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COVID-19 TEST KIT REIMBURSEMENT REQUEST FORM Use this form to request reimbursement for FDA authorized COVID-19 test kits purchased on or after January 15, 2022, at a retail store, pharmacy or online
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How to fill out purchasing otc at-home covid-19

01
Determine the type of at-home Covid-19 test kit you need (e.g. antigen test, PCR test).
02
Purchase the at-home test kit from a reputable retailer or pharmacy.
03
Read the instructions carefully before starting the test.
04
Collect the necessary samples as per the instructions provided in the kit.
05
Perform the test following the step-by-step guide included in the kit.
06
Wait for the designated amount of time for the results to appear.
07
Read and interpret the results according to the guidelines provided with the kit.
08
Take necessary actions based on the test results, such as seeking medical help or self-isolating.

Who needs purchasing otc at-home covid-19?

01
Anyone who suspects they may have been exposed to Covid-19 or is experiencing symptoms of the virus.
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Individuals who require a negative test result for travel or work purposes.
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People who want to regularly monitor their Covid-19 status for safety and precautionary measures.
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Purchasing over-the-counter (OTC) at-home COVID-19 tests allows individuals to test themselves for the virus in the comfort of their own homes.
Individuals who have purchased OTC at-home COVID-19 tests are required to report the purchase.
To fill out the purchasing OTC at-home COVID-19 form, individuals need to provide information about where and when the tests were purchased.
The purpose of reporting purchasing OTC at-home COVID-19 tests is to track the availability and use of these tests in the general population.
Information such as the date of purchase, number of tests purchased, and where they were bought must be reported on the purchasing OTC at-home COVID-19 form.
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