Adult Vaccines / Immunization Products

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Adult Vaccine Reference Chart
Product Catalog [PDF]  
Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Cholera
Product: Vaxchora®
Prescribing Information
Size: 100 mL Live Oral Suspension Single-dose Packet
Manufacturer: Bavarian Nordic
NDC#: 50632-0015-02
Code*: 90625
RNINo
340BTBD
Chikungunya Virus
Product: IXCHIQ® (Chikungunya Vaccine, Live)
Prescribing Information
Size: 0.5 mL Single-dose Vial Prefilled Syringe Sterile Water Diluent (Without Needles)
Manufacturer: Valneva
NDC#: 42515-0003-01
Code*: 90589
RNINo
340BNo
Product: VIMKUNYA™ (Chikungunya Vaccine, Recombinant)
Prescribing Information
Size: 0.8 mL Single-dose Pre-filled Syringe (Without Needles) Carton of 1
Manufacturer: Bavarian Nordic
NDC#: 50632-0018-02
Code*: TBD
RNINo
340BNo
Haemophilus Influenzae Type B (Hib)
Product: HIBERIX®
Prescribing Information
Size: 0.5 mL Single-dose Vial Pack of 10
Manufacturer: GSK
NDC#: 58160-0818-11
Code*: 90648
RNITBD
340BTBD
Hepatitis A
Product: HAVRIX®
Prescribing Information
Size: 720 EL.U. 0.5 mL Single-dose Pre-filled Disposable TIP-LOK Syringe (Luer-Lok™ Syringe Without Needles) Pack of 10
Manufacturer: GSK
NDC#: 58160-0825-52
Code*: 90632
RNITBD
340BTBD
Product: HAVRIX®
Prescribing Information
Size: 1440 EL.U. 1 mL Single-dose Pre-filled Disposable TIP-LOK Syringe (Luer-Lok™ Syringe Without Needles) Pack of 10
Manufacturer: GSK
NDC#: 58160-0826-52
Code*: 90632
RNITBD
340BTBD
Product: VAQTA®
Prescribing Information
Size: 50 U/ 1 mL Single Dose Vial Box of 10
Manufacturer: Merck
NDC#: 00006-4841-41
Code*: 90633
RNIRNI
340BNo
Product: VAQTA®
Prescribing Information
Size: 50 U/ 1 mL Single-dose Prefilled Luer-Lok™ Syringe With Tip Caps Carton of 10
Manufacturer: Merck
NDC#: 00006-4096-02
Code*: 90633
RNIRNI
340BNo
Hepatitis B
Product: ENGERIX-B®
Prescribing Information
Size: 20 mcg 1 mL Single-dose Vial Pack of 10
Manufacturer: GSK
NDC#: 58160-0821-11
Code*: 90746/90747
RNITBD
340BTBD
Product: ENGERIX-B®
Prescribing Information
Size: 20 mcg 1 mL Pre-filled TIP-LOK Syringe (Luer-Lok™ Syringe Without Needles) Pack of 10
Manufacturer: GSK
NDC#: 58160-0821-52
Code*: 90746/90747
RNITBD
340BTBD
Product: HEPLISAV-B® (Recombinant) Adjuvanted
Prescribing Information
Size: 20 mcg/0.5 mL Single-dose Pre-filled Syringe Pack of 5
Manufacturer: Dynavax Technologies
NDC#: 43528-0003-05
Code*: 90739
RNIRNI
340BYes
Product: PreHevbrio™
Prescribing Information
Size: 10 mcg 1.0 mL Single-dose Vial Box of 10
Manufacturer: VBI Vaccines
NDC#: 75052-0001-10
Code*: 90759
RNINo
340BTBD
Hepatitis A, Hepatitis B
Product: TWINRIX®
Prescribing Information
Size: 1 mL Pre-filled Syringe Box of 10
Manufacturer: GSK
NDC#: 58160-0815-52
Code*: 90636
RNINo
340BNo
Herpes Zoster (Shingles)
Product: SHINGRIX
Prescribing Information
Size: 0.5 mL Single-dose Vial Carton of 10
Manufacturer: GSK
NDC#: 58160-0823-11
Code*: 90750
RNINo
340BTBD
Human Papillomavirus
Product: GARDASIL® 9
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10
Manufacturer: Merck
NDC#: 00006-4121-02
Code*: 90651
RNINo
340BNo
Japanese Encephalitis
Product: IXIARO®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe
Manufacturer: Valneva
NDC#: 42515-0002-01
Code*: 90738
RNIRNI
340BNo
Measles, Mumps, Rubella
Product: M-M-R® II
Prescribing Information
Size: 0.5 mL Single-dose Vial Pack of 10
Manufacturer: Merck
NDC#: 00006-4681-00
Code*: 90707
RNIRNI
340BNo
Meningococcal
Product: BEXSERO®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10
Manufacturer: GSK
NDC#: 58160-0976-20
Code*: 90620
RNITBD
340BTBD
Product: MENVEO®
Prescribing Information
Size: One-Vial 0.5 mL Single-dose Pack of 10 Vials (10 Doses)
Manufacturer: GSK
NDC#: 58160-0827-30
Code*: 90734
RNINo
340BNo
Product: TRUMENBA®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 5
Manufacturer: Pfizer
NDC#: 00005-0100-05
Code*: 90621
RNINo
340BYes
Product: TRUMENBA®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10
Manufacturer: Pfizer
NDC#: 00005-0100-10
Code*: 90621
RNINo
340BYes
Pneumococcal
Product: CAPVAXIVE™
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe (Luer-Lok™ Syringes with Tip Caps) Pack of 10
Manufacturer: Merck
NDC#: 00006-4347-02
Code*: 90684
RNINo
340BNo
Product: Pneumovax® 23
Prescribing Information
Size: 0.5-mL Single-dose Pre-filled Luer-Lok™ Syringe Box of 10
Manufacturer: Merck
NDC#: 00006-4837-03
Code*: 90732
RNIRNI
340BNo
Product: PREVNAR 20™
Prescribing Information
Size: 0.5 mL Pre-filled Syringe
Manufacturer: Pfizer
NDC#: 00005-2000-02
Code*: 90677
RNIRNI
340BNo
Product: PREVNAR 20™
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10
Manufacturer: Pfizer
NDC#: 00005-2000-10
Code*: 90677
RNIRNI
340BNo
Product: VAXNEUVANCE™
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Luer-Lok™ Syringe Box of 10
Manufacturer: Merck
NDC#: 00006-4329-03
Code*: 90671
RNINo
340BNo
Rabies
Product: Imovax® Rabies
Prescribing Information
Size: 1 mL Single-dose Vial w/diluent
Manufacturer: Sanofi
NDC#: 49281-0252-51
Code*: 90675
RNIRNI
340BNo
Product: RabAvert®
Prescribing Information
Size: 2.5 IU/mL Freeze-dried Pre-filled Syringe Single-dose Kit
Manufacturer: Bavarian Nordic
NDC#: 50632-0010-01
Code*: 90675
RNINo
340BYes
Smallpox/Monkeypox
Product: JYNNEOS®
Prescribing Information
Size: 0.5 mL Single-dose Vial Package of 10
Manufacturer: Bavarian Nordic
NDC#: 50632-0001-03
Code*: 90611
RNINo
340BYes
Tetanus, Diphtheria, Pertussis
Product: Adacel® (Tdap)
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe (Without Needles, Latex Free) Pack of 5
Manufacturer: Sanofi
NDC#: 49281-0400-20
Code*: 90715
RNIRNI
340BNo
Product: Adacel® (Tdap)
Prescribing Information
Size: 0.5 mL Single-dose Vial (Latex Free) Pack of 10
Manufacturer: Sanofi
NDC#: 49281-0400-10
Code*: 90715
RNIRNI
340BNo
Product: BOOSTRIX®
Prescribing Information
Size: 0.5 mL Single-dose Disposable Prefilled TIP-LOK Syringe (Luer-Lok™ Syringe Without Needles) Box of 10
Manufacturer: GSK
NDC#: 58160-0842-52
Code*: 90715
RNITBD
340BTBD
Tetanus, Diphtheria
Product: TENIVAC®
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10 (Without Needles)
Manufacturer: Sanofi
NDC#: 49281-0215-15
Code*: 90714
RNIRNI
340BNo
Tick-Borne Encephalitis
Product: TICOVAC™
Prescribing Information
Size: 0.5 mL Pre-filled Syringe
Manufacturer: Pfizer
NDC#: 00069-0411-02
Code*: TBD
RNIRNI
340BTBD
Product: TICOVAC™
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Pack of 10
Manufacturer: Pfizer
NDC#: 00069-0411-10
Code*: TBD
RNINo
340BTBD
Tuberculosis Testing
Product: Aplisol®
Prescribing Information
Size: 5 TU/0.1 mL Test 1 mL Multiple-dose Vial (10 tests)
Manufacturer: PAR Pharmaceutical
NDC#: 42023-0104-01
Code*: 86580
RNINo
340BYes
Product: TUBERSOL®
Prescribing Information
Size: 1 mL (5 TU/0.1 mL) Multi-dose Vial (10 tests)
Manufacturer: Sanofi
NDC#: 49281-0752-21
Code*: 86580
RNIRNI
340BNo
Product: TUBERSOL®
Prescribing Information
Size: 5 mL (5 TU/0.1 mL) Multi-dose Vial (50 tests)
Manufacturer: Sanofi
NDC#: 49281-0752-22
Code*: 86580
RNIRNI
340BNo
Typhoid
Product: Typhim VI®
Prescribing Information
Size: 25 mcg/0.5 mL Multi-dose Vial (20 Doses)
Manufacturer: Sanofi
NDC#: 49281-0790-20
Code*: 90691
RNIRNI
340BNo
Product: Typhim VI®
Prescribing Information
Size: 25 mcg/0.5 mL Single-dose Pre-filled Syringe (Without Needle)
Manufacturer: Sanofi
NDC#: 49281-0790-51
Code*: 90691
RNIRNI
340BNo
Product: Vivotif®
Prescribing Information
Size: Capsule Blister Pack of 4
Manufacturer: Bavarian Nordic
NDC#: 50632-0016-02
Code*: 90690
RNINo
340BYes
Varicella
Product: VARIVAX®
Prescribing Information
Size: 1350 PFU/0.5 mL Single-dose Vial Pack of 10
Manufacturer: Merck
NDC#: 00006-4827-00
Code*: 90716
RNINo
340BNo
* All codes should be verified between the provider and the payer.
†Call for additional vial size options.
1 Call for eligibility through your GPO affiliation.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.
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Adult Vaccine Reference Chart
Product Catalog [PDF]  
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