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FREE VACCINATION PROGRAMS

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Vaccines for Children (VFC) Program


free vaccines for children
MUST be under 19 years old MUST meet one of the following criteria: Medicaid-eligible Uninsured Underinsured American Indian or Alaska Native
Are you Underinsured? Underinsured is defined as a child having health insurance that:
Doesn't cover vaccines, or Doesn't cover certain vaccines, or Covers vaccines but has a fixed dollar limit or cap for vaccines. Once that fixed dollar amount is reached, the is then eligible.

To locate your VFC coordination to sign up for VFC: Call 1-800-CDC-INFO (1-800-232-4636) or

Merck Vaccine Patient Assistance Program


free vaccines for uninsured low-income adults
! Must meet the following

conditions:

How to Apply:
! The Application Process requires the assistance of a physician, nurse practitioner, or physicians assistant. ! Step 1. ! Call your healthcare professional and see if they accept this program. Schedule an appointment to get vaccine ! Step 2. Fill out the application ! for application ! Have healthcare professional fill out their section of the application at vaccine appointment ! Step 3. Have healthcare professional fax application to (800) 528-2551 ! *Forms will be processed within 10 minutes so you can receive your vaccine

! US resident age 19 or older ! No health insurance

coverage ! Annual household income less than:


! $44,680 for individuals ! $60,520 for couples ! $92,200 for family of four

! For Exceptions ! To Contact the Program: ! Call 800-298-3881

GlaxoSmithKline Vaccines Access Program


free vaccines for low-income adults
! Must meet the following

conditions:
! US resident between age 19

How to Apply:
! The Application Process requires the assistance of a physician, nurse practitioner, or physicians assistant.
! Step 1. ! Call your healthcare professional and see if they accept this program. Schedule an appointment to get vaccine Step 2. Fill out the application ! ! for application

and 25 ! No health insurance for vaccines ! Income as shown below

Other family size:

for copies of income documentation needed ! Have healthcare professional ! fill out their section of the application Step 3. Have healthcare professional fax application to1-877-VAC-1555 ! *Forms will be processed within 10 minutes so you can receive your vaccine at that appointment

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