In-Store-Clinic Prep Guide_v1

Preparation guide

Walgreens

immunization

in-store

appointment

Preparing for

your Walgreens

immunization

By partnering with Walgreens for COVID-19

v ac c inat ion administration , y ou’re taking

proactive measures to help ensure your

participants and members are protected

from vaccine-preventable illnesses.

This guide will help y our organizat io n

prepare your participants and members.

Member of Walgreens Boots Alliance

Here’s what we’re doing to keep you safe:

Daily screening

Safety protocols

Face masks

We conduct daily temperature checks for

pharmacists and staff before the start of each shift.

We follow standard OSHA safety protocols to

prevent infection including handwashing, changing

gloves between patients and swabbing the injection

site with alcohol.

Our immunizers wear surgical face masks,

as well as face shields, to protect both patients

a nd our t e a m me mbe r s .

Walgreens immunization overview

1 | PREPA RA TION

2 | DA Y OF

3 | POST-V A CCINA TION

Coordination

Identify an employee to

work with your

Walgreens contact on

scheduling information,

troubleshooting, etc.

Forms & registration

Distribute necessary

forms to participants

planning to get an

immu n iz a t i o n.

Immuniz a t ion

Participants must follow

health and safety guidelines

to receive their immu n iz a t i o n.

Walgreens immun izers will

administer the immun izat io ns

and keep record.

Follow-up

In case of an adverse

event in response to the

vaccine, report it to the

Vaccine Adverse Event

Reporting System.

Participants may receive

reminders for subsequent

doses if necessary.

For select COVID-19

clinics, you will be

required to register your

participants through

a dedicated COVID-19

registration portal that

your Walgreens contact

will share with you.

Prepare for the appointment

Appointme nt scheduling tool

1. Work with your Walgreens contact to enable the

appointment scheduling tool to assist recipients

with scheduling an appointment time.

2. Once enabled, provide the appointment scheduling link

to participants.

3. Participants will receive all necessary preparation

information and pre-appointment forms to complete

ahead of t ime .

Face masks & coverings

All participants must wear a face mask or face covering

for the duration of their visit.

1 | P R EPARA TION 3 | P OST -VACCINA TION

2 | DA Y OF T HE APP O INT MENT

Pre-appointment paperwork

Make the following form(s) available to all participants who

intend on receiving an immunization:

Vaccine Administration Record (VAR)

• Request that all participants complete Sect ions A , B,

C and D (if applicable) of this VAR form linked above

ahead of the clinic.

• Pfizer-BioNTech COVID-19 Vaccine

• Moderna COVID-19 Vaccine

• Janssen COVID-19 Vaccine

• Flu Vaccine Information Statement (VIS)

All participants who intend on getting an

immunization should review the appropriate Vaccine

Fact Sheet or Information Statement ahead of the

clinic so that the pharmacist can address any

questions or concerns they may have before the

vaccine is provided.

Forms & registration

Vaccine fact sheets and information statements

1 | P R EPARA TION 3 | P OST -VACCINA TION

2 | DA Y OF T HE APP O INT MENT

Forms & registration detail

Participants who intend on getting an immunization should

complete Sections A, B, C and D (if applicable) of the

Vaccine Administration Record (VAR) ahead of time.

Participants should bring this completed form, along with their ID

and insurance card to the appointment.

For Section A:

Complete all information in Section A.

Optional: If participants would like Walgreens to inform their primary

care provider (PCP) about the immunization(s) they received, they

must provide the contact details and this information will be shared

with their PCP's office.

For Section B:

All persons must answer questions 1 through 10.* Questions

12 through 19 should only be answered if participant is receiving

one of the indicated vaccines.

For Section C:

Sign and date this form as directed.

PAGE 1

*For C OVID-19 v accines, participants must answ er question 11.

1 | P R EPARA TION 3 | P OST -VACCINA TION

2 | DA Y OF T HE APP O INT MENT

Forms & registration detail

For Section D:

This section is applicable for particular administration site

options where Walgreens is billing insurance rather than direct

billing. For appointments with direct bill, this section does not

need to be completed.

Review the applicable v accine information forms, which should

be provided to participants ahead of their appointment, so that

the pharmacist can address any questions or concerns the

participant may have before the vaccine is provided.

PAGE 2

1 | P R EPARA TION 3 | P OST -VACCINA TION

2 | DA Y OF T HE APP O INT MENT

The voucher only applies to direct bill in-store appointment

offerings. The voucher is not applicable for insurance billing.

Vouchers are used for billing purposes to differentiate employees with

in-store appointments from the general population.

• The voucher is valid for one COVID-19 vaccination (single dose

or two-dose series depending on vaccine product availability).

• Your Walgreens point of contact will provide you with a voucher

that has your employer’s Group ID on it.

• You must distribute this voucher to participants, and

part icipants must bring t he voucher in digit al or paper

for ma t to their in-store appointment(s).

Voucher (direct bill only)

SAMPLE

1 | P R EPARA TION 3 | P OST -VACCINA TION

2 | DA Y OF T H E APPOINTMENT

Participants will NOT be

vaccinated if:

• They are feeling sick, have a

fever or are exhibiting any

respiratory symptoms.

• Have been diagnosed with

COVID-19 within the last

2 weeks.

Face mask

Participants must wear a face

mask or face covering for the

duration of their visit.

So cial distancing

When waiting for their

immun izat ion, participants will

need to practice appropriate

social distancing guidelines,

maintaining at least a 6 ft.

distance from others.

Temperature check

The pharmacist will take their

temperature using the touch-free

digital thermomet er.

Immunizat io n should be deferred

if they are sick or have a fever.

Efficient immunizat io n

Participants should wear clothing that allows the

immunizer to easily access the shoulder area for

a more efficient immunization process (i.e. t-

shirt and/or easy to remove layers).

Observation: Vaccine recipients will be asked

to wait for ~15-30 minutes post-administrat ion.

Forms & record cards

Bring the completed VAR form, along with an

ID to the clinic. Bring the Voucher as well (if

applicable).

When applicable, a Walgreens t e a m me mb e r

will fill out an immunization record card for

each recipient of the vaccine; it is important to

keep this record and bring it to subsequent

appointment s, as needed.

1 | P R EPARA TION

2 | DA Y OF T H E APPOINTMENT

3 | P OST -VACCINA TION

Immunization appointment overview

If there is an adverse event (side effect) in response to the

vaccine by any recipient, it is recommended that it is reported to

the VAERS.

VAERS is co-managed by the CDC and FDA.

Anyone can report an adverse event to VAERS, although

Walgreens is happy to assist. Simply call your Walgreens point of

contact.

Monitor for adverse events

Return for second dose, if necessary

In the case of multiple-dose vaccines, patients will be reminded

to follow-up to get subsequent doses administer ed.

Reporting

When required, Walgreens will report the record of all

vaccinations to your State Immunization Registry and the Centers

for Disease Control and Prevention (CDC).

Follow-up

1 | P R EPARA TION

2 | DA Y OF T HE APP O INT MENT

3 | P OST -VACCINA TION