VACCINE FORM

VACCINE FORM

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 Quantity



Total

$0.00

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