Flu Shots
VA authorizes eligible Veterans to receive a no-cost seasonal flu shot at in-network retail pharmacies or urgent care clinics.
To serve Veterans under this benefit, retail pharmacies or urgent care clinics must be in network through a VA third-party administrator (TPA).
To ensure you have the correct billing details, please use the information listed below depending upon the Community Care Network (CCN) region where your facility is located and the appropriate TPA.
Flu Shot Billing for In-Network Retail Pharmacies
After the visit, follow these steps to submit a claim:
- Retail Pharmacies: Provide a copy of the flu shot documentation to the Veteran and recommend they provide it to their VA primary care provider’s office.
- Urgent Care: Submit medical documentation to the Veteran’s home VA medical center (VAMC) within 30 calendar days of the date of service using the information in the table below.
Find a VAMC online using the VA Facility Locator.
| Steps | Regions 1-3 Optum/CVS Caremark™ | Region 4 TriWest/Express Scripts |
|---|---|---|
| BIN | 004336 | 003858 |
| Person Code | N/A | 01 |
| PCN | ADV | A4 |
| Group | RX3841 | VETERAN |
| Birth Date | N/A | Enter Veteran’s date of birth (CCYYMMDD format) |
| Member ID | 10-digit Member ID* number on Veteran’s VA or Department of Defense ID card OR 17-digit internal control number (ICN) | Veteran’s Social Security Number |
| (*NOTE: If the Veteran does not have their Member ID number, please ask for their Social Security Number and call 888-901-6609 for assistance.) | ||
Third-Party Administrator Pharmacy Help Desks
CCN Regions 1–3: Optum Public Sector Solutions, Inc. (Optum), part of UnitedHealth Group, Inc.
- For questions, call CVS Caremark™ Pharmacy Help Desk at 800-364-6331
(Open 24 hours a day, seven days a week)
CCN Regions 4: TriWest Health Care Alliance (TriWest)
- For questions, please call Express Scripts Pharmacy Help Desk at 800-922-1557
(Open 24 hours a day, seven days a week)
Regional Networks
CCN is comprised of six regional networks that serve as the contract vehicle for VA to purchase care for Veterans from community providers.
