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COVID-19 at-home tests are covered 100% for High Option members

Find answers to your questions about coverage for COVID-19 over‑the‑counter (OTC) tests.

Effective January 28, 2022

An At-Home OTC test is a rapid antigen test that offers a quick and easy way to screen for COVID-19 at home.

The APWU Health Plan is covering those tests approved, cleared, or authorized by the FDA for use at home. Look for “FDA Emergency Use Authorization (EUA)” marked on the box.

The following COVID-19 At-Home OTC Tests are covered at 100% (no member cost share):

  • BD Veritor At-Home COVID-19 Test
  • BinaxNOW COVID-19 Ag Card Home Test
    • UPC: 11877001140
  • BinaxNOW COVID-19 Antigen Self-Test
    • UPC: 11877001140
  • CareStart COVID-19 Antigen Home Test
  • Celltrion DiaTrust COVID-19 Ag Home Test
  • CLINITEST Rapid COVID-19 Antigen Self-Test
  • Ellume COVID-19 Home Test
    • UPC: 56964000000
  • Flowflex COVID-19 Antigen Home Test
    • UPC: 82607066026
    • UPC: 82607066027
    • UPC: 82607066028
    • UPC: 82607066047
  • GoToKnow COVID-19 Antigen Rapid Test
  • iHealth COVID-19 Antigen Rapid
  • INDICAID COVID-19 Rapid Antigen At-Home Test
  • InteliSwab COVID-19 Rapid Test
    • UPC: 08337000158
  • InteliSwab COVID-19 Rapid Test Rx
    • UPC: 08337000158
  • MaximBio ClearDetect COVID-19 Antigen Home Test
  • OHC COVID-19 Antigen Self Test
  • On/Go COVID-19 Antigen Self-Test
    • UPC: 860006191665
  • On/Go One COVID-19 Antigen Self-Test
    • UPC: 860007930409
  • Pilot COVID-19 At-Home Test
  • QuickVue At-Home COVID-19 Test
    • UPC: 14613033967
    • UPC: 14613033968
    • UPC: 14613033972
  • QuickVue At-Home OTC COVID-19 Test
    • UPC: 14613033967
    • UPC: 14613033968
    • UPC: 14613033972
  • Rapid SARS-CoV-2 Antigen Test Card
  • SCoV-2 Ag Detect Rapid Self-Test
*List is subject to change. COVID-19 At-Home OTC tests are NOT covered for employment purposes. APWU Health Plan members will be required to sign and attest that the purchase of the OTC is not for employment purposes.

Beginning Jan. 28, 2022, claims for at-home OTC COVID-19 tests will automatically process at $0 copay when members order through the Express Scripts Pharmacy or check out at in-network retail pharmacy counters. View the High Option Express Scripts Pharmacy List PDF or log in to your Express Scripts portal to find an in-network pharmacy.

Members are eligible for up to eight at-home over-the-counter COVID-19 tests every 30 days for each covered family member. Please note that pharmacy purchase limits on at-home COVID-19 test kits may apply.

What do members need to do?

To ensure you pay $0 copay for at-home OTC COVID-19 tests, you simply need to:

  1. Take your Express Scripts ID card to a retail pharmacy in your network.
  2. Bring an at-home COVID-19 test to the pharmacy counter, not the regular checkout lane.
  3. Check out at the pharmacy counter and show your Express Scripts ID card. Your at-home COVID-19 tests should automatically ring up at no cost to you.

For at-home tests purchased on or after Jan. 15, 2022, the fastest and easiest way is to log into Express Scripts to electronically submit your claims for reimbursement.

Or download the Express Scripts claim form and submit it by mail for reimbursement:


You will need to record the UPC or NDC number in the NDC field on the claim form.

Example of UPC code

As of January 28, any claim that is not purchased at an in-network pharmacy counter will be reimbursed at $12 per test or at cost if the price is lower.

For questions, call Express Scripts at 1-800-841-2734 or 1-800-759-1089 (TTY line for hearing impaired) or visit the Express Scripts COVID-19 Resource Center.

No action is required. All claims received and postmarked before 1/28 will be processed and reimbursed by APWU Health Plan headquarters. Claims postmarked after 1/28 will be forwarded to Express Scripts for processing.

Members are eligible for up to eight at-home over-the-counter COVID-19 tests every 30 days for each covered family member. Please note that pharmacy purchase limits on at-home COVID-19 test kits may apply.

Beginning Jan. 28, 2022, claims for at-home OTC COVID-19 tests will automatically process at $0 copay when members order through the Express Scripts Pharmacy or check out at in-network retail pharmacy counters. View the High Option Express Scripts Pharmacy List PDF or log in to your Express Scripts portal to find an in-network pharmacy.


Visit Self-Testing | CDC and U.S. Food and Drug Administration (fda.gov) for more information.