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A pre-order form for students to reserve the meningococcal vaccine, Menactra, ensuring they receive a dose during specified dates at the Shroyer Health Center.
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How to fill out meningococcal vaccine pre-orderpre-pay program

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How to fill out Meningococcal Vaccine Pre-Order/Pre-Pay Program

01
Visit the designated healthcare provider or facility offering the Meningococcal Vaccine Pre-Order/Pre-Pay Program.
02
Obtain and fill out the registration form for the program, ensuring all sections are completed.
03
Provide necessary personal information, including your name, contact details, and any relevant medical history.
04
Specify the number of vaccine doses required and whether you are pre-ordering or pre-paying.
05
Submit any required payment information if pre-paying for the vaccines.
06
Review the information provided for accuracy before submitting the form.
07
Keep a copy of the completed form and receipt for your records.
08
Follow up with the healthcare provider for confirmation of your order and any next steps.

Who needs Meningococcal Vaccine Pre-Order/Pre-Pay Program?

01
Individuals who are traveling to areas where meningococcal disease is prevalent.
02
College students and residents in dormitories or communal living environments.
03
Children and adolescents who require vaccinations according to school or childcare requirements.
04
Individuals with certain medical conditions or increased risk for meningococcal disease.
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People Also Ask about

Young people under the age of 25 who are attending university or college for the first time can also get the vaccine free of charge if they missed getting the vaccine when they were school age. Young people can approach their school or GP and ask about how to access the vaccine.
Vaccines are currently available at most CVS Pharmacy® and MinuteClinic® locations and is no cost with most insurance plans. *FOR MENINGOCOCCAL VACCINATIONS FOR ALL PRETEENS AND TEENS: The Centers for Disease Control and Prevention.
Age restrictions apply. Available when a certified immunizer is on duty. Eligible patients will not pay any copayments unless otherwise required by their plan, including Medicare Part B. Vaccines are currently available at most CVS Pharmacy® and MinuteClinic® locations and is no cost with most insurance plans.
Yes, if you don't have insurance or your insurance does not cover the cost of the meningococcal vaccines, you may be able to find free or low-cost meningococcal shots. Note that there may still be an administration fee of up to $21.22 per shot.
The meningococcal ACWY vaccine is free for all students in year 10 aged 14–16 years through school-based immunisation programs.
Pediatric/VFC vaccine price list VaccineBrandname/ TradenamePrivate Sector Cost/ Dose Meningococcal Conjugate (Groups A, C, Y and W-135) F Menveo® one-vial $166.747 Meningococcal Conjugate (Groups A, C, Y and W-135) F Menveo® two-vial $166.748 Meningococcal (Groups A, B, C, W and Y-135) F Penbraya™ $230.75 $230.7540 more rows • May 1, 2025
Young people under the age of 25 who are attending university or college for the first time can also get the vaccine free of charge if they missed getting the vaccine when they were school age. Young people can approach their school or GP and ask about how to access the vaccine.
Pediatric/VFC vaccine price list VaccineBrandname/ TradenameCDC Cost/ Dose Meningococcal Conjugate (Groups A, C, Y and W-135) F Menveo® two-vial $111.986 Meningococcal (Groups A, B, C, W and Y-135) F Penbraya™ $189.35 $189.35 Measles, Mumps and Rubella (MMR) B M-M-R®II $26.34540 more rows • May 1, 2025

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The Meningococcal Vaccine Pre-Order/Pre-Pay Program is a system that allows healthcare providers to order and pay for meningococcal vaccines in advance to ensure availability for their patients.
Healthcare providers, clinics, and organizations that wish to procure meningococcal vaccines in advance are required to file the Meningococcal Vaccine Pre-Order/Pre-Pay Program.
To fill out the Meningococcal Vaccine Pre-Order/Pre-Pay Program, providers must complete the designated form with their contact information, desired quantity of vaccines, and payment details before the submission deadline.
The purpose of the Meningococcal Vaccine Pre-Order/Pre-Pay Program is to streamline the vaccine distribution process, ensuring timely access to vaccines while also managing inventory effectively.
The information that must be reported includes the provider's contact details, the number of doses requested, type of meningococcal vaccine, and payment information.
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