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The updated vaccine will be the first COVID-19 shot to be distributed in the way most vaccines have in the past, prior to the pandemic, on the commercial market for around $120-$130 per dose, rather than purchased and provided for by the government. That means that pharmacies and doctors’ offices will purchase the vaccines at their own cost and get reimbursed for the shots. Most insurers, including Medicare and private companies, will continue to cover the vaccine, without co-pays, since it is recommended by the CDC.