MCIR Vaccine Codes Including U.S. Licensed CVX, CPT-4, and MVX
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1 CDC Name MCIR Vaccine s Including U.S. Licensed CVX, CPT-4, and MVX (CPT ) 24 Anthrax BIOTHRAX Anthrax BioPort MIP MYCOBAX BCG: Bacilus of Calmette & Guerin Sanofi PMC 19 BCG Organon TICE BCG BCG: Bacilus of Calmette & Guerin teknika OTC 27 Botulinum Antitoxin Botulinum Antitoxin CMVIG (IV) CMVIG (IV): Cytomegalovirus globulin MAPH MA 12 Diphtheria antitoxin DT (pediatric) DT (GENERIC) Diphtheria-Tetanus (DT pediatric) Sanofi PMC 106 DTaP (Daptacel) DAPTACEL DTaP (5 pertussis) None Sanofi PMC TRIPEDIA DTaP Sanofi PMC 20 DTaP (Pediatric) INFANRIX DTaP GlaxoSmithKline SKB 110 DTaP-HepB-IPV (Pediarix) PEDIARIX DTaP-HepB-IPV GlaxoSmithKline SKB 44 HepB (dialysis) 50 DTaP-Hib (TRIHIBIT) TRIHIBIT DTaP-Hib Sanofi PMC 120 DTaP-Hib-IPV (Pentacel) PENTACEL DTaP-Hib-IPV Sanofi PMC 130 DTaP-IPV (Kinrix) KINRIX DTaP-IPV GlaxoSmithKline SKB 30 HBIG: HepB globulin HBIG: Hep B globulin NABI NAB 52 HepA (adult) HAVRIX-ADULT Hepatitis A adult (HepA) GlaxoSmithKline SKB VAQTA-ADULT Hepatitis A adult (HepA) Merck MSD 83 HepA (ped/adol) HAVRIX-PEDS Hepatitis A pediatric (HepA) GlaxoSmithKline SKB VAQTA-PEDS Hepatitis A pediatric (HepA) Merck MSD 104 HepA-HepB (Twinrix) TWINRIX Hepatitis A-Hepatitis B (HepA- HepB) GlaxoSmithKline SKB 43 HepB (adult) RECOMBIVAX- ADULT Hepatitis B adult (HepB) Merck MSD 43 HepB (adult) RECOMBIVAX- ADULT Hepatitis B adolescent (2 dose) Merck MSD 43 Hep B (adult) ENGERIX-B-ADULT Hepatitis-B adult (HepB) GlaxoSmithKline SKB RECOMBIVAX- DIALYSIS (MVX) Hepatitis B (dialysis) 3 dose Merck MSD Engergix-B-DIALYSIS Hepatitis B (dialysis) 4 dose GlaxoSmithKline SKB MCIR Helpdesk at MPHI Page
2 MCIR Vaccine s Including U.S. Licensed CVX, CPT-4, and MVX CDC Name (CPT ) (MVX) 08 HepB (ped/adol) 48 Hib (ActHib/Hiberix) ENGERIX B-PEDS Hepatitis B pediatric or adolescent GlaxoSmithKline SKB RECOMBIVAX-PEDS Hepatitis B pediatric or adolescent Merck MSD ACTHIB HIBERIX 49 Hib (PedvaxHIB) PEDVAXHIB 51 Hib-HepB (Comvax) COMVAX Haemophilus influenzae type b (Hib) Haemophilus influenzae type b (Hib) Haemophilus influenzae type b (Hib)(3dose) Haemophilus influenzae type b- Hepatitis B (Hib-HepB) Sanofi (ActHIB) PMC Glaxo (HIBERIX) SKB Merck MSD Merck MSD 148 HIBMENCY MENHIBRIX Meningococcal C/Y-HIB PRP GlaxoSmithKline SKB 118 HPV2 CERVARIX HPV, bivalent (HPV2) GlaxoSmithKline SKB 62 HPV4 GARDASIL 165 HPV9 GARDASIL9 Human Papillomavirus (HPV4) Human Papillomavirus 9-valent vaccine 87 Immune Globulin - IV Immune Globulin - IV Immune Globulin (IM) Influenza IIV3 (P-Free,Inj) Merck MSD Merck MSD GAMASTAN Immune Globulin - IM Talecris TAL FLUARIX Influenza shot (IIV3) (P-Free, Inject) FLUVIRIN Influenza shot (IIV3) (P-Free, Inject) AFLURIA Influenza shot (IIV3) (P-Free, Inject) AFLURIA Influenza shot (IIV3) (P-Free, Inject) FLUZONE Influenza shot (IIV3) (P-Free, Inject) AFLURIA FLUVIRIN 141 Influenza IIV3 (inject) FLUZONE FLULAVAL GlaxoSmithKline SKB Seqirus MCIR Helpdesk at MPHI Page Seqirus Sanofi Seqirus Sanofi ID Biomedical SEQ SEQ PMC SEQ PMC IDB
3 CDC Name 144 Influenza IIV3 MCIR Vaccine s Including U.S. Licensed CVX, CPT-4, and MVX 168 Influenza IIV3 Fluad 135 Influenza IIV3 High Dose Fluzone, intradermal FLUZONE-HIGH DOSE Flulaval Flulaval 158 Influenza IIV4 (inject) Influenza IIV4 Ped (P-free, inject) Influenza IIV4 (P-Free,Inj) Influenza IIV4 (P- free, inject) intradermal Influenza cciiv4 (P-Free, Inj) Influenza LAIV4 (Flumist) Influenza RIV3 (Flublok, P-Free) Fluzone Fluzone, pediatric Fluarix, Fluzone, Flulaval Fluzone, Flucelvax Flumist Flublok Influenza Intradermal IIV3 (P-Free, Intradermal) Influenza, trivalent, adjuvanted, preservative free (CPT ) (MVX) Sanofi PMC Seqirus SEQ Influenza High Dose (IIV3) Sanofi PMC Influenza shot (IIV4) (Inject) Influenza shot (IIV4) (Inject) Influenza shot (IIV4) (Inject) Influenza Shot (IIV4) (P-Free, Inject) Pediatric GlaxoSmithKline SKB Biomedical Sanofi IDB PMC Sanofi PMC Influenza Shot (IIV4) (P-Free, GlaxoSmithKline SKB Inject) Influenza Shot (IIV4) (P-Free, Sanofi PMC Inject) Influenza Shot (IIV4) (P-Free, Inject) Biomedical IDB Influenza, intradermal,, preservative free Influenza, injectable, MDCK, preservative free, Influenza intranasal (LAIV4) Influenza RIV3 (P-Free, Inject) (Recombiant HA Trivalent) Sanofi PMC Seqirus SEQ Medimmune MED Protein Sciences 10 IPV (polio) IPOL Polio (IPV) Sanofi PMC IXIARO Japanese Encephalitis (IM) Novartis NOV Japanese 134 Intercell Encephalitis IM IXIARO Japanese Encephalitis (IM) INT Biomedical 114 MCV4 (Menactra) MENACTRA Meningococcal Conjugate (MCV4) Sanofi PMC 136 MCV4O (Menveo) MENVEO Meningococcal Oligosaccharide (MCV4O) PSC Novartis NOV MCIR Helpdesk at MPHI Page
4 CDC Name MCIR Vaccine s Including U.S. Licensed CVX, CPT-4, and MVX (CPT ) 162 Meningococcal B, Meningococcal B vaccine, fully Trumenba recombinant recombinant Pfizer PFR 163 Meningococcal B, Meningococcal B vaccine, Bexsero OMV recombinant, OMV, adjuvanted Novartis NOV 03 MMR M-M-R II MMR Merck MSD 94 MMRV (ProQuad) PROQUAD MMRV Merck MSD 32 MPSV4 (Menomune) MENOMUNE Meningococcal Polysaccharide (MPSV4) Sanofi PMC 07 Mumps MUMPSVAX Mumps Merck MSD 133 PCV13 (Prevnar) Pneumococcal Conjugate, 13 PREVNAR Wyeth (Inactive) WAL valent (PCV13) Pneumococcal Conjugate, 13 PREVNAR Pfizer PFR valent (PCV13) 23 Plague Plague Tubersol Tuberculin-TST Sanofi PMC 96 PPD Intradermal Aplisol Tuberculin-TST (PPD Intradermal) Parkdale PD Pneumococcal Polysaccharide 33 PPSV23 (Pneumovax) PNEUMOVAX Merck MSD (PPSV23) RabAvert Rabies (ID) (Intradermal inject) Chiron CHI 40 Rabies (ID injection) IMOVAX ID Rabies (ID) (Intradermal inject) Sanofi PMC (MVX) 18 Rabies (IM injection) 34 RIG: Rabies globulin IMOVAX Rabies (IM) (Intramuscular inject) Sanofi PMC RABAVERT Rabies (IM) (Intramuscular injection) Novartis NOV HyperRAB RIG-HIT Grifols GRF Imogam RIG Sanofi PMC HyperRAB RIG-HT Talecris TAL 93 RSV-MAB (Synagis) Synagis RSV-MAB IM Medimmune MED 06 Rubella MERUVAX II Rubella Merck MSD 119 RV1 (Rotarix) ROTARIX Rotavirus Monovalent (2-dose, Rotarix, RV1) GlaxoSmithKline SKB 116 RV5 (Rotateq) ROTATEQ Rotavirus Pentavalent (3-dose, Rotateq, RV5) Merck MSD 75 Smallpox ACAM2000 Smallpox (Vaccinia) None Acambis ACA MCIR Helpdesk at MPHI Page
5 MCIR Vaccine s Including U.S. Licensed CVX, CPT-4, and MVX CDC Name (CPT ) (MVX) 75 Smallpox ACAM2000 Smallpox (Vaccinia) None Sanofi Pasteur PMC 09 Td (adult) adsorbed 113 Td PF (adol/adult) 115 Tdap (adol/adult) 13 TIG: Tetanus immune globulin 25 Typhoid (oral) Td (adult) adsorbed Tetanus-diphtheria adult (Td) Td (adult) adsorbed Tetanus-diphtheria adult (Td) Massachusetts Biologic (Td adsorbed PF, Td, Td adsorbed) Merck (inactive July 2014) MBL MSD DECAVAC Tetanus-diphtheria adult (Td) P- Free Sanofi PMC Tenivac Tetanus-diphtheria adult (Td) P- Free Sanofi PMC Tenivac Tetanus-diphtheria adult (Td) P- Massachusetts Free Biologic MBL ADACEL Tdap (adol/adult) Sanofi PMC BOOSTRIX Tdap (adol/adult) GlaxoSmithKline SKB TIG: Tetanus immune globulin VIVOTIF BERNA Typhoid (oral) Berna (BPC) (VIVOTIF) BPC VIVOTIF BERNA Typhoid (oral) Crucell CRU 101 Typhoid ViCPS TYPHIM VI Typhoid Sanofi PMC 79 Vaccinia IG Vaccinia IG Vaccinia Immune Globulin Varicella (Varivax) VARIVAX Varicella (VAR) Merck MSD 36 VZIG VZIG: Varicella zoster globulin Yellow Fever YF-VAX Yellow Fever (YF) Sanofi PMC 121 Zoster (Zostavax) ZOSTAVAX Zoster (Herpes Zoster, Shingles, ZOS) Merck MSD MCIR Helpdesk at MPHI Page
6 MCIR Vaccine s Inactive and Vaccine MCIR DISPLAY Inactive/ VACCINE NAME Terminology (CPT-4) 26 Cholera Inactive Cholera DTaP (unspecified) Diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation 01 DTP Inactive Diphtheria, tetanus toxoids and pertussis vaccine DTP-Hib Inactive TETRAMUNE DTP-Hib HepA adult (unspecified) HepA ped/adol, 3 dose Inactive Hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule HepB, adolescent/high risk RECOMBIVAX HB Hep B, adolescent/high Inactive infant risk infant HepB (unspecified) Hib (Hib TITER) Inactive Haemophilus influenzae type b (Hib TITER) Hib (unspecified) Hib (unspecified) Hib (Pro HIBIT) Inactive PROHIBIT Haemophilus influenzae type b vaccine, PRP-D conjugate HPV (unspecified) tetanus and diphtheria toxoids, not adsorbed, for adult use 111 Influenza LAIV (Flumist) Inactive Flumist- Influenza intranasal (LAIV) Influenza (unspecified) Influenza Nasal-(unspecified) 153 Influenza cciiv3 FLUCELVAX Influenza cciiv3 (P-Free Inject) (manf: NOV) ISG/IgG (unspecified) Japanese Encephalitis SC Inactive Japanese Encephalitis (SC) Lyme Vaccine Inactive Lyme Vaccine Measles Inactive Attenuvax Measles MCV4 (unspecified) 108 Meningococcal (unspecified) Meningococcal 164 Meningococcal B (unspecified) 04 MR(Measles-Rubella) Inactive M/R: Measles-Rubella OPV (Polio) Inactive ORIMUNE poliovirus vaccine, live, oral PCV7 (Prevnar) Inactive Prevnar7 Pneumococcal Conjugate (PCV7) PCV unspecified 11 Pertussis Inactive Pertussis None MCIR Helpdesk at MPHI Page
7 109 Vaccine Pneumococcal vaccine, unspecified MCIR DISPLAY MCIR Vaccine s Inactive and Inactive/ VACCINE NAME Terminology (CPT-4) 89 Polio (unspecified) 90 Rabies (unspecified) Rotavirus, Tetravalent Inactive RV7 (Rotoshield) 38 Rubella-Mumps Inactive BiavaxII Rubella/Mumps None 122 RV (unspecified) Rotovirus 139 Td (adult)inactive-(unspecified) Td (adult) 138 Td (adult) Inactive Tetanus and Diphtheria Toxoids, not absorbed, for adult use 35 Tetanus Toxoid, Absorbed Inactive Tetanus Toxoid Adsorbed(TT) Typhoid (unspecified) Typhoid (unspecified) Typhoid (Parenteral) Inactive Typhoid Typhoid Parenteral, AKD (U.S. military) Inactive Typhoid VZIG (IND) Inactive VZIG (IND) None For MCIR HEDIS query results (not used for MCIR reporting) 903 Antiviral: Osteltamivir (Tamiflu) 904 Antiviral: Anamivir (Relenza) No longer used in MCIR Reporting after March 2011: "Influenza TIV (Historical)" 15 influenza, split (incl. purified surface antigen) No longer used in MCIR Reporting after HepA Pediatric (, historical) MCIR does not support electronic submission of H1N1 Influenza 125 Novel Influenza-H1N1-09, Influenza virus vaccine, pandemic Inactive nasal formulation, live, for intranasal use 126 Influenza virus vaccine, pandemic Novel influenza-h1n1-09, Inactive formulation, split-virus, preservative free, preservative-free for intramuscular use Influenza virus vaccine, pandemic 127 Novel influenza-h1n1-09 Inactive formulation, split-virus, for intramuscular use 128 H1N1 Influenza Inactive None None MCIR Helpdesk at MPHI Page
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