The national government is providing the drug for free and thus no one is allowed to charge for it. The provider can bill for the administration of the vaccine. If a patient has insurance, the admin is billed to the insurance. If not, it's billed to a government program called HRSA. At my hospital I have been told that if any insurance company tries to pass on a portion of the administration as copay/coinsurance/deductible that we need to flag that payment to call the insurance company because they aren't allowed to do that.
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