Modify Prebook Request Screen

VFC PIN

This information displays at the top of the screen, this is the VFC PIN for the organization logged in.

Initiating Organization

This information displays the organization which is logged in.

Initiating User

Display the name of the delivery contact for the provider organization who submitted the order.

Phone Number

Phone number tied to provider organization logged in.

Fax Number

Displays the Fax number tied to provider organization logged in.

 Request Date

This information displays the  date order started.

 Primary VFC Coordinator

Displays the name of the Primary VFC Coordinator for the provider organization logged in.

 Delivery Address

Displays the Delivery Address for the provider organization logged in.

 Vaccine Delivery Hours

Display the Delivery Days and Hours for the provider organization logged in.

Special Instruction

Displays the Special Delivery Instructions if any.

Trade Name

This column displays the Trade name of the vaccine.

Packaging

This column displays the Packaging information for of the vaccine.

 Manufacturer

This column displays the manufacturers information of the vaccine.

Type

This column displays the type of prebook request e.g. VFC, Adult, and Pandemic.

Initiating User

This  column displays the user who originally created the prebook request.

Prebook Date

This column displays the date the prebook request was created initially.

 Min  Order Quantity

This column  display  the smallest order that can be placed based on NDC screen calculations (units per package x doses per unit).

 Original Prebooked

This column displays the number of doses prebooked initially.

 Doses Remaining

This column displays the difference between the number of doses prebooked and total number of doses requested and declined .

 Change Doses Prebooked To

This column displays the quantity of  doses provider wants to prebook now.

Clicking the  Submit Updates  button will submit the updated vaccine pre-book request.

Clicking the  Delete Prebook Request button will display a pop-up message for user to select OK for successful deletion or Cancel to return to the Modify Prebook Request screen.

Clicking the Cancel button will display the Vaccine Request Status screen.