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COVID-19 Vaccination Program Provider Agreement

The Pennsylvania Department of Health welcomes existing partners who may already be a part of Pennsylvania's Immunizations Program (e.g., Vaccines for Children, TotTrax) as well as new partners to enroll as providers in Pennsylvania's COVID-19 Vaccination Program.  

Please note that our plan for vaccine distribution includes a phased approach, therefore we may need to prioritize enrollment to align with the phases. For example, in Phase 1A we may need to prioritize enrollments for providers best positioned to reach those in Phase 1A populations. 

In all cases, to receive and administer COVID-19 vaccine, providers must be credentialed/licensed in Pennsylvania; sign and agree to the conditions in the CDC COVID-19 Vaccination Program Provider Agreement; and also fully complete the CDC COVID-19 Vaccination Provider Profile form for each location where COVID-19 vaccine will be administered.  

Please note that federal clinicians working in federal facilities may have professional licensure from a different jurisdiction and that some national pharmacy chains and federal entities will be instructed to enroll directly with CDC.

If you choose to enroll as a COVID-19 vaccine provider, please complete the COVID-19 Vaccination Program Provider Agreement (see below).  Upon submission, you will receive a notice of receipt.  If additional information is necessary, someone will reach out to you directly, otherwise consider your enrollment agreement to be in process.  

There are a number of steps to the enrollment process, including the requirement for providers to be established and trained in the use of the Pennsylvania Statewide Immunization Information System (PA-SIIS) specifically for the COVID-19 Vaccination Program.  When it is time for those steps to be completed, you will receive a second notice with more information.  Please do not submit duplicate agreements as this will delay the processing of your enrollment.  While your enrollment agreement is being processed, we encourage you to review the resources which can be found at the links provided to the right.

*** All providers choosing to enroll as a COVID-19 vaccine provider must complete the electronic agreement form. Below are PDF versions of the agreement form to be used as a reference when completing the electronic version. You do not need to complete the PDF versions of the agreement form to enroll as a COVID-19 vaccine provider.

Questions from providers* may be directed to: or 717-787-5681

*Please note:  this contact information is intended for questions from COVID-19 Vaccination Program providers, or those wishing to enroll.  If you have a question about the COVID-19 vaccines, please visit our website at or call the PA Health Hotline at 1-877-724-3258

Frequently Asked Questions

Expand AllClick here for a more accessible version

Pennsylvania Vaccine Provider Map

All Pennsylvanians age 16 and older are eligible to receive a COVID-19 vaccine. The Department of Health is now using as the mapping source to help individuals find a location where they can get vaccinated. Use the Find a Vaccine button below to find a provider near you.

*Note – Philadelphia County is a separate vaccine jurisdiction and has their own information about vaccine distributionOpens In A New Window.

Are you a Veteran, or Veteran's spouse, caregiver, or CHAMPVA recipient? You're also eligible to receive vaccine through the VA! Visit the VA websiteOpens In A New Window for more information.

COVID-19 Vaccine Distribution

  • The spreadsheet below is intended to provide a public overview of COVID-19 vaccine deliveries to providers.
  • Vaccine providers receive separate, detailed communications from the Department of Health (DOH) to ensure they are ordering the appropriate numbers of doses to fill first and second dose appointments.
  • The spreadsheet shows providers who have received a delivery of vaccine, the total doses delivered, and the date of delivery.
  • The spreadsheet does not distinguish doses delivered as first or second doses.
  • The department continues to fill provider orders and requests for vaccine throughout the week, as necessary.  
  • Spreadsheets are updated and posted on Wednesdays and Mondays to reflect the locations listed having received vaccine. For example, if a location is to receive vaccine on Thursday, it will not be listed in the Wednesday spreadsheet, but will be listed in the Monday spreadsheet which is the final spreadsheet for the previous week.
  • The COVID-19 Vaccine Provider Locations spreadsheet does not include Retail Pharmacy Partners or Federally Qualified Health Centers (FQHCs) receiving a separate allocation of vaccine directly from the federal government. Those partners, and the locations receiving vaccine, are included in spreadsheets below.
  • Note: During week 10 there were nationwide winter weather emergencies that resulted in shipments of vaccine across the country not reaching providers. Vaccine is shipped directly from the manufacturers to providers. The DOH has no control over the actual shipment times and deliveries to providers. The CDC and DOH both notified providers of delayed shipments during week 10. The delayed shipments are expected to be delivered to providers this week. It is the providers' responsibility to reschedule vaccination appointments as necessary due to delayed shipments outside of the DOH's control. Weather related delivery delays may skew the vaccine information in spreadsheets for week 10 and week 11.


The Department of Health has made COVID-19 vaccination data available through the commonwealth's OpenData platform. 

The commonwealth's OpenData platform also shows how the commonwealth's public-facing services are providing relief and support to those in need at this time. Information included is data from the Department of Labor & Industry regarding unemployment compensation, data from the Department of Human Services on its Office of Income Maintenance Call Center, and data from the Department of Health on COVID-19 case, death, and hospitalization data, as well as calls to the 1-877-PA-HEALTH line.

Archived Data

The information below is archived. Updated provider data for the Retail and Federal Pharmacy Partnerships is available on OpenData.

Moderna and Retail Pharmacy Partnership

The Operation began allocation of Moderna vaccine directly to retail pharmacy partners, which in Pennsylvania includes Rite Aid and Topco. The following spreadsheets represent retail locations that received Moderna vaccine allocations.

Rite Aid


Pfizer and Retail Pharmacy Partnership

Beginning with the week of February 21, The Operation began an allocation Pfizer-BioNTech vaccine directly to retail pharmacy partners, which in Pennsylvania includes CVS, Rite Aid, Topco and Walmart. The following spreadsheets represent retail locations that received Pfizer-BioNTech vaccine allocations.

Federal Pharmacy Partnership

The following skilled nursing facilities are part of the Federal Pharmacy Partnership and either CVS or Walgreens is hosting a clinic to vaccinate residents and staff at the facility.

Date updated: 8/8/2022