Complete List of Vaccine Names and CPT/CVX Codes
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- Dwight Hopkins
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1 A list that matches the vaccine name or s in Washington Immunization Information System (WA IIS) with the brand name or other s of the vaccines you use most often. Combination Vaccines Pediarix DTAP/HepB/IPV 6 weeks + NDC: Pentacel DTaP/HIB/IPV 6 weeks - 5 yrs NDC: Kinrix NDC: DTaP/IPV 4-6 yrs Quadracel NDC: Comvax HEPB/HIB 6 weeks + NDC: ProQuad MMR/V 1 yr + SQ NDC: MenHibrix Meningococcal C/Y-HIB- 6weeks 18 PRP months NDC: Twinrix HepA/HepB 18 + yrs Diphtheria, Tetanus and Pertussis Diphtheria and tetanus toxoids adsorbed Daptacel DT (Pediatric) 6 weeks + DTaP or DTaP, 5 Pertussis Antigen 6 weeks + Infanrix DTaP 6 weeks + Tenivac - Tetanus and diphtheria toxoids adsorbed Boostrix Tetanus Diphtheria & Acellular Pertsussis Adacel Tetanus Diphtheria and Acellular Pertussis Td Adult, Preserv free 7+ yrs Tdap yrs Tdap 7-65+yrs NDC: NDC: NDC: NDC: NDC: NDC: Tripedia DTaP 6 weeks Decavac - Tetanus and diphtheria toxoids adsorbed (Replaced by Tenivac) Td Adult, Preserv free
2 Diphtheria, Tetanus and Pertussis (conti.) Whenever DTaP was given, even if the brand name is unknown Tetanus and diphtheria toxoids adsorbed Diphtheria, tetanus toxoids, & whole cell pertussis vaccine (will be from historical records) DTaP Td Adult DTP Hepatitis A Havrix 12 months - Hep A 2 dose - Ped/Adol (2 doses for pediatric/adolescent) 18 yrs Vaqta 12 months - Hep A 2 dose - Ped/Adol (2 doses for pediatric/adolescents) 18 yrs Havrix (3 doses for pediatric/adolescent) Hep A 3 dose - Ped/Adol Vaqta (2 doses for adults) Hep A 2 dose - Adult 19+ yrs Havrix (2 doses for adults) Hep A 2 dose - Adult 19+ yrs Hepatitis B Engerix-B Ped/Adol HepB Ped/Adol Preserv. (3 dose schedule) Free Birth - 19 yrs Recombivax HB Ped/Adol Recombivax - Dialysis (3 dose schedule) Recombivax HB for adults HepB Ped/Adol Preserv. Free Hepatitis B - dialysis Hep B 2 dose Adol/Adult Birth - 19 yrs years Engerix-B for adults Hep B Adult 20 + yrs (720 EL.U) (25 U) (50u) (1440 EL.U) 10µg 5µg 40µg 10µg 20µg NDC: NDC: NDC: NDC: Recombivax HB for adults Hep B Adult 20 + yrs 10µg Various dosages depending on specific individual cases, such as high risk or dialysis. Note: there are various choices available to reflect the specific situation /8 Updated: 05/19/15, V
3 HIB ActHib Hib-PRP-T PedvaxHib Hib-PRP-OMP Hiberix Hib-PRP-T OmniHib Hib-PRP-T 2 months - 5 yrs 2 months - 5 yrs 12 months 4 years NDC: NDC: HibTITER Hib-HBOC ProHIBit (discontinued) Human Papilloma Virus Hib-PRP-D Gardasil HPV, quadrivalent 9-26 yrs Gardasil 9 HPV, yrs Cervarix HPV, bivalent yrs Immune Globulin Products HyperHEP B S/D or HepaGam B (Hepatitis B Immune Globulin) GamaSTAN S/D (Immune Globulin) Note: Used for post-exposure prophylaxis for Hep A and MMR exposure Immune Globulin, intravenous Note: Rarely used for post-exposure prophylaxis Synagis (Respiratory Syncytial Virus Immune Globulin) HyperTET S/D (Tetanus Immune Globulin) (This list is not comprehensive by brand name or manufacturer) HBIG (Hepatitis B Immune Globulin) IG (Immune Globulin ) IGIV RSV-IG TIG NDC: NDC: NDC: Talecris Biotherapeutics TAL OR Cangene Corp - CNJ Talecris Biotherapeutics TAL or Grifols GFR IV Many Manufacturers MedImmune MED Talecris Biotherapeutics - TAL /8 Updated: 05/19/15, V
4 Immune Globulin Products cont.: VariZIG (Varicella Zoster Immune Globulin) Note: Used for post exposure prophylaxis to Chickenpox Influenza Fluzone, Quadrivalent, 6-35 mos (IIV4) FluLaval, Quadrivalent (IIV4) Fluzone, Quad, w/preserv (IIV4) Flumist Quadrivalent (LAIV4) FLUARIX Quadrivalent (IIV4) Afluria (IIV3) Contains Preservative Afluria (IIV3) Preservative Free VZIG (This list is not comprehensive by brand name or manufacturer) Influenza inj quad PF, 6-35 mos Influenza, inj, quad, w/preservative 36+ mos Influenza, inj, quad, w Preservative, Influenza, live intranasal, quadrivalent Influenza, inj, quad PF, 36+ mos Influ Inact 9 + yrs w/thimerosol Influ Inact 9+yrs pres free 6-35 mos 3-18 yrs 2-18 yrs 9+ yrs 9+ yrs Agriflu (IIV3), preservative free Influ split, 18+ yrs, PF 18+ yrs FLUARIX Quadrivalent (IIV4) Flublok (RIV3) Flucelvax (cciiv3) Influenza, inj, quad PF, 36+ mos Inf, recomb, inj, 18+ yrs, PF Influ split, MDCK, presv free, 18+ years yrs 18+ yrs FluLaval (IIV3) Influ Split, 36+ mos FluLaval Quad PF (IIV4) FluLaval Quad w/presrv (IIV4) Influenza, inj. Quad PF, 36+ mos Influenza, in j quad, w/preservative, 36+ mos 0.25 ml 0.2 ml PIS SDV IN Cangene Corporation (Canada) CNJ NDC: NDC: NDC: MedImmune MED NDC: NDC: CSL Biotherapies, INC CSL Biotherapies, INC NDC: Protein Sciences Corp PSC /8 Updated: 05/19/15, V
5 Influenza cont.: Flumist Quadrivalent (LAIV4) Fluvirin (IIV3) Fluvirin (PF) (IIV3) Fluzone (IIV3) Contains Preservative Fluzone (IIV3) Preservative Free Fluzone (IIV3) Contains Preservative Fluzone, Quad, 6-35 mos, PF (IIV4) Fluzone, Quad, w/preserv (IIV4) Fluzone, Quad,, PF (IIV4) Fluzone, Quad, w/preserv (IIV4) Influenza, live intranasal, quadrivalent Influ Inact 48+ mos, w Thimerosol Influ Inact 48+ mos presser free Influenza split, 6-35 mos Influ Split, 36+ mos, pres free Influ Split, 36+ mos Influenza inj quad PF, 6-35 mos Influenza, inj, quad w/presr, 6-35mos Influenza, inj, quad PF, Influenza, inj, quad, w Preservative, 2-49 yrs 4+ yrs 4+ yrs 6-35 mos 6-35 mos 6-35 mos Fluzone High (IIV3) Influenza, High 65+ yrs Fluzone Intradermal (IIV3) Influenza, Intradermal PF 18-64yr Japanese Encephalitis 0.2 ml PIS 0.25ml 0.25 ml 0.25 ml SDV 0.1mL PFMS IN ID MedImmune MED NDC: NDC: IXIARO - Japanese Encephalitis Japanese Encephalitis- 17 yrs + Intercell Biomedical - INT JE-VAX - Japanese Encephalitis Japanese Encephalitis Measles, Mumps & Rubella MMRII - Measles, Mumps & Rubella MMR 1+ yrs SQ NDC: /8 Updated: 05/19/15, V
6 Meningococcal Menactra Meningococcal Conjugate vaccine (Serogroups A, C, Y, W-135) Menveo Meningococcal Conjugate vaccine (Serogroups A, C, Y, W-135) Meningococcal (MCV4P) 9mos-55 yrs Meningococcal (MCV4O) 2-55 yrs Bexsero Meningococcal B, OMV Meningococcal B, OMV yrs Trumenba Meningococcal B, recombinant Menomune A/C/Y/W-135 Meningococcal Polysaccharide vaccine Pneumonia Prevnar 13 (Pneumococcal Conjugate, 13 valent) Pneumovax 23 (Pneumococcal, polyvalent) Prevnar (Pneumococcal Conjugate, 7 valent) (Note: to be documented for vaccine given before 04/2010) Meningococcal B, recombinant Meningococcal (MPSV4) Pneumococcal, PCV-13 Pneumococcal, (PPSV) Pneumococcal, (PCV) Polio yrs 3-18 mos (2 doses), 19+ mos ( 1 dose) 2-59 months 2 yrs w/health risks 2-59 months SQ IPOL Poliovirus vaccine, inactivated IPV 6 weeks + SQ Poliovirus vaccine, live oral Rabies OPV SQ/ NDC: NDC: NDC: Pfizer, INC - PFR NDC: Pfizer, INC - PFR NDC: NDC: Wyeth Ayerst WAL NDC: Imovax Rabies /8 Updated: 05/19/15, V
7 Rabies conti: Rabavert Rabies Rabies, ID Rabies, Intradermal 0.1ml ID Rotavirus Rotateq Rotavirus, pentavalent 2-32 RV5 months 2.0 ml ORAL Rotavirus Cont.: NDC: Rotarix Rotavirus, monovalent RV weeks ORAL NDC: TB test Purified Protein Derivative (PPD) PPD Test 0.1 ml ID QuantiFERON TB Gold Test (QGT-G) Typhoid QuantiFERON TB Gold Test (QGT-G) Typhoid ViCPs Typhoid, ViCPs 2 yr + N/A Blood Draw Parkdale Pharmaceuticals PD N/A N/A Typhoid, Oral (Vivotif Berna) Typhoid, Oral 6 yr + 4 tabs ORAL Crucell - CRU Typhoid, parenteral Varicella Varivax Chicken Pox Vaccine Typhoid, parenteral Yellow Fever Varicella 1+ yrs SQ Yellow Fever Yellow Fever 9+ months SQ Zoster ("Shingles") NDC: Zostavax Zoster 50 + yrs 0.65 ml SQ /8 Updated: 05/19/15, V
8 Notes On the Vaccination View/Add Screen: there are two places to look for the appropriate vaccine choice when entering a vaccination date. Always look FIRST at the vaccine names that appear on the screen. ALL routine vaccines will appear. For less common vaccines that you can t find on this list, go to the select box at the bottom of the vaccine list, and choose your vaccine from the drop-down list and enter the date administered. "Unspecified" vaccines should only be used for entering historical vaccines when the specific vaccine type is unknown. If your practice manages vaccine inventory in WA IIS: make sure the vaccine types you enter match the vaccine types your lot number manager has entered. If you don t see the correct lot number on your Vaccination Detail screen, you and your lot number manager may be entering different vaccines (i.e., DTaP vs. DTaP-5 pertussis antigen.) Be sure to speak with the person entering your lot numbers if you notice any issues/problems. FLU Notes to consider = Prefilled Syringe; = Multidose vial; SDV - Single vial; PFMS Prefilled micro syringe WA IIS staff discourage the use of the vaccine type "Influenza Whole". This vaccines type has not been used in the U.S. for some time 8/8 Updated: 05/19/15, V
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