FAIRLEY'S VACCINE APPOINTMENT FORM
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COVID VACCINE- PFIZER COMIRNATY
COVERED 100% FOR MOST INSURANCE. 12 YEARS AND OLDER
$
165.00
COVID VACCINE -PFIZER 5 TO 11 YO
COVERED 100% 5 TO 11 YEARS
$
Free
FLU VACCINE - FLUCELVAX
COVERED 100% BY MOST INSURANCE, REGULAR DOSE - 64 YEARS AND YOUNGER
$
Free
FLU VACCINE - FLUAD
COVERED 100% BY MOST INSURANCE, HIGH DOSE 65 YEARS AND OLDER
$
Free
SHINGLES VACCINE - SHINGRIX
COVERED BY MOST INSURANCE WITH COPAY - 50 YEARS AND OLDER
$
220.00
TETANUS, DIPTHERIA, PERTUSIS - BOOSTRIX
$
80.00
PNEUMONIA - PNEUMOVAX
$
130.00
COVID VACCINE -MODERNA
$
165.00
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2
3
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6
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8
9
10
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