By submitting this form, I attest that no returned doses were provided by the VFC or other government agencies.
If you have any questions, please contact Pfizer Customer Service at 1-800-666-7248.
NOTICE OF OBLIGATION TO REPORT DISCOUNTS: Payment of the returns refund and the shipping credit are discounts on the purchase of Prevnar 20 that must be properly and accurately accounted for and reported by Program customers in accordance with all federal and state laws, including the Anti-Kickback Statute and its implementing regulations (e.g., 42 U.S.C. § 1320a-7b, 42 C.F.R. Part 1001 et seq.) and the safe harbor for discounts (42 C.F.R. § 1001.952(h)).