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  • Ct Vaccine Order Form (vof) 2020

Get Ct Vaccine Order Form (vof) 2020-2025

Address Vaccine Brand Vaccine NDC Codes Pack Size Hib 49281-0545-03 5 Tdap 49281-0400-10 10 Tdap 58160-0842-11 10 Daptacel DTaP 49281-0286-10 10 Engerix-B Hepatitis B 58160-0820-52 10 -Quad Influenza .5mL Syr. 49281-0419-50 10 FluLaval-Quad Influenza .5mL Syr. 19515-0906-52 10 Influenza .2mL Spray 66019-0306-10 10 Flucelvax-Quad Influenza .5mL Syr. 70461-0319-03 10 9 HPV 9 00006-4121-02 10 Hepati.

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The Vaccines for Children (VFC) Program provides vaccines to children whose parents or guardians may not be able to afford them.

VFC eligibility is as follows: (a) Medicaid enrolled; (b) uninsured; (c) American Indian/Alaskan native; or (d) underinsured seen at an FQHC.

Medicaid-eligible or Medicaid-enrolled children Children ages 18 years or younger who are enrolled in a Medicaid program or are eligible for Medicaid can receive VFC Program benefits. However, children who are enrolled in a separate CHIP program are considered insured and do not qualify for VFC Program benefits.

If a child does not have Medicaid as secondary insurance, the child is not VFC-eligible even if a child's family has a high-deductible plan. Underinsured. Underinsured means the child has health insurance, but the insurance policy: • Doesn't cover any ACIP-recommended vaccines.

The Connecticut Vaccine Program (CVP) is Connecticut's expanded pediatric vaccination program. The CVP is state and federally funded (through the VFC Program) and provides vaccines at no cost to all children under the age of 19 years, regardless of insurance status.

Pharmacists who hold a valid pharmacist license in Connecticut and have successfully completed an immunization training program for pharmacists may administer vaccinations to: Patients aged 18 years or older; and, Patients at least 12 years of age and under the age of 18 with either:

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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