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With the holidays quickly approaching, please be mindful of shipping delays, limited or no shipping days, and plan your vaccine orders accordingly. December 9th is the last day you can submit a vaccine order to receive the delivery before January. Please note that there will be no vaccine deliveries made during the week of Christmas and New Year's. You can place an order off your typical schedule if needed. Please ensure your accountability reports are up to date prior to placing orders to ensure expedited processing. It's also a good idea to update your shipping hours in your provider agreement if needed. Check out the holiday shipping calendar on our website for more information.
Reminder: DOH Offices will be closed Thursday, November 27th and Friday, November 28th.
RSV
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Ordering for RSV product (nirsevimab) opened statewide on October 8, 2025. Orders are being processed daily. DOH continues to monitor orders closely, and we ask that you continue to check the IIS Vaccine Advertisements page for available transfers before placing an order and advertise any expiring doses on the Vaccine Advertisement page in the IIS.
- Please watch for emails from DOH - we may reach out regarding your RSV inventory and appreciate your prompt response.
- Merck's new RSV monoclonal antibody product clesrovimab (Enflonsia™) will be available for ordering after the holidays. Watch for more information about this product and a brand switch interest survey coming out in our next edition.
FluMist
- FluMist is no longer available to order through CVP this season - we have exhausted our allocation and are no longer accepting orders for this product.
- Advertise any expiring doses on the Vaccine Advertisement page in the IIS
- Check out AstraZeneca's FluMist® Replacement Program to replace unused, expiring FluMist doses at no cost! (see article below)
Novavax COVID-19 Vaccine
- Due to availability, Novavax is no longer available to order through CVP .
- Current vaccine expiration date is 12/31/2025 - Sanofi is working with FDA on a shelf-life extension.
A recording of the November 13th Childhood Vaccine Program (CVP) Training Series: What to Do in a Power Outage webinar is now available on our Training webpage, along with the training slides.
If you have any questions, please contact us at WAChildhoodVaccines@doh.wa.gov.
The Childhood Vaccine Program and Adult Vaccine Program provider map has been updated. The provider map can be used to identify providers enrolled in either program. Please take a moment to locate your facility on the map and ensure all information is correct. You can email WAChildhoodVaccines@doh.wa.gov with any questions edits, questions, or suggestions.
There has been an increase in attempted returns of non-returnable coolers to the distribution center. This is creating confusion at the distribution center and leading to provider order rejections.
You will now see a new instruction flyer included in your shipments. As shown in the flyer below, EcoFlex coolers must be returned while KoolTemp Coolers are not returnable and should be disposed of.
Please reach out to WAChildhoodVaccine@doh.wa.gov with any questions.
Do you have FluMist doses in your inventory that will expire on or before February 1, 2026 that you won't administer before expiration? Consider using AstraZeneca's FluMist® Replacement Program to replace unused, expiring FluMist doses at no cost!
If you would like to take advantage of the replacement program, please reach out to flumistreplacement@mckesson.com with your PIN, number of doses you need replaced, and how many boxes you will need. You can also contact the program by phone at 1-877-633-7375. Check out this guide for more on the program and how to take advantage of this opportunity!
Important Notes and Dates
- Doses must have been received from the Childhood Vaccine Program. Privately purchased doses are not eligible.
- Product expiration date must be on or before February 1, 2026
- Requests can be made starting Monday, December 1, 2025 through Friday, January 30, 2026
- All doses for replacement must be received at the distribution center by Saturday, February 14, 2026
- Expiring doses will be replaced while supplies last
As the WVA is completing their provider reverification project, they have seen an uptick in errors on Vaccine Dosage-Based Assessment (DBA) submissions—particularly in a few key fields. To help your vaccine DBAs process smoothly, please double-check the following details before submitting:
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CMS-1500 Your vaccine DBA should replicate your office visit/administration claim except for these two areas:
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Box 25 – Federal Tax ID Number: 27-2251833
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Box 33 – Billing Provider Info & Phone: Washington Vaccine Association PO Box 94002 Seattle, WA 98124-9402 (Use your billing office phone number in this field.)
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Box 33a – NPI: 1699092718
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Box 33b – Taxonomy Code: 251K00000X
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837 Professional (Electronic) Format For electronic vaccine DBA submissions, clearinghouses require both WVA addresses (physical and mailing) in order to pass their edits (Box 33 on CMS-1500):
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Billing Provider Address (Loop 2010AA): 1700 Seventh Ave, Suite 1810 Seattle, WA 98101-1397
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Pay-To Provider Address (Loop 2010AB): PO Box 94002 Seattle, WA 98124-9402
Including these details helps ensure your vaccine DBAs are accepted the first time and prevents processing delays. Thank you for taking a moment to review your submissions—your accuracy helps keep the vaccine program running smoothly!
Please reach out to info@wavaccine.org or 1-888-928-2224 with any questions.
 Join us for a full-day hybrid event bringing together public health professionals, health-care providers, community leaders, and advocates dedicated to strengthening immunization efforts across Washington.
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When: Thursday, March 19, 2026
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Where: Greater Tacoma Convention Center (or online!)
Whether you join us in person or virtually, you’ll gain practical tools, new connections, and inspiring insights to advance immunizations through science, technology, and teamwork.
Bonus: In-person attendees enjoy a complimentary lunch and networking reception following the event!
Register Now— space is limited!
Immunize.org updated printable QR code tables for clinic use. The QR codes in these tables, when scanned (or clicked), link directly to a VIS. The updates include:
The American Pharmacists Association offers two interactive maps that can be used to find pharmacy vaccination locations:
The Pediatric Infectious Diseases Society offers a free educational program, Comprehensive Vaccine Education Program—from Training to Practice, to help combat vaccine misinformation and address hesitancy. There are 19 online modules to help with discussions with patients and parents through the Collaboration for Vaccine Education and Research and The Vaccine Handbook (PDF).
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Are you getting the most out of your Moderna COVID-19 vaccine? McKesson ships Moderna COVID vaccines under frozen conditions and the vaccine is viable until its posted expiration date as long as it remains frozen. Once the vaccine is moved to the refrigerator, it must be used within 60 days and cannot be refrozen. Best practice to get the most out of your Moderna vaccines is to store in the freezer and thaw doses in the refrigerator as needed. Don't forget to label your Moderna COVID vaccines with the Beyond Use Date (BUD) when moving to the refrigerator! The BUD replaces the manufacturer's expiration date and should be noted on the label along with the initials of the person making the calculation.
Check out the 2025-2026 COVID-19 Vaccines At-A-Glance guide for more on this season's COVID vaccines and storage conditions.
Beyond Use Date Resources:
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