Vaccine Blurbs Special Edition: CORRECTION FluMist Return/Replacement

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Washington State Department of Health | December 17, 2024

FluMist McKesson's Return/Replacement & FluMist Replacement Program for CDC 2024‐2025

McKesson has inadvertently shipped AstraZeneca FluMist (NDC: 66019-0311-10) with a shorter expiration date (Lot #: WF2583; Expiry: 12/16/2024) to several providers. To prevent vaccine loss, there are two options available for replacing these vaccines:

Option 1 - FluMist Mckesson's Return/Replacement

McKesson will replace the short-dated doses if the entire order received of FluMist has not been used.

If you would like to proceed with this option, please contact us at WAChildhoodVaccines@DOH.WA.GOV to request a replacement. Be sure to include your PIN and the ORDER number. Additionally, please label the doses with "DO NOT USE." We will reconcile the doses in the Immunization Information System (IIS) and inactivate the LOT.

After McKesson processes the return, we will provide you with a FedEx pick-up date. You do not need to maintain the cold chain; just ensure the vaccines are packed securely to prevent any damage during transit.

Once the replacement has been delivered, please manually receive the vaccine in WAIIS.

 

Option 2 - FluMist Replacement Program for CDC 2024‐2025

If the doses have been partially used, providers can use the 2024-25 FluMist Replacement Program to replace them with doses that are longer dated (March 2025). 

The provider must contact the AstraZeneca Replacement Program by phone or by email, as detailed in the included instructions. A PDF version is available here.

Eligibility Guidelines: Request must be made between Monday, December 2, 2024, and Friday, January 31, 2025, by 7:00 pm CST (5:00 pm PST)  

  • Doses must have been purchased on the CDC contract. Private doses are not eligible for the FluMist® Trivalent Replacement Program for CDC.
  • Product expiration date must be on or before February 2, 2025.
  • AstraZeneca will replace expired doses of FluMist® while supplies last.

Important Notes:

  • Follow all instructions provided by McKesson Specialty Health (MSH).
  • Pack the expired/expiring doses as instructed. Expired doses of FluMist do not have to be returned cold.
  • McKesson will email a FEDEX label to you to ship back the expired doses.
  • Doses can only be replaced in increments of 10. The minimum number of doses that can be replaced is 10 doses. Multiple eligible lot #'s can be used to achieve multiple of 10.
  • MSH validates the vaccine received against request.
  • If the doses received match the request, doses would ship within 72 business hours.
  • If the doses received exceed the request, only the doses requested will be shipped.
  • Additional doses received more than the request will not be replaced.
  • If doses received are less than requested, only those received (rounded down to the nearest multiple of 10) will be replaced.
  • Requests for expiring doses cannot be made more than 14 days before the sprayer's expiration date.
  • All doses requested for replacement must be received by Saturday, February 15, 2025. Once qualifying doses are received, replacement products will be shipped.
  • Any doses received after February 15 will not be replaced.
  • Receive the replacement order manually in WAIIS.

Example: Provider requests 20 doses to be replaced

  • McKesson receives 20 doses, 20 doses will ship for replacement.
  • McKesson receives 30 doses, 20 doses will ship for replacement.
  • McKesson receives 18 doses, 10 doses will ship for replacement.

For questions about this program, please contact the FluMist® Replacement Program for CDC at 1-877-633-7375 or flumistreplacement@mckesson.com.

IIS reconciliation: To reconcile the lot numbers being replaced through the FluMist Replacements Program in the Washington Immunization Information System (WAIIS), follow these steps:

  • Choose the Category "Correction" and the Reason "Correction of invalid entry"
  • Once the Lot # gets down to zero in your reconciliation page, please inactivate the LOT.

If you do not have the option to use this Category/Reason, please contact your clinic's IIS system administrator or waiishelpdesk@doh.wa.gov. Please note that this category and reason should only be used in exceptional circumstances, such as this one.