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Inside Rx cannot be used with any insurance benefit, copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured (cash-paying) patient. Flu shot-only visits to in-network urgent care locations or retail pharmacies do not count toward the first three visits per calendar year that determines copayment rates based upon the number of visits and the Veteran's priority group.*Average savings based on usage and Inside Rx data as compared to cash prices average savings for all generics are 78% 37% for select brand medications restrictions apply.Eligible Veterans whose visit to an in-network urgent care location or retail pharmacy that consists of only a flu shot do not incur a copayment.VA will pay for standard-dose (quadrivalent) and high-dose flu shots.
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This is because they may have symptoms related to a serious health condition that an urgent care provider may not be able to adequately address. When in doubt about your health condition or symptoms, Veterans should always seek a higher level of care, such as care from an emergency department.Veterans should remember the following when considering urgent care: While urgent care is a convenient benefit for nonemergent symptoms, Veterans should always consider talking with or seeing their primary care provider if they are concerned the urgent care location will not understand the complexities of their medical history or medications. Veterans should work with their primary care provider for this type of care. IMPORTANT: Urgent Care is Not a Replacement for Preventive or Emergency Care Therapeutic vaccines when these are required for the treatment of certain covered conditions.Diagnostic services like X-rays, some lab testing and some medications (with limitations).
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Colds, minor injuries, skin and ear infections, pink eye, strep throat, and more.The urgent care benefit covers services provided by urgent care centers and walk-in retail health clinics such as:
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Durable Medical Equipment/ Pharmacy Requirements.– Veterans Health Information Exchange Program.Spina Bifida Health Care Benefits Program.– Indian Health Service/Tribal Health/Urban Indian.CHAMPVA In-house Treatment Initiative (CITI).Indian Health Service/Tribal Health Program.
