Important Message: Pharmacy claims are now being processed. Information about the past Change Healthcare outage can be found on the Pharmacy and Provider Communications page.
PDF format documents
APTC advance payment worksheet 2023
The worksheet will not open through the Vermont Health Connect website. You will need to download and save it to your computer.
APTC advance payment worksheet 2022
The worksheet will not open through the Vermont Health Connect website. You will need to download and save it to your computer.