Vaccines
Divisions
| Vaccine | Brandname | NDC | Manufacturer | Packaging |
| DTaP [1] | Daptacel® | 49281-0286-10 | Sanofi Pasteur | 10 pack – 1 dose vial |
| DTaP [1] | Infanrix® | 58160-0810-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0810-52 | 10 pack – 1 dose T-L syringe | |||
| DTaP-IPV [2] | Kinrix® | 58160-0812-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0812-52 | 10 pack – 1 dose syringe | |||
| DTaP-Hep B-IPV [4] | Pediarix® | 58160-0811-52 | GlaxoSmithKline | 10 pack – 1 dose syringe |
| DTaP-IP-HI [4] | Pentacel® | 49281-0510-05 | Sanofi Pasteur | 5 pack – 1 dose vial |
| e-IPV [5] | IPOL® | 49281-0860-10 | Sanofi Pasteur | 10 dose vial |
| Hepatitis A Pediatric [5] | Vaqta® | 00006-4831-41 | Merck | 10 pack – 1 dose vial |
| 00006-4095-02 | 10 pack – 1 dose syringe | |||
| Hepatitis A Pediatric [5] | Havrix® | 58160-0825-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0825-52 | 10 pack – 1 dose syringe | |||
| Hepatitis A-Hepatitis B 18 only [3] | Twinrix® | 58160-0815-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0815-52 | 10 pack – 1 dose syringe | |||
| Hepatitis B [5]Pediatric/Adolescent | Engerix B® | 58160-0820-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0820-52 | 10 pack – 1 dose syringe | |||
| Hepatitis B [5]Pediatric/Adolescent | Recombivax | 00006-4981-00 | Merck | 10 pack – 1 dose vial |
| HB® | 00006-4093-02 | 10 pack – 1 dose syringe | ||
| Hib [5] | PedvaxHIB® | 00006-4897-00 | Merck | 10 pack – 1 dose vial |
| Hib [5] | ActHIB® | 49281-0545-05 | Sanofi Pasteur | 5 pack – 1 dose vial |
| HIBMENCY [3] | MENHIBRIX® | 58160-0801-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| HPV – Quadrivalent Human Papillomavirus Types 6, 11, 16 and 18 Recombinant [5] | Gardasil® | 00006-4045-41 | Merck | 10 pack – 1 dose vial |
| HPV – Human Papillomavirus 9-valent [5] | Gardasil®9 | 00006-4119-03 | Merck | 10 pack – 1 dose vial |
| HPV -Bivalent Human Papillomavirus Types 16 and 18 [5] | Cervarix® | 58160-0830-52 | GlaxoSmithKline | 10 pack-1 dose syringe |
| MENB – Meningococcal Group B [5] | Trumenba® | 00005-0100-10 | Pfizer | 10 pack – 1 dose syringe |
| MENB – Meningococcal Group B [5] | Bexsero® | 46028-0114-01 | GlaxoSmithKline | 10 pack – 1 dose syringe |
| 46028-0114-02 | GlaxoSmithKline | 1 pack – 1 dose syringe | ||
| Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menactra® | 49281-0589-05 | Sanofi Pasteur | 5 pack – 1 dose vial |
| Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menveo® | 46028-0208-01 | GlaxoSmithKline | 5 pack – 1 dose vial |
| Measles, Mumps and Rubella (MMR) [1] | M-M-R®II | 00006-4681-00 | Merck | 10 pack – 1 dose vial |
| MMR/Varicella [2] | ProQuad® | 00006-4171-00 | Merck | 10 pack – 1 dose vial |
| Pneumococcal 13-valent [5] (Pediatric) |
Prevnar 13 TM | 00005-1971-02 | Pfizer | 10 pack – 1 dose syringe |
| Pneumococcal Polysaccharide (23 Valent) | Pneumovax®23 | 00006-4943-00 | Merck | 10 pack – 1 dose vial |
| Rotavirus, Live, Oral, Pentavalent [5] | RotaTeq® | 00006-4047-41 | Merck | 10 pack – 1 dose tube |
| 00006-4047-20 | 25 pack – 1 dose tube | |||
| Rotavirus, Live, Oral, Oral [5] | Rotarix® | 58160-0854-52 | GlaxoSmithKline | 10 pack – 1 dose vial |
| Tetanus & Diphtheria Toxoids [3] | Tenivac® | 49281-0215-15 | Sanofi Pasteur | 10 pack – 1 dose syringe |
| 49281-0215-10 | 10 pack – 1 dose vial | |||
| Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0842-52 | 10 pack – 1 dose syringe | |||
| Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel® | 49281-0400-10 | Sanofi Pasteur | 10 pack – 1 dose vial |
| 49281-0400-15 | 5 pack – 1 dose syringe | |||
| Varicella [5] | Varivax® | 00006-4827-00 | Merck | 10 pack – 1 dose vial |
| Adult Vaccine Price List | ||||
| Vaccine | Brandname/ Tradename | NDC | Manufacturer | Packaging |
| Hepatitis A-Adult [5] | Vaqta® | 00006-4096-02 | Merck | 10 pack – 1 dose syringe |
| 00006-4841-41 | 10 pack – 1 dose vial | |||
| Hepatitis A Adult [5] | Havrix® | 58160-0826-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0826-52 | 10 pack – 1 dose syringe | |||
| Hepatitis A-Hepatitis B Adult [3] | Twinrix® | 58160-0815-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0815-52 | 10 pack – 1 dose syringe | |||
| Hepatitis B-Adult [5] | Recombivax HB® | 00006-4995-41 | Merck | 10 pack – 1 dose vial |
| 00006-4094-02 | 10 pack- 1 dose syringe | |||
| Hepatitis B-Adult [5] | Engerix-B® | 58160-0821-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0821-52 | 10 pack – 1 dose syringe | |||
| HPV -Quadrivalent Human Papillomavirus Types 6, 11, 16 and 18 Recombinant Adult [5] | Gardasil® | 00006-4045-41 | Merck | 10 pack – 1 dose vial |
| HPV-Human Papillomavirus 9 Valent [5] | Gardasil®9 | 00006-4119-03 | Merck | 10 pack – 1 dose vial |
| HPV-Human Papillomavirus Bivalent Types 16 and 18 [5] | Cervarix® | 58160-0830-52 | GlaxoSmithKline | 10 pack – 1 dose syringe |
| Measles, Mumps, & Rubella-Adult [1] | M-M-R®II | 00006-4681-00 | Merck | 10 pack – 1 dose vials |
| Meningococcal Conjugate [5] | Menveo® | 46028-0208-01 | GlaxoSmithKline | 5 pack – 1 dose vial |
| Meningococcal Conjugate [5] | Menactra | 49281-0589-05 | Sanofi | 5 pack – 1 dose vial |
| MENB – Meningococcal Group B [5] | Trumenba® | 00005-0100-10 | Pfizer | 10 pack – 1 dose syringe |
| MENB – Meningococcal Group B [5] | Bexsero® | 46028-0114-01 | GlaxoSmithKline | 10 pack – 1 dose syringe |
| 46028-0114-02 | 1 pack – 1 dose syringe | |||
| Pneumococcal 13-valent [5] (Adult) |
Prevnar 13™ | 00005-1971-02 | Pfizer | 10 pack – 1 dose syringes |
| Pneumococcal Polysaccharide (23 Valent) | Pneumovax®23 | 00006-4837-03 | Merck | 10 pack – 1 dose syringes |
| 00006-4943-00 | 10 pack – single dose vial | |||
| Tetanus and Diphtheria Toxoids[3] | Tenivac | 49281-0215-10 | Sanofi | 10 pack – 1 dose vial |
| 49281-0215-15 | 10 pack – 1 dose syringe | |||
| Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel | 49281-0400-10 | Sanofi | 10 pack – 1 dose vial |
| 49281-0400-15 | 5 pack – 1 dose syringe | |||
| Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-11 | GlaxoSmithKline | 10 pack – 1 dose vial |
| 58160-0842-52 | 10 pack – 1 dose syringe | |||
| Varicella-Adult [5] | Varivax® | 00006-4827-00 | Merck | 10 pack – 1 dose vial |
| Zoster Vaccine Live | Zostavax® | 00006-4963-41 | Merck | 10 pack – 1 dose vial |
