COVID-19 HOME TESTING KITS provided by MEDICARE

We at Hayden’s Pharmacy are trying to FAST TRACK those patients that are 65 and older (MEDICARE ELIGIBLE) with COVID-19 HOME TESTING KITS.

Please enter the following information requested to register for the COVID-19 HOME TESTING KITS at a ZERO COPAY to Medicare patients.

Where to find your MediCare ID Number

COVID-19 HOME TESTING MEDICARE PROGRAM

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This is the registration portal for COVID-19 HOME TESTING KITS available from the Center of Medicare Service and Hayden's Pharmacy.
PLEASE COMPLETE THE FOLLOWING:

REGISTRATION CODE SENT VIA EMAIL

Patient First Name *

Patient Last name *

Patient Gender *

Male

Female

Patient Date of Birth *

Patient Address *

Apartment, Suite, or Floor

City *

State *

County * County

Zip Code *

Contact information
An active email and phone number is required.
Patient's Email *

Patient's Cell Phone *

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COVID-19 HOME TESTING KITS provided by MEDICARE