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Complete List of Vaccines 2016
Complete List of Vaccines 2016
A list that matches the vaccine name or codes in Washington State Immunization Information System (WA IIS) with the brand name or other common names of the
vaccines you use most often.
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Route
Manufacturer/
NDC Number
CPT
code
CVX
code
90723
110
90698
120
90696
130
90748
51
90710
94
90644
148
90636
104
90702
28
Combination Vaccines
Pediarix
DTAP/HepB/IPV
6 weeks +
0.5 ml
IM
Pentacel
DTaP/HIB/IPV
6 weeks - 5
yrs
0.5 ml
IM
4 - 6 yrs
0.5 ml
IM
Kinrix
DTaP/IPV
Quadracel
Comvax
HEPB/HIB
6 weeks +
0.5 ml
IM
ProQuad
MMR/V
1 yr +
0.5 ml
SQ
Meningococcal C/Y-HIBPRP
HepA/HepB
0.5ml
IM
1.0 ml
IM
DT (Pediatric)
6 weeks +
0.5 ml
IM
Daptacel
DTaP or
DTaP, 5 Pertussis
Antigen
6 weeks +
0.5 ml
IM
Infanrix
DTaP
6 weeks +
0.5 ml
IM
7+ yrs
0.5 ml
IM
Boostrix
Tetanus Diphtheria & Acellular Pertsussis
Tdap
7-65+ yrs
0.5 ml
IM
Adacel
Tetanus Diphtheria and Acellular Pertussis
Tdap
7-65+yrs
0.5 ml
IM
Tripedia
DTaP
0.5 ml
IM
MenHibrix
Twinrix
6weeks 18
months
18 + yrs
GlaxoSmithKline SKB
NDC: 58160-0811-52
Sanofi Pasteur PMC
(AKA: Aventis)
NDC: 49281-0510-05
GlaxoSmithKline SKB
NDC: 58160-0812-11
Sanofi Pasteur PMC
(AKA: Aventis)
NDC: 49281-0562-10
Merck- MSD
NDC: 00006-4898-00
Merck- MSD
NDC: 00006-4999-00
GlaxoSmithKline SKB
NDC: 58160-0801-11
GlaxoSmithKline SKB
6 weeks +
106
90700
20
90714
113
GlaxoSmithKline SKB
NDC:58160-0842-11
Sanofi Pasteur PMC
(AKA: Aventis)
NDC: 49281-0400-10
90715
115
90700
20
90714
113
Best WAIIS
Selection
State
Supplied
Age
(Range)
CPT
code
CVX
code
DTaP
90700
20
Td Adult
90718
09
90633
83
90632
52
GlaxoSmithKline SKB
NDC: 58160-0820-11
Merck- MSD
NDC: 00006-4981-00
90744
08
IM
Merck- MSD
90747
44
IM
Merck- MSD
90743
43
90746
43
90746
43
90746
43
Dose
Route
Manufacturer/
NDC Number
DTP
12 months 18 yrs
12 months 18 yrs
19+ yrs
19+ yrs
0.5 ml
(720 EL.U)
0.5 ml
(25 U)
1.0 ml
(50u)
1.0 ml
(1440 EL.U)
IM
GlaxoSmithKline SKB
NDC: 58160-0825-11
Merck- MSD
NDC: 00006-4831-41
IM
Merck- MSD
IM
GlaxoSmithKline SKB
Birth - 19 yrs
Birth - 19 yrs
Recombivax - Dialysis
(3 dose schedule)
Hepatitis B - dialysis
Hep B 2 dose
Adol/Adult
11-15 years
Hep B Adult
20 + yrs
1.0 ml
20g
IM
GlaxoSmithKline SKB
Hep B Adult
20 + yrs
1.0 ml
10g
IM
Merck- MSD
Recombivax HB Ped/Adol
2/8
0.5 ml
10g
0.5 ml
5g
1.0 ml
40g
1.0 ml
10g
IM
IM
IM
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Route
Manufacturer/
NDC Number
CPT
code
CVX
code
90648
48
90647
49
90648
48
90649
62
90651
165
90650
118
HIB
ActHib
Hib-PRP-T
2 months - 5
yrs
PedvaxHib
Hib-PRP-OMP
Hiberix
Hib-PRP-T
2 months - 5
yrs
12 months
4 years
OmniHib
Hib-PRP-T
HibTITER
Hib-HBOC
ProHIBit (discontinued)
Hib-PRP-D
0.5 ml
IM
0.5ml
IM
0.5ml
IM
HPV, quadrivalent
9 - 26 yrs
0.5ml
IM
Gardasil 9
HPV, 9
9 26 yrs
0.5 ml
IM
Cervarix
HPV, bivalent
10-25 yrs
0.5ml
IM
HBIG (Hepatitis B
Immune Globulin)
IGIV
RSV-IGIM
TIG
3/8
Merck- MSD
NDC: 00006-4045-41
Merck- MSD
NDC: 0006-4119-03
GlaxoSmithKline SKB
NDC: 58160-0830-52
IM
Talecris Biotherapeutics
TAL OR
Cangene Corp - CNJ
90371
30
IM
Talecris Biotherapeutics
TAL or Grifols GFR
90281
86
IV
Many Manufacturers
90283
87
IM
MedImmune MED
90378
93
IM
90389
13
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Route
Manufacturer/
NDC Number
CPT
code
CVX
code
Cangene Corporation
(Canada) CNJ
90396
36
90685
161
90688
158
90688
158
90672
149
90686
150
VZIG
IM
Influenza
Fluzone, Quadrivalent, 6-35 mos (IIV4)
6 - 35 mos
0.25 ml
PFS
IM
3 - 18 yrs
0.5 ml
MDV
IM
3+ yrs
0.5 ml
MDV
IM
2 - 18 yrs
3+ yrs
4/8
9+ yrs
9+ yrs
18+ yrs
3+ yrs
18-49 yrs
18+ yrs
3+ yrs
3+ yrs
3+ yrs
0.2 ml
PIS
0.5ml
PFS
0.5ml
MDV
0.5ml
PFS
0.5ml
PFS
0.5ml
PFS
0.5ml
SDV
0.5ml
PFS
0.5 ml
MDV
0.5ml
PFS
0.5 ml
MDV
IN
IM
IM
90658
141
IM
90656
140
90656
140
90686
150
90673
155
90661
153
90658
141
90686
150
90688
158
IM
IM
IM
IM
IM
IM
IM
Novartis Pharmaceutical
Corp. NOV
GlaxoSmithKline SKB
NDC: 58160-0901-52
Protein Sciences Corp
PSC
Novartis Pharmaceutical
Corp. NOV
GlaxoSmithKline SKB
GlaxoSmithKline SKB
GlaxoSmithKline SKB
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Route
Manufacturer/
NDC Number
CPT
code
CVX
code
90672
149
90658
141
90656
140
90657
141
90656
140
90658
141
90685
161
90687
158
90686
150
90688
158
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, 3+ yrs, PF (IIV4)
Fluzone, Quad, w/preserv (IIV4)
2 - 49 yrs
4+ yrs
4+ yrs
6-35 mos
3+ yrs
3+ yrs
6 - 35 mos
6-35 mos
3+ yrs
3+ yrs
0.2 ml
PIS
0.5 ml
MDV
0.5 ml
PFS
0.25ml
MDV
0.5ml
PFS
0.5ml
MDV
0.25 ml
PFS
0.25 ml
MDV
0.5 ml PFS
0.5 ml SDV
0.5ml
MDV
IN
IM
IM
IM
IM
IM
IM
IM
IM
IM
MedImmune MED
NDC: 66019-0301-10
Novartis Pharmaceutical
Corp. NOV
Novartis Pharmaceutical
Corp. NOV
Sanofi Pasteur PMC
(AKA: Aventis)
Sanofi Pasteur PMC
(AKA: Aventis)
Sanofi Pasteur PMC
(AKA: Aventis)
Sanofi Pasteur PMC
(AKA: Aventis)
NDC: 49281-0514-25
Sanofi Pasteur PMC
(AKA: Aventis)
Sanofi Pasteur PMC
(AKA: Aventis)
Sanofi Pasteur PMC
(AKA: Aventis)
65+ yrs
0.5ml
PFS
IM
90662
135
Influenza, Intradermal PF
18-64yr
0.1mL
PFMS
ID
90654
144
17 yrs +
0.5ml
IM
90738
134
1+ yrs
0.5ml
SQ
Merck- MSD
NDC: 00006-4681-00
90707
03
Japanese Encephalitis
IXIARO - Japanese Encephalitis
Japanese Encephalitis-IM
Japanese Encephalitis
5/8
MMR
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Route
Manufacturer/
NDC Number
CPT
code
CVX
code
90734
114
90734
136
90620
163
90621
162
Meningococcal
Sanofi Pasteur PMC
(AKA: Aventis)
NDC: 49281-0589-05
Novartis Pharmaceutical
Corp. NOV
NDC: 46028-0208-01
Novartis Pharmaceutical
Corp. NOV
NDC: 46028-0114-02
Pfizer, INC - PFR
NDC: 0005-0100-01
Meningococcal (MCV4P)
9mos-55 yrs
0.5 ml
IM
Meningococcal (MCV4O)
2-55 yrs
0.5 ml
IM
Meningococcal B, OMV
10-25 yrs
0.5 ml
IM
Trumenba Meningococcal B,
recombinant
Meningococcal B,
recombinant
10-25 yrs
0.5 ml
IM
Meningococcal (MPSV4)
3-18 mos
(2 doses),
19+ mos
( 1 dose)
0.5 ml
SQ
90733
32
0.5ml
IM
90670
133
0.5ml
SQ/IM
Merck- MSD
NDC: 00006-4943-00
90732
33
2 - 59
months
0.5ml
IM
90669
100
6 weeks +
0.5 ml
SQ
90713
10
1.0 ml
IM
90675
18
Menomune A/C/Y/W-135
Meningococcal Polysaccharide vaccine
Pneumonia
Prevnar 13
(Pneumococcal Conjugate, 13 valent)
Pneumococcal, PCV-13
Pneumovax 23
(Pneumococcal, polyvalent)
Pneumococcal, (PPSV)
Prevnar
(Pneumococcal Conjugate, 7 valent)
(Note: to be documented for vaccine
given before 04/2010)
Pneumococcal, (PCV)
2 - 59
months
2 yrs
w/health
risks
Polio
IPOL Poliovirus vaccine, inactivated
IPV
OPV
Rabies
Imovax
6/8
Rabies
Best WAIIS
Selection
State
Supplied
Age
(Range)
Dose
Manufacturer/
NDC Number
Route
CPT
code
CVX
code
90675
18
90676
40
Rabies conti:
Rabavert
Rabies
Rabies, ID
Rotavirus
Rabies, Intradermal
Rotateq
1.0 ml
IM
0.1ml
ID
Novartis Pharmaceutical
Corp. NOV
Rotavirus, pentavalent
RV5
2-32
months
2.0 ml
ORAL
Merck- MSD
NDC: 00006-4047-41
90680
116
Rotavirus, monovalent
RV1
6-24 weeks
1.0 ml
ORAL
GlaxoSmithKline SKB
NDC: 58160-0845-52
90681
119
ID
Parkdale
Pharmaceuticals PD
86580
96
N/A
86480
N/A
90691
101
Crucell - CRU
90690
25
Rotavirus Cont.:
Rotarix
TB test
Purified Protein Derivative (PPD)
PPD Test
0.1 ml
QuantiFERON TB
Gold Test (QGT-G)
QuantiFERON TB Gold
Test (QGT-G)
N/A
Blood
Draw
Typhoid
Typhoid ViCPs
Typhoid, ViCPs
2 yr +
0.5 ml
IM
Typhoid, Oral
6 yr +
4 tabs
ORAL
Typhoid, parenteral
Typhoid, parenteral
1+ yrs
0.5 ml
SQ
Merck- MSD
NDC: 00006-4827-00
90716
21
Yellow Fever
9+ months
0.5ml
SQ
90717
37
Zoster
50 + yrs
0.65 ml
SQ
Merck- MSD
90736
121
Varicella
Varivax
Chicken Pox Vaccine
Varicella
Yellow Fever
Yellow Fever
Zoster ("Shingles")
Zostavax
7/8
8/8