Transcription of List of Vaccine Names, Best ASIIS Selection and ... - Arizona
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List of Vaccine Names, Best ASIIS Selection and ... - Arizona
List of Vaccine Names, best ASIIS Selection and CPT/CVX Codes This list matches the Vaccine name or codes in Arizona State Immunization Information System ( ASIIS ) with the brand name or other common names of the vaccines you use most often. Vaccine Trade name or CVX. best ASIIS Selection Age (Range) Dose Route Manufacturer/ NDC Number CPT Code Common name Code Combination Vaccines GlaxoSmithKline SKB. Pediarix (VFC) DTAP-Hep B-IPV Birth - 6 years ml IM 90723 110. NDC: 58160-0811-52. Sanofi Pasteur PMC. Pentacel (VFC) DTaP-Hib-IPV Birth - 4 years ml IM 90698 120. NDC: 49281-0510-05. GlaxoSmithKline SKB. NDC: 58160-0812-11. Kinrix (VFC) DTaP-IPV 4 - 6 years ml IM (1 dose vial) 90696 130.
Immune Globulin, intravenous Note: Rarely used for post-exposure prophylaxis IGIV. IV Many Manufacturers. 90283 87. HyperRAB S/D (Rabies Immune Globulin) RIG IM. Talecris Biotherapeutics - TAL 90375. 34 Synagis (Respiratory Syncytial Virus Immune Globulin) RSV-IGIM Birth - 24 months. IM MedImmune – MED. 90378 93.
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