Request for Vaccine
North Dakota Department of Health

Note:

• Please limit vaccine orders to a 2-month supply.
• Allow up to 2 weeks for delivery.
• Vaccine and materials are shipped on Mondays, Tuesdays, and Wednesdays (Weather permitting.)
• Orders will not be filled until the NDDoH has received a Vaccine Administration Monthly Report

Vaccine Type	Unit Size	Doses Ordered	Doses On Hand	Approved by	Approved on
DTaP(For Children 6 years old and younger) - Syringes	5
DTaP(For Children 6 years old and younger) - Single-dose vials	10
DTaP/HepB/IPV - Syringes IHS ONLY	5
DTaP/HepB/IPV - Single-dose vials IHS ONLY	10
DTaP/Hib/IPV Pentacel- Single dose vials	5
DTaP/IPV Kinrix- Single dose vials	10
DTaP/IPV Kinrix- Syringes	5
Hepatitis A - Havrix (GSK) - Syringes	5
Hepatitis A - Havrix (GSK) - Single-dose vials	10
Hepatitis B - Syringes	5
Hepatitis B - Single-dose vials	10
Hib (PedvaxHIB) - Single-dose vials IHS ONLY	10
Hib (ActHIB) - Single-dose vials	5
HPV - Single-dose vials	10
IPV - Multi-dose vials	10
Meningococcal Conjugate Vaccine (MCV-4) - Single-dose vials	5
MMR - Single-dose vials	10
Pneumococcal Conjuugate Vaccine (PCV-7) - Syringes	10
Pneumococcal Polysaccharide Vaccine (PPV-23) - Multi-dose vials	5
Rotavirus - Single-dose tubes	10
Tdap Boostrix - Syringes	5
Tdap Boostrix - Single-dose vials	10
Tdap Adacel - Single-dose vials	10
Tdap Adacel- Syringes	10
Varicella (Shipped directly from manufacturer) - Single-dose vials	10
DT (pediatric)*** - Single-dose vials	10
HBIG* - Single-dose vials	1
Shingles (shipped directly from the manufacturer)- Single-dose vials -ONLY AVAILABLE FOR ORDER BY LPHUs	10
Td** - Syringes	10
Influenza	10

*Available to hospitals for peri-natal use only.
**Available for use in children (>= 7 years) who have not completed the primary series of DTap.
***Contact ND Immunization Program at 800.472.2180. Order must be pre-approved over the phone.

Ordering Information
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Shipping Information
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