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    COVID-19 At-Home Tests Request Form

    Most insurance plans, including Medicare Part B, are covering the cost of up to 8 COVID-19 at-home tests per month for each person covered by insurance. Request yours online today and pick them up at your local Rite Aid pharmacy. 

     

    Here's how it works:

     

    1. Fill out this form requesting up to 8 COVID-19 tests
    2. Your Rite Aid pharmacy staff will then process your request through the insurer you provide
    3. If you're eligible, we will notify you when your tests are ready for pick up. Rite Aid will process your insurance claim for you so you don't have to pay out-of-pocket for your at-home COVID-19 Tests.

     

    Rite Aid supplies Flowflex™ tests, a FDA authorized antigen test that uses a nasal swab and delivers results in just 15 minutes.

     

     

     

    Who are the tests for?

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    Prescription Insurance

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    I acknowledge receipt of Rite Aid's Notice of Privacy Practices for Protected Health Information.

    Thank you for your request! We will message you when it is ready for pickup.

    Wait for your notification before heading to the pharmacy.