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  • Illinois Vfc Pediatric Vaccine Order Accountability Form

Get Illinois Vfc Pediatric Vaccine Order Accountability Form

CURRENT VFC INVENTORY VACCINE DOSES ON HAND LOT # EXPIRATION DATE NEW VACCINE ORDER BRAND DT / / / / / / DTaP / / / / / / / / / / / / / / / / / / Dtap-HepB-IPV / / / / / / Pediarix DTaP-IPV-Hib / / / / / / DTaP-IPV / / / / / / / / / / / / Polio / / / / / / EIPV Hib / / / / / / / / / / / / MANUFACTURER NDC # PACKAGE DESCRIPTION PRICE PER DOSES DOSE ORDERED Sanofi Sanofi 49281-0225-10 10 SDV $30.44 Daptacel Sanofi 49281-0286-10 10 SDV $1.

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Title XXI (21): Children who have Title XXI (21) or State-Funded coverage are considered fully insured though the State's Children's Health Insurance Program (CHIP). These children through age 18 are eligible for CHIP vaccines and are NOT eligible for VFC vaccines.

Illinois state law requires certain immunizations for children and adults enrolled in child care, school, or college. State law also mandates immunizations for adults in specific fields of work (healthcare).

IPOL is a multi-dose vial and it does not have a beyond use date. As mentioned previously, multi-dose vials are good until the expiration date printed on the vial or package unless they have been contaminated or compromised.

Title 19 (also referred to as “Medical Assistance” or “Medicaid”) is a joint federal-state welfare program which provides funding to cover the costs of nursing home and assisted living care for individuals who meet certain income and asset requirements.

The Vaccines For Children (VFC) program is a federally funded, state administered program that provides free vaccines to eligible children ages 18 and younger. Vaccines are provided at no cost to the provider or the patient. Providers are able to charge an administration fee for the vaccine.

What are the Costs or Fees? There is no charge for any vaccines given by a VFC provider to eligible children.

VFC site visits help determine a provider's compliance with VFC program requirements. This includes identifying potential issues with VFC vaccine accountability and determining whether VFC vaccines are being handled, stored, and administered in ance with the laws and policies governing the VFC program.

VFC resolutions passed by the ACIP form the basis for VFC program policies on vaccine availability and usage. They may not necessarily match the general usage recommendations of the ACIP, but rather represent the rules that providers must follow for administering each specific vaccine under the VFC program.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232