COVID

2025-2026 Covid Vaccines

This page has information on how you can receive a 2025-2026 COVID vaccination at Family Care in Durham, NC. You do not need to be a current patient at our office, but current patients will have far less paperwork to complete before receiving the vaccine. Please review the details below and follow the instructions at the bottom if you’d like to schedule a vaccination.

Contact us if you have any questions!

VACCINE INFORMATION

Family Care will be offering two different types of COVID vaccinations – COMIRNATY and SPIKEVAX.

  • Patients above 5 years old may receive COMIRNATY.
  • Children between 6 months and 11 years old may receive SPIKEVAX.

Here are the specific details for each available vaccine. Unfortunately, we do not have the ability to order any other brands or manufacturers at this time.

Tradename: COMIRNATY
Proper Name: COVID-19 Vaccine, mRNA
Manufacturer: Pfizer BioNTech
Indication: COMIRNATY is a vaccine indicated for active immunization to prevent coronavirus disease 2019 (COVID 19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COMIRNATY is approved for use in individuals who are:

  • 65 years of age and older, or
  • 5 years through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19

Tradename: SPIKEVAX
Proper Name: COVID-19 Vaccine, mRNA
Manufacturer: Moderna
Indication: SPIKEVAX is a vaccine to protect you against COVID-19. SPIKEVAX is for people who are:

  • 65 years of age and older, or
  • 6 months through 64 years of age at high risk for severe COVID-19.

CRITERIA FOR VACCINATION

We are required to take a few extra confirmation steps this year, but our goal is to provide access to a COVID vaccine for anyone who wants one.

All patients must sign a form that confirms they have one of the following medical indications for vaccination.

  • Respiratory disease: Asthma, COPD, cystic fibrosis, interstitial lung disease, etc.
  • Metabolic & chronic diseases: Diabetes (type 1, type 2, gestational), obesity/overweight, chronic kidney/liver disease
  • Cardiovascular & cerebrovascular: Heart conditions (including congenital), stroke
  • Immunocompromised & disorders: Cancer, HIV, primary immunodeficiency, transplant recipients, immunosuppressant therapy
  • Neurologic & developmental: Down syndrome and other disabilities, dementia, Parkinson’s disease
  • Behavioral & lifestyle factors: Mental health disorders, physical inactivity, smoking, substance use disorders
  • Other conditions: Pregnancy, tuberculosis, sickle cell, thalassemia, etc.

This list is not comprehensive and your provider can help you identify other potential indications, if you are unsure. Current patients will have the benefit of already having medical records on file at our office to support these indications, while outside patients can self-select their covered indications.

COST & COVERAGE

In previous years, COVID vaccines have been considered preventive and covered at 100% with in-network coverage. As of September 4, 2025, we have not received any direct information to change that status, despite national headlines suggesting a threat to coverage. Because all insurers are different and it is always best to be sure of your benefits, we suggest contacting your insurer and asking about immunization benefits on your specific plan.

For Pfizer’s COMIRNATY, check your insurer’s benefits for the following CPT Code:

  • CPT Code 91320: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use in patients 12 years and older.

For Moderna’s SPIKEVAX, check your insurer’s benefits for the following CPT Code:

  • CPT Code 91321: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use in patients 6 months–11 years old.

We expect your insurer to say these are covered preventive services and do not plan to bill any in-network patients up front, but we are preparing patients for the potential for changes depending on how insurers react to new guidelines.

If you are out-of-network, not a current patient at Family Care, or do not have insurance coverage, you can still receive the vaccine at these prices:

  • COMIRNATY (>5 Years Old): $150
  • SPIKEVAX (<5 Years Old): $135

If you are not a current patient, you will be asked to pay up front for the vaccine. We will file your vaccine with your insurer and refund your payment after ~30 days once your insurer processes the claim. Ideally, your insurer pays for the vaccine and we refund your payment by cancelling the original transaction a few weeks later.

SCHEDULING A 2025-26 COVID VACCINE

As of September 12, 2025, Family Care has started to receive our allocated shipments of 2025-2026 COVID Vaccines and we began administering vaccines to our patients on September 9. We are currently working through our existing waiting list, with full access to all patients available sometime in the next two weeks. Vaccines should become much more available before the end of September. 

If you are a current patient, we can administer the vaccine almost any time. We can add it to an upcoming appointment, or schedule a separate visit just for the vaccine.

If you are not a current patient, you will need to complete the same paperwork that a potential new patient would have to complete, then follow the same instructions above.

  • You do not need to fully transfer your care to our office, but we will need this information to confirm eligibility and allow us to provide medical care.
  • If you decide later (within 365 days) to transfer your primary care to our office, you’ll already have that part complete and the transfer process should go pretty quickly.

FAQ

Will you send a prescription to a pharmacy so I can receive the vaccine at another location?

No. Because we offer the vaccine at our office, and current requirements state that you will need a special appointment for the prescription to a pharmacy anyway, we will not send a prescription for a patient to receive the vaccine at another location.

Do I need to be a patient at Family Care to receive the COVID vaccine? 

No. You will need to complete the same paperwork necessary to establish care, but you will not be required to transfer care from your previous PCP to receive the vaccine.

Will my vaccine be covered by my insurance? 

Probably. This year’s coverage has been much more uncertain than most, but we are currently still expecting COVID vaccines to be considered preventive services by insurers. If we find out differently, this page will be updated.

What if I do not meet the criteria to receive the vaccine? 

The criteria is very broad, so you probably do meet the criteria already. Our staff can help you identify potential reasons or indications based on your medical history. If you do not meet criteria for any reason, you may have to pay for the vaccine, but you will still be allowed to receive it.

QUESTIONS?

We are hoping to receive more definitive answers from insurers and suppliers soon and will update this page with any new information. If you have any questions, please contact Ryan at 919-544-6461 or contact@familycarepa.com.

COVID Resources

Information Current as of 11:00am EST on September 8, 2020. 

North Carolina’s response to COVID-19 will continue to rapidly evolve. The most up to date information and guidance can be found at:

The respiratory disease named “coronavirus disease 2019” (abbreviated “COVID-19”), caused by a novel coronavirus named “SARS-CoV-2”, was declared a pandemic by the World Health Organization on March 11, 2020.

North Carolina now has community transmission of COVID-19. Therefore, we are moving to a different phase of our response efforts and will be further increasing our population-based community mitigation strategies. The goal of mitigation is to decrease spread of the virus among our population – especially for those who are at highest risk of clinical severity, and our health care workers – so fewer people need medical care at the same time. In addition, we need to implement strategies to conserve supplies and capacity so our health care workers can care for people who need medical attention even during the peak of the outbreak.

Appointments at Family Care

We have made a lot of changes to our scheduling and triage process over the last few months. Some changes you will notice include:

  • When you arrive for your appointment, please stay in your car and call 919-544-6461 to check-in.
    • We will screen you for possible COVID exposure over the phone and send a medical assistant to your car.
    • Our medical assistant will check your temperature, sanitize your hands, and provide you with a mask, if you do not have one.
  •  More than 50% of our schedule is now done remotely, through phone consultations and telehealth (video chats).
    • For med checks and visits that do not require a physical examination, we’ll try to arrange the visit remotely. This visit is structured similarly to a regular appointment, but saves you from unnecessary exposure to a medical office and helps with compliance to quarantine orders.
  • Our schedules have been expanded to limit the number of patients physically present in our office at any time.
    • More than 80% of our hours are now scheduled with only ONE patient in the office.
    • The remaining times will still have only one patient for a provider visit, but another patient may also be getting lab work. These are done in separate, contained areas in the building.
    • If you arrive early, you’ll need to wait in your car until your appointment time.
    • If you need to complete paperwork, please call our office and we will bring it out to you to complete in your car.

Government Orders

Know how COVID spreads

  • There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
  • The best way to prevent illness is to avoid being exposed to this virus.
  • The virus is thought to spread mainly from person-to-person.
    • Between people who are in close contact with one another (within about 6 feet).
    • Through respiratory droplets produced when an infected person coughs, sneezes or talks.
    • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
    • Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms.

Wash your hands often

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • It’s especially important to wash:
    • Before eating or preparing food
    • Before touching your face
    • After using the restroom
    • After leaving a public place
    • After blowing your nose, coughing, or sneezing
    • After handling your cloth face covering
    • After changing a diaper
    • After caring for someone sick
    • After touching animals or pets
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid close contact

Cover your mouth and nose with a cloth face cover when around others

  • You could spread COVID-19 to others even if you do not feel sick.
  • The cloth face cover is meant to protect other people in case you are infected.
  • Everyone should wear a cloth face cover in public settings and when around people who don’t live in your household, especially when other social distancing measures are difficult to maintain.
    • Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
  • Do NOT use a facemask meant for a healthcare worker. Currently, surgical masks and N95 respirators are critical supplies that should be reserved for healthcare workers and other first responders.
  • Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute for social distancing.

Cover coughs and sneezes

  • Always cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow and do not spit.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Clean and disinfect

Monitor your health daily

  • Be alert for symptoms. Watch for fever, cough, shortness of breath, or other symptoms of COVID-19.
  • Take your temperature if symptoms develop.
    • Don’t take your temperature within 30 minutes of exercising or after taking medications that could lower your temperature, like acetaminophen.
  • Follow CDC guidance if symptoms develop.