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  • Vfc Expired/spoiled Vaccine Report - Adph

Get Vfc Expired/spoiled Vaccine Report - Adph

Transaction # # of labels: EXPIRED / SPOILED VACCINE REPORT VFC Provider Name Standard or Pick-up Date Address Phone ( ) Street City Zip Clinic Contact Provider VFC Pin Number: Name of VFC Staff Member.

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How to fill out the VFC expired/spoiled vaccine report - Adph online

This guide provides clear instructions on how to complete the VFC expired/spoiled vaccine report online. Users will find step-by-step details to navigate each section effectively, ensuring accurate reporting of expired or spoiled vaccines.

Follow the steps to successfully complete the report online.

  1. Click the ‘Get Form’ button to obtain the VFC expired/spoiled vaccine report in your online document management system.
  2. Fill in the VFC provider name in the designated field, ensuring the correct name is entered for accurate identification.
  3. Select either Standard or Pick-up based on your needs by checking the appropriate box.
  4. Enter the current date in the provided field.
  5. Complete the address section, including street, city, and zip code, followed by the clinic's contact phone number in the specified format.
  6. Provide the name of the clinic contact person and the provider's VFC PIN number to facilitate direct communication.
  7. Document the name of the VFC staff member contacted for further assistance, if applicable.
  8. If your office has expired or spoiled VFC vaccine, immediately notify the VFC program by phone at 1-866-674-4807.
  9. Fax or mail the completed spoiled and wastage report to the VFC program, ensuring you retain a copy for your records.
  10. Enter details under return reason codes, specifying the reason for vaccine spoilage or expiration.
  11. Provide the necessary information for each vaccine returned, including NDC, lot number, expiration date, and the number of doses.
  12. Detail what happened to the vaccine in the provided space, outlining circumstances clearly.
  13. Indicate how similar situations will be prevented in the future in the specified area.
  14. Once all sections are completed, save changes, and choose to download, print, or share the form as needed.

Complete your VFC expired/spoiled vaccine report online today for efficient management of your vaccine inventory.

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You can request a vaccine return shipping label via e-mail. Simply include the e-mail address you wish the return label to be sent to where indicated, and you will receive the label via e-mail from UPS (typically within an hour of processing.). Return labels can only be sent to one e-mail address.

All expired or wasted VFC vaccine must be returned to McKesson by providers, with the exception of broken vials/syringes, open vials or drawn but not used syringes. Broken/open vials and drawn but not used syringes should be recorded as wastage in MCIR VIM and then discarded in a sharps container.

The administration fee for CPT code 90651(Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent [9vHPV], 2 or 3 dose schedule, for intramuscular use) is reimbursable when billed with modifier SL for males and non-pregnant females 9 through 18 years of age.

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

Spoiled or expired VFC vaccines must be returned in their original container (unopened vial or manufacturer-prefilled syringe) within six months of the spoilage or expiration date.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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