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Every quarter, the North Dakota Department of Health and Human Services (NDHHS) Immunization Unit assesses provider-level coverage rates for infants, children, adolescents, and adults for North Dakota immunization providers enrolled the Vaccines For Children (VFC) Program and North Dakota immunization providers that serve the state's adult population. Providers who have met or exceeded the immunization goals for the quarter will be recognized on the immunization provider honor roll. Provider-level coverage is also assessed in July for influenza vaccination coverage for the complete flu season. Providers that meet the immunization goal for influenza vaccination are also recognized on the immunization provider honor roll.