Health and Human Services Secretary Robert F. Kennedy Jr. also appointed critics of coronavirus vaccines to a key Centers for Disease Control and Prevention committee that recommends immunization (and may add more). That committee isn’t scheduled to meet to discuss coronavirus vaccines until Sept. 18, and its decision will guide doctors, insurance companies and states in how they ensure Americans have access to the shots.
Until then, doctors, pharmacies and state health departments are scrambling to adapt to the confusion over a vaccine that is no longer broadly recommended. And patients are puzzled about how to get coronavirus vaccine shots that were once free and widely available.
Here are some tips on getting your shot — and navigating the confusion.
Cast a wide net
Doctors and patient advocates stress you might need to make a lot of phone calls, book multiple online appointments with different providers and scour the internet for reputable advice from medical organizations to secure a shot.
Advocates report that a CDC website intended to help patients find vaccine providers has not been working. But other websites, such as EasyVax (run by pharmaceutical company GSK) and VaccineInformation, feature other useful online tools for finding pharmacies or federally funded clinics that might offer coronavirus vaccines.
Local health departments often administer free or low-cost vaccines, even offering transportation, said Caitlin Donovan, a senior director at the nonprofit Patient Advocate Foundation.
“All this may change depending on where you live,” Donovan said. “California, Massachusetts and New York will be different than Florida. Put in the extra time to see what’s available through public and private resources. It will be worth your time. Your health is important.”
Know the pharmacy rules
Most Americans get their vaccines at pharmacies, which are regulated state by state. Some state regulations block pharmacies from administering vaccines to people without a prescription if they haven’t been recommended by the CDC. Some governors are issuing orders to lift those restrictions, so check whether your state is among them.
Call multiple pharmacies to see whether they are stocked and whether you can get it without a prescription. Some pharmacies in the same communities have different interpretations of what they’re allowed to do.
Consider crossing the border if your state requires prescriptions. In the Mid-Atlantic, residents of D.C. and Virginia have flocked to Maryland, where prescriptions are not required.
“Ultimately, we want consumers to be persistent and flexible,” said Lisa Bercu, senior director of health policy at the National Consumers League, an advocacy organization. “There is a lot of confusion — not only among patients but doctors and pharmacists. If you hit a roadblock today, try again tomorrow.”
After recent changes in some state pharmacy laws, CVS is offering vaccines without a prescription in these states: Alaska, Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, Nebraska, North Dakota, New Hampshire, New Jersey, New Mexico, Nevada, New York, Pennsylvania, Ohio, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, Wisconsin and Wyoming.
If the CDC vaccine committee recommends coronavirus vaccines later in September, CVS said the chain will offer vaccinations sans prescription at its regular pharmacy locations in Arizona, the District of Columbia, Florida, Georgia, Louisiana, Maine, North Carolina, Oregon, Utah, Virginia and West Virginia.
In some of those states, the chain’s MinuteClinic locations are already offering vaccines without a prescription. Those are Arizona, Florida, Georgia, North Carolina and Virginia, as well as the District of Columbia. The chain does not have such clinics in Louisiana, Maine, Oregon, Utah or West Virginia.
If you live in a state where CVS requires prescriptions, other pharmacy companies may not because of different interpretations of rules.
Know the qualifying conditions
In states where prescriptions are not needed, you may be able to self-attest to having underlying conditions covered by the FDA’s narrow approval of the new vaccine. But not all pharmacies will allow that.
The list of qualifying conditions is broad and includes asthma, heart conditions, mood disorders, obesity, physical inactivity or having smoked. “If you’re five pounds overweight, you qualify,” CVS spokeswoman Amy Thibault told The Washington Post last week. “If you’ve smoked a cigarette once, you qualify.”
Doctors can provide coronavirus vaccines “off label” to lower risk groups not outlined in the FDA’s approval, though some may be hesitant to do so without official government guidance.
Cite medical associations
If you need to ask a doctor, it might not hurt to arrive armed with guidance from medical organizations that have broken from the Trump administration’s approach to coronavirus vaccination.
The American Academy of Pediatrics recommends coronavirus shots for children 6 months to 23 months and for older children if their parents want. The American College of Obstetricians and Gynecologists reaffirmed support for vaccinating individuals during pregnancy. The American Academy of Family Physicians on Monday recommended that all adults 18 or older get the coronavirus shot.
“I always encourage parents and patients to advocate for themselves,” said David Higgins, assistant professor of pediatrics at the University of Colorado Anschutz Medical Campus. “There is a potential that your own provider is not fully aware of the most up-to-date recommendations.”
Brace for costs
Insurers generally cover vaccines that are recommended by the CDC. Coronavirus vaccines can run in the low hundreds of dollars out of pocket. (CVS charges $224.99.)
AHIP, the major insurer lobby, said in a statement that individual health plans will “be prepared to make coverage decisions informed by science, the latest medical evidence and data,” and will include the CDC committee’s recommendation. There is more uncertainty about how insurers — including Medicaid and Medicare — are handling coronavirus vaccines before that committee meets next week.
If you have private insurance, call to find out whether the coronavirus shot is covered entirely or requires a co-payment. Don’t forget to check for others such as children who might be on your plan, Donovan said. She added that if the co-payment is too high at one pharmacy, try another one. She also recommended asking a pharmacy whether the price is lower if paid in cash.
The Patient Advocate Foundation is also covering coronavirus vaccine co-payments for certain lower-income people and families.
The vaccine makers might pay
Pfizer offers programs to provide free shots or defray costs of co-payments for certain eligible uninsured people through the website PfizerRxPathways.com. Moderna also partners with the organizations Project Hope and Direct Relief to provide vaccines at no cost through federally qualified health centers and free and charitable clinics.
Sanofi, which is leading the commercialization of the new Novavax vaccine intended for people ages 12 and older, did not say whether it plans similar programs.
Consider waiting
It might not be a bad idea to wait until CDC guidelines become clearer later this month and pharmacies get more stock and clarity.
You have time, anyway. Coronavirus vaccines typically ensure the best protection during the first several months after the shot, said Mary Jo Trepka, an infectious-disease epidemiologist at Florida International University’s Robert Stempel College of Public Health & Social Work. Getting the shot later in September or early October ensures you have the best protection during the colder winter months, when respiratory viruses peak, Trepka said.
Coronavirus infections tend to rise around the new year, though the magnitude and time frame of winter waves vary by year and state.
“We want our best protection over the holidays and in January and February,” Trepka said.
Read More at The Washington Post.





