How can clinics with only an occasional non-VFC-eligible child manage such a small amount of private stock vaccine efficiently to prevent loss of the vaccine through expiration?
In these situations, such as IHS facilities, that may care for a small number of children who are not VFC-eligible, possibly children of facility staff who are not of American Indian descent and have private health insurance, the facility must maintain a stock of private purchased vaccine to administer to these children. CDC would find it acceptable for these clinics to actively implement the two-directional borrowing policy (discussed elsewhere within this document) to prevent loss of private stock vaccine due to expiration before it can be administered. To properly implement the borrowing policy, the facility must purchase an initial inventory of appropriate private stock vaccines. If the private stock vaccine is not used and is nearing the expiration date, the clinic can use the private stock on VFC-eligible children and document on the borrowing form that private stock vaccine was administered to a VFC-eligible child because the private stock was short-dated. The clinic can then re
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