TRICARE Retail Vaccination Program Vaccine List December 2015
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1 Vaccine BCG Vaccine Diphtheria, tetanus and pertussis Vaccine Description Bacille Calmette-Guerin (tuberculosis) toxoids adsorbed adsorbed ACIP Abbreviation Trade Name Age Limitation MIN Age Limitation MAX BCG BCG Vaccine DT several 1 year DTaP Daptacel, Infanrix Tetanus and diphtheria toxoids adsorbed (A) Td Tenivac, Decavac Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis, adsorbed Tdap generics, Adacel, Boostrix Tetanus toxoid TT generic NA NA adsorbed, hepatitis B and inactivated poliovirus DTaP-HepB- IPV Pediarix poliovirus DTaP-IPV Kinrix
2 adsorbed, inactivated poliovirus and Haemophilus influenzae type b conjugate Haemophilus influenzae type b b conjugate Hib PedvaxHIB Hiberix ; ActH I B b conjugate and hepatitis B Hib-HepB Comvax adsorbed, inactivated poliovirus and Haemophilus influenzae type b conjugate Bivalent meningococcal conjugate and Haemophilus influenza type b conjugate Hib-MenCY MenHibrix Hepatitis Hepatitis A HepA Havrix Vaqta 1 year Hepatitis B HepB Engerix-B Recombivax HB
3 Hepatitis A inactivated and hepatitis B TRICARE Retail Vaccination Program HepA-HepB Twinrix 1 year adsorbed, hepatitis B and inactivated poliovirus DTaP-HepB- IPV Pediarix b conjugate and hepatitis B Hib-HepB Comvax Herpes zoster Herpes zoster (shingles) HZV Zostavax 60 Human papillomavirus Human papillomavirus (quadrivalent) types 6, 11, 16, 18 HPV4 Gardasil males and females: 11 males and females: 26 Human papillomavirus (9-valent) types 6,11,16,18,31, 33,45,52,and 58 Human papillomavirus (bivalent) types 16 and 18 HPV9 Gardasil-9 males and females: 11 males and females: 26 HPV2 Cervarix Females 11. Influenza Inactivated influenza IIV Several 6 months Trivalent inactivated influenza Females 26. IIV3 6 months None Quadrivalent inactivated influenza IIV4 Fluarix 6 months None
4 Live attenuated influenza TRICARE Retail Vaccination Program LAIV Flu Mist 6 months None Measles, mumps and rubella Measles, mumps, and rubella Measles, mumps, rubella, and varicella MMR M-M-R II 6 months None MMRV ProQuad 1 None Meningococcal Quadrivalent MenACWY Menactra 2 months None MCV4 Menveo Meningococcal polysaccharide MPSV4 Menomune 2 (quadrivalent) Bivalent meningococcal conjugate and b conjugate Hib-MenCY MenHibrix Serogroup B meningococcal MenB-FHbp MenB-4C Trumenba Bexsero Pneumococcal Pneumococcal conjugate (13-valent) PCV13 Prevnar 13 Poliovirus Inactivated poliovirus IPV Ipol DTaP-IPV Kinrix poliovirus
5 poliovirus and b conjugate Rotavirus Rotavirus RV1 Rotarix 9 months (monovalent) Rotavirus RV5 RotaTeq 9 months (pentavalent) Varicella Varicella VAR Varivax 1 Measles, mumps, rubella, and varicella MMRV ProQuad 1 Varicella immune globulin VZV VariZIG
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