a prescription to administer either adult or pediatric vaccines, and for the days and times the vaccine can be administered.  If a prescription is required, ask the pharmacy if the physician’s office may call a prescription in on your behalf, or if the pharmacy will contact your physician for you.

Present your NALC Health Benefit Plan identification card at the pharmacy before your vaccine is administered.  The pharmacist will submit an on-line claim, verifying your status as an active Plan member, eligible for 100% coverage for both the vaccine, and the administration of the vaccine.  Your pharmacist should call the CVS Caremark Pharmacist Help Desk if assistance is needed. 

When Medicare Part B is Primary:

Medicare Part B also pays the influenza, pneumococcal and H1N1 vaccines in full.  When Medicare Part B is the primary payer, continue to have your health care professional administer these vaccines. 

When Another Health Insurance Coverage is Primary:

If you have another primary insurance coverage, you should have your vaccines administered by a preferred health care professional in the primary carrier’s network.  If a balance remains after deducting the primary health carrier’s payment, your provider should file a claim with the NALC Health Benefit Plan, including a copy of the primary carrier’s voucher of payment.   

Frequently Asked Questions Regarding these Vaccines