A woman and a girl in face masks walking a dog on a park path in autumn

Table of Contents

H2 headings will appear here...

SUCCESS STATS

PBM 101

Is there a “Twindemic” upon us?

Is there a “Twindemic” upon us?

Portrait of SmithRx

SmithRx

Key Takeaways
  • Australia's severe 2022 flu season signaled a sharp rebound after two years of pandemic-suppressed influenza.

  • Fall and winter bring peak overlap risk for COVID-19 and flu, making timely vaccination critical.

  • COVID-19 mitigation measures inadvertently suppressed flu for two years, leaving populations less naturally immune.

As the world battled the COVID-19 pandemic in 2020 and 2021, with heightened measures to quarantine and social distance, the influenza virus remained relatively inactive and maintained a low profile. However, the 2022 seasonal influenza virus may be rebounding in higher numbers than anticipated. Influenza, the “flu,” is a contagious respiratory disease and spreads mainly via droplets made when people with the flu cough, sneeze or talk. Scientists are referencing a surge in COVID-19 cases, alongside a rise in influenza cases, as a fearful and dreaded ‘twindemic.’

Although viruses are present year round in the United States, there tends to be an increase in COVID-19 and influenza cases in the fall and winter months. The trends in the Southern Hemisphere with their earlier flu season can often help predict the virus behaviors in the Northern Hemisphere. This year the flu season in the Southern Hemisphere, in countries like Australia, was the worst it has been in recent years, with respiratory infections increasing earlier in the flu season than expected. The combination of both viruses at peak levels could strain the US healthcare system.

Amidst fears of a winter ‘twindemic,’ the best way to reduce your risk from the seasonal flu is to get vaccinated every flu season. The Center for Disease Control recommends everyone aged 6 months and older should get the flu vaccine every flu season. The vaccine is necessary annually, as the immune protection from the vaccine wanes over time. Additionally, new strains of the influenza virus are constantly appearing and mutating, requiring updates to the flu vaccines each year based on the most prevalent strains.

Your SmithRx benefit lets you get your flu vaccine from local pharmacies such as Walgreens, CVS, Rite Aid, Safeway or Costco. Alternatively, you can call any in-network pharmacy to see if they’re administering the flu vaccine. Most insurances cover the flu vaccine at $0. However, call the customer service number on the back of your insurance card to check your plan-specific coverage details.

Portrait of SmithRx
SmithRx

SmithRx is the #1 Modern PBM, relentlessly focused on eliminating the conflicts and complexity of legacy pharmacy benefits. Built on radical transparency and fiduciary alignment, we empower employers to take control of their pharmacy spend and experience with our 100% pass-through model.

A woman uses her pharmacy benefit portal's tools to find the lowest cost filing pharmacy for her presciption.

PBM 101

How to Evaluate PBM Member Tools for Your Plan

Learn what PBM member tools include and how to compare portals, prior authorization visibility, and support quality in your next pharmacy benefit RFP.

date

A woman uses her pharmacy benefit portal's tools to find the lowest cost filing pharmacy for her presciption.

PBM 101

PBM Member Tools: What to Look for When Comparing Pharmacy Benefit Partners

Learn what PBM member tools include and how to compare portals, prior authorization visibility, and support quality in your next pharmacy benefit RFP.

date

A woman uses her pharmacy benefit portal's tools to find the lowest cost filing pharmacy for her presciption.

PBM 101

PBM Member Tools: What to Look for When Comparing Pharmacy Benefit Partners

Learn what PBM member tools include and how to compare portals, prior authorization visibility, and support quality in your next pharmacy benefit RFP.

date

An HR team weighs different PBM's member support quality during an RFP. Two professionals talking over documents and laptops.

PBM 101

How to Evaluate PBM Member Support

Evaluate PBM member support with RFP-ready criteria: on-shore teams, wait times, satisfaction scores, and multichannel access that protect employee experience.

date

An HR team weighs different PBM's member support quality during an RFP. Two professionals talking over documents and laptops.

PBM 101

How to Evaluate PBM Member Support: A Guide for Benefits Leaders

Evaluate PBM member support with RFP-ready criteria: on-shore teams, wait times, satisfaction scores, and multichannel access that protect employee experience.

date

An HR team weighs different PBM's member support quality during an RFP. Two professionals talking over documents and laptops.

PBM 101

How to Evaluate PBM Member Support: A Guide for Benefits Leaders

Evaluate PBM member support with RFP-ready criteria: on-shore teams, wait times, satisfaction scores, and multichannel access that protect employee experience.

date

Line of arrows with a yes/ no filter on green background, prior authorization concept.

PBM 101

Evaluating a PBM's Prior Authorization Program

Learn how employers can evaluate a PBM's prior authorization program using turnaround time, transparency, fair appeals, member communication, and aligned incentives.

date

Line of arrows with a yes/ no filter on green background, prior authorization concept.

PBM 101

How to Evaluate a PBM's Prior Authorization Program

Learn how employers can evaluate a PBM's prior authorization program using turnaround time, transparency, fair appeals, member communication, and aligned incentives.

date

Line of arrows with a yes/ no filter on green background, prior authorization concept.

PBM 101

How to Evaluate a PBM's Prior Authorization Program

Learn how employers can evaluate a PBM's prior authorization program using turnaround time, transparency, fair appeals, member communication, and aligned incentives.

date

SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

Pharmacy and Provider Line
Member Help

M-F 8am - 9pm ET; Saturday 9am - 7pm ET

© 2026 Smith Health, Inc

Cookie Settings

Do Not Sell or Share My Personal Information

SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

Pharmacy and Provider Line
Member Help

M-F 8am - 9pm ET; Saturday 9am - 7pm ET

© 2026 Smith Health, Inc

Cookie Settings

Do Not Sell or Share My Personal Information

SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

Pharmacy and Provider Line
Member Help

M-F 8am - 9pm ET; Saturday 9am - 7pm ET

Company

Resources

Connect

© 2026 Smith Health, Inc

Cookie Settings

Do Not Sell or Share My Personal Information