PFTHW is Coordinating Distribution of Free COVID-19 Kits

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Streamlined Reimbursement Process

To submit for reimbursement (NEW 1/24/22): Fill out this form and mail to the address provided.

You must attach the following:

  • A photo of the purchased COVID-19 test kit box with the barcode visible
  • Receipt of purchase that displays the date and the purchased item highlighted/circled

Pharmacies will begin processing claims after the 16th. Members who chose to pay out of pocket before pharmacies’ systems are set up will be eligible for reimbursement.

Questions? Read the FAQs right here.

Click the image to download the form: