As of March 13, 2023:

Get Rapid Test Kits Through USPS, Insurance
Every home in the U.S. can order four free at-home tests using COVIDtests.gov or 1-800-232-0233 (TTY 1-888-720-7489), while supplies last. USPS distributes free at-home COVID-19 tests, including tests that come with accessibility options for people who are blind or have low vision. These more accessible tests work with a smartphone app to provide audio instructions and audio test results. Place your order for more accessible free tests online or by calling 1-800-232-0233.

Most people with a health plan can get an at-home over-the-counter COVID-19 test from a pharmacy. Check your health insurance for more information. As long as the test kit is authorized by the U.S. Food and Drug Administration (FDA), many insurance plans will cover the cost or reimburse you.

Treating COVID-19 with Oral Medications Available by Prescription
Oral treatments are available that can reduce your chances of being hospitalized or dying from the disease. Medications to treat COVID-19 must be prescribed by a healthcare provider and must be started within days of when you first develop symptoms to be effective. Paxlovid and Molnupiravir remain effective treatments against currently circulating variants and emerging variants. To receive the oral treatments, you must have either a current home test showing your positive test result for a COVID-19 infection or a current laboratory confirmed COVID-19 infection, and a referral from a prescribing physician. For more information, call 311 and select option 1 on weekdays from 8 a.m. to 9 p.m. and on weekends and holidays from 8 a.m. to 5 p.m. or call 671-998-4527 or 671-998-4547.

DPHSS Ended Free COVID-19 Testing at Agana Shopping Center
Friday, March 10, 2023 was the last day the Guam Department of Public Health and Social Services (DPHSS) offered free COVID-19 testing for residents. For COVID-19 testing, residents may order free COVID-19 rapid test kits through USPS or through their health insurance. COVID-19 testing is also available through private clinics or the DPHSS Community Health Centers in Dededo or Inalåhan. Please call these clinics to schedule and to inquire on fees. Additional COVID Testing sites are listed below:

Incentives Offered for COVID-19 Vaccination Series Completion and Bivalent Boosters

A CDC grant awarded to DPHSS titled “Guam’s Initiative to Address COVID-19 Health Disparities (HDG)” is providing incentives to individuals who are completing their last dose in the primary series OR receiving their Bivalent Booster. Eligible residents will be offered a $20 gift certificate (alcohol and tobacco items excluded), while supplies last. Gift certificates will be offered at all DPHSS vaccination sites, while supplies last.

Worksite Vaccinations Available Through DPHSS Health Disparities Grant Program 

Organizations that would like to arrange COVID-19 vaccination at the worksite, the DPHSS Mobile Outreach Team is available 8 a.m. to 5 p.m. from Monday to Friday, excluding observed Government of Guam holidays. To schedule, please call 671-797-6059.

COVID-19 Vaccinations Available for Homebound Individuals by Calling 311, Option 2 

For persons with disabilities and senior citizens, call 311 option 2 for information on vaccination sites and hours, and to arrange in-home vaccinations for homebound individuals.

Bivalent Boosters Available at DPHSS Vaccination Clinics

On October 12, 2022, the CDC’s Advisory Committee on Immunization Practices (ACIP) recommended the use of new bivalent formulations of Pfizer-BioNTech and Moderna mRNA COVID-19 vaccines as a booster dose.

A single booster dose of bivalent Pfizer-BioNTech COVID-19 Vaccine or bivalent Moderna COVID-19 Vaccine may be given at least 2 months after completion of a monovalent primary series or any prior monovalent booster dose of COVID-19 vaccine. People must first complete at least a primary series with the original monovalent vaccine before receiving a single bivalent booster at least 2 months later.

• People may receive either brand of bivalent vaccine that is age-appropriate; there is no preference and no need to match the brand of the primary series.
• This recommendation is for a one-time booster. ACIP does not anticipate recommendations for frequent (e.g., every few months) booster doses of bivalent vaccine.  
• COVID-19 vaccines may be co-administered with all other routinely recommended vaccines, including influenza vaccine.

The updated Pfizer BioNTech and Moderna bivalent boosters are available at the DPHSS vaccination clinics. 

COVID-19 Vaccines for Children 6 Months and Older Available at DPHSS CHCs

The Moderna and the Pfizer-BioNTech COVID-19 Vaccines are authorized for use in children from six months of age and older. In most children, the Moderna COVID-19 vaccine for children ages six months through five years will be a two-dose primary series with four to eight weeks between dose one and dose two. In most children, the Pfizer-BioNTech COVID-19 vaccine for children ages six months through four years will be a three-dose primary series three to eight weeks between dose one and dose two, and at least eight weeks between dose two and dose three. Requirements for minors to receive the Moderna or Pfizer-BioNTech COVID-19 Vaccine at DPHSS vaccination clinics and outreach events:

• Parent/legal guardian must provide minor’s birth certificate
• Parent/legal guardian must have a government-issued photo identification
• Minor must be accompanied by a parent or legal guardian
• Guardians must present legal guardianship or power-of-attorney documents

GUAM’S COVID-19 COMMUNITY RISK LEVEL – As of December 5, 2022

Weekly Metrics Used to Determine the COVID-19 Community Level:

According the U.S. Centers for Disease Control and Prevention (CDC), actions to take during all community risk levels are as follows:

Stay up to date on vaccination, including recommended booster doses.

Maintain ventilation improvements.

Avoid contact with people who have suspected or confirmed COVID-19.

Follow recommendations for isolation if you have suspected or confirmed COVID-19.

Follow the recommendations for what to do if you are exposed to someone with COVID-19.

If you are at high risk of getting very sick, talk with a healthcare provider about additional prevention actions.

Follow DPHSS Guidance Memo 2021-16 Rev. 4 for isolation and quarantine, including getting tested if you are exposed to COVID-19 or have symptoms of COVID-19

Determining COVID-19 Community Levels – Based on CDC Calculations:

The COVID-19 Community Level is determined by the higher of the new admissions and inpatient beds metrics, based on the current level of new cases per 100,000 population in the past 7 days.

¹Number of new cases in the county in the past 7 days divided by the population in the county (or other administrative level) multiplied by 100,000.
²Total number of new admissions of patients with confirmed COVID-19 in the past 7 days divided by the total population in the Health Service Area, multiplied by 100,000.
³Percentage of staffed inpatient beds in use by patients with confirmed COVID-19 within the entire Health Service Area (7-day average).