Vaccine Brand Choice

 Purpose

Providers may choose which vaccine brands to supply when competing vaccines are available.  Vaccine brand choices may be changed twice per year with changes taking place in January and July. The Provider Vaccine Brand Choice captures the organization's brand choices.

The below sections are used to capture the Brand Choice information.

 Facility Information

This section displays the Facility name and VFC PIN of the facility. It also captures the Facility Type and Enrollment Type.

Field Name

Description

Facility Name

Name of the facility. Pre-populated with the existing facility name. Displayed as read only.

VFC PIN

VFC PIN number of the facility. Pre-populated with existing VFC PIN. Displayed as read only.

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 Date Range

The date range allows creating a brand choice for the current period or for the next period. After the Start of the current date range (January 1st or July 1), that range will become the current period. On January 1, the current choices in the July time frame will be saved as the default choice for January through June.  On July 1, the current choices in the January time frame will be saved as the default choices for July through December.

Field Name

Description

January 1 (or date of enrollment) through June 30

The brand choice for the period January 1 through June 30.

July 1 (or date of enrollment) through December 31

The brand choice for the period July 1 through December 31.

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 Brand Choice

This sections captures the brand choice for the selected period. At least one vaccine brand must be selected for each vaccine group. The existing brand choice (if available) is loaded for the selected period.

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 Completed and Submitted By

This section captures the user and the date the form was last saved.

Field Name

Description

Name

The Full Name of the user who last submitted/Saved the Brand Choice. Read only field.

Date

The date the Brand Choice was last submitted/Saved. Read only field.

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 Functionality

Button

Description

 

When Save is clicked, all fields are validated. If there are errors, the error message are displayed and the form is not saved and when there are no errors, the brand choice is saved.

- If information is saved while not in Enrollment Period and the provider VFC Status is Active (i.e. provider is changing information but not re-enrolling), the Next and Back buttons will be enabled, however, the Submit button will not be displayed. The message 'Saved successfully and submitted to the Idaho Immunization Program' will be displayed. An e-mail notification will be sent IIP with list of changes made since the last save of Brand Choice.

- If information is saved during Enrollment Period and Organization’s VFC Status is Active, Pending or Suspended OR if outside the enrollment period and the Organization’s VFC Status is Pending or Suspended (i.e. provider is re-enrolling) and if the user has not saved the Provider Agreement, Provider Profile and Brand Choice after the current  Enrollment Period has started,  the message 'The re-enrollment is not complete. Please review and save the Provider Agreement, Provider Profile, and Brand Choice. Once all three forms have been saved, the information must be submitted to the medical director or equivalent for signature.' will be displayed at the end of the page.  The Submit button will not be displayed. The Next and Back buttons will be enabled.

- If information is saved during Enrollment Period and Organization’s VFC Status is Active, Pending or Suspended OR if outside the enrollment period and the Organization’s VFC Status is Pending or Suspended  (i.e. provider is re-enrolling) and if the user has saved the Provider Agreement, Provider Profile and Brand Choice after the current  Enrollment Period has started,  the message 'Provider Agreement, Provider Profile and Brand Choice have all been saved successfully for VFC Re-enrollment.  Click Submit to notify the medical director the forms are ready for review and signature.' will be displayed at the end of the page. The Submit button will be displayed. The Next and Back buttons will be enabled.

 

The Submit button will be visible only when if information is saved during Enrollment Period and Organization’s VFC Status is Active, Pending or Suspended OR if outside the enrollment period and the Organization’s VFC Status is Pending or Suspended  (i.e. provider is re-enrolling) and if the user has saved the Provider Agreement, Provider Profile and Brand Choice after the current  Enrollment Period has started.

When Submit is clicked, all fields are validated. If there are errors, the error message are displayed and the form is not saved and when there are no errors, the provider agreement is saved and the message 'Submitted to your Medical Director for review and signature.' is displayed. An e-mail notification will be sent to Medical Director or Equivalent notifying that the VFC Re-enrollment form is submitted for review and sign.

The Print will be enabled after the page is saved. When Print is clicked, the Vaccine Brand Choice form for the selected date range’s brand choice will be printed as a PDF file. The current year will be the form saved for the next brand choice date range.  I.e. if the enrollment period is May, the brand choice effective July 1 will be printed.

The Next button will be enabled only for Medical Director or Equivalent, IRIS System Manager, Vaccine Manager and IR Developer (i.e. roles that can submit on Review and Sign). The Next will be enabled after the page is saved. When Next is clicked, the user will be taken from the Vaccine Brand Choice page to the Review and Sign page.

When Back is clicked, the user will be taken from Brand Choice to the Provider Profile page.

When Cancel is clicked, any changes that have been made since the last Save, will be cancelled.

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