PDF 2019-20 Influenza Vaccine Choices in VacTrAK

2019-20 Influenza Vaccine Choices in VacTrAK

Trade Name (abbreviation)

VacTrAK Vaccine Name

Fluzone (IIV4)*

Influenza, injectable, quadrivalent

Fluzone High-Dose (IIV3)* Influenza, high dose seasonal

Fluarix (IIV4)*

Influenza, injectable, quadrivalent, preservative free

Flumist (LAIV4)*

Influenza, live, intranasal, quadrivalent

Formulation

Dose

5.0mL (multi-dose vial)

0.25mL 0.5mL

0.5mL (single-dose syringe)

0.5mL

0.5mL (single-dose syringe)

0.5mL

0.2mL (single use nasal spray) 0.2mL

Age Group 6-35 mos >6 mos >65 yrs >6 mos 2-49yrs

Route

Sale NDC

CPT

IM 49281-0631-15 90687 IM 49281-0631-15 90688 IM 49281-0405-65 90662 IM 58160-0896-52 90686 NAS 66019-0306-10 90672

CVX Manufacturer (MVX)

158

158

Sanofi Pasteur (PMC)

135

150

GlaxoSmithKline (SKB)

149

MedImmune** (MED)

Fluzone (IIV4)

Influenza, injectable, quadrivalent, preservative free, pediatric Influenza, injectable, quadrivalent, preservative free

0.25 mL (single-dose syringe) 0.5mL (single-dose vial)

0.5mL (single-dose syringe)

0.25mL 6-35 mos

0.5mL

>6 mos

IM 49281-0519-25 90685 161 IM 49281-0419-10 90686 150 IM 49281-0419-50 90686 150

Sanofi Pasteur (PMC)

Flubok (RIV4)

Influenza, recombinant, quadrivalent, injectable, preservative free

0.5 mL (single-dose syringe)

0.5mL

>18 yrs

IM 49281-0719-10 90682 185

FluLaval (IIV4)

Influenza, injectable, quadrivalent, preservative free Influenza, injectable, quadrivalent

0.5mL (single-dose syringe) 5.0mL (multi-dose vial)

0.5mL

>6 mos

IM 19515-0906-52 90686 150 IM 19515-0897-11 90688 158

GlaxoSmithKline (SKB)

Afluria (IIV4) Flucelvax (ccIIV4)

Influenza, injectable, quadrivalent, preservative free, pediatric

Influenza, injectable, quadrivalent

Influenza, injectable, quadrivalent, preservative free Influenza, injectable, MDCK, preservative free, quadrivalent Influenza, injectable, MDCK, quadrivalent, preservative***

0.25 mL (single-dose syringe)

5.0mL (multi-dose vial)

0.5mL (single-dose syringe) 0.5mL (single-dose syringe)

5.0mL (multi-dose vial)

0.25mL 6-35 mos

0.5mL

>3 yrs

0.5mL

>4 yrs

IM 33332-0219-20 90685 161 IM 33332-0419-10 90687 158 IM 33332-0419-10 90688 158 IM 33332-0319-01 90686 150 IM 70461-0319-03 90674 171 IM 70461-0419-10 90756 186

Seqirus (SEQ)

Fluad (IIV3)

Influenza, trivalent, adjuvanted

0.5 mL (single-dose syringe)

0.5mL

>65 yrs

IM 70461-0019-03 90653 168

*Influenza vaccine supplied by the state of Alaska

**MedImmune is a subsidiary of AstraZeneca ***Vaccine name not yet available in VacTrAK. Please select `Influenza, injectable, MDCK, quadrivalent' and name will automatically update to `Influenza, injectable, MDCK, quadrivalent, preservative' once VacTrAK is updated

If your practice manages private vaccine inventory in VacTrAK, make sure the vaccine names and types you enter into inventory match the administered vaccine. Speak with the person entering your lot numbers if you notice any issues/problems. Refer to the CDC reference tables for the most up to date CVX ? vaccine codes and MVX - manufacturer codes required for data exchange between VacTrAK and electronic health record systems. CDC reference tables for NDC codes and Vaccine Price Lists are also available for reference.

Alaska Immunization Helpline: Anchorage: 907-269-8088 | Toll Free: 888-430-4321 | Email: immune@

Revision 08-5-2019

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