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HIBERIX®

Haemophilus b Conjugate Vaccine (Tetanus Toxoid Conjugate)

58160-0818-11

10 Single-dose Vials (0.5mL)

Federal Excise Tax of $7.50 per package will be applied.

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58160-0818-11
10 Single-dose Vials (0.5mL)

BEXSERO®

Meningococcal Group B Vaccine

Item # 58160-0976-06 corresponds with NDC # 46028-0114-01 and 58160-0114-01

Item # 58160-0976-20 corresponds with NDC # 46028-0114-02 and 58160-0114-02

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BOOSTRIX®

Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed

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ENGERIX-B® (Adult)

Hepatitis B Vaccine (Recombinant) Adult Dose (Preservative Free Formulation)

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ENGERIX-B® (Pediatric)

Hepatitis B Vaccine (Recombinant). Pediatric/Adolescent Doses (Preservative Free Formulation)

58160-0820-52

10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5mL) (Needles not included - Tip cap and plunger contain latex)

Federal Excise Tax of $7.50 per package will be applied.

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58160-0820-52
10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5mL) (Needles not included - Tip cap and plunger contain latex)

HAVRIX® (Adult)

Hepatitis A Vaccine (Preservative Free Formulation)

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HAVRIX® (Pediatric)

Hepatitis A Vaccine (Preservative Free Formulation)

58160-0825-52

10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5 mL) (Needles Not Included)

Federal Excise Tax of $7.50 per package will be applied.

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58160-0825-52
10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5 mL) (Needles Not Included)

Heplisav-B (Adult)

43528-003-05

HEPLISAV-B™ [Hepatitis B Vaccine (Recombinant)] Adjuvanted 20 MCG / 0.5 ML Pre-Filled Syringe (5 syringes per pack)

Federal Excise Tax of $3.75 per package will be applied.

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43528-003-05
HEPLISAV-B™ [Hepatitis B Vaccine (Recombinant)] Adjuvanted 20 MCG / 0.5 ML Pre-Filled Syringe (5 syringes per pack)

INFANRIX® (DTaP)

Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed

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IXIARO®

(Japanese Encephalitis Vaccine, Inactivated, Adsorbed) Suspension for Intramuscular Injection. (Persons 2 months of age and older)

42515-002-01

Ixiaro Japanese Encephalitis 1 Single-Dose Pre-Filled Syringe 6mcg Adsorbed 0.5mL/Ea

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42515-002-01
Ixiaro Japanese Encephalitis 1 Single-Dose Pre-Filled Syringe 6mcg Adsorbed 0.5mL/Ea

KINRIX®

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Inactivated Poliovirus Vaccine

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PEDIARIX®

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Hepatitis B (Recombinant) and Inactivated Poliovirus Vaccine

58160-0811-52

10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5 mL)

Federal Excise Tax of $37.50 per package will be applied.

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58160-0811-52
10 Single-dose Prefilled TIP-LOK Syringes (10mcg/0.5 mL)

MENVEO®

Meningococcal (Groups A, C, Y and W-135) Oligosaccharide Diphtheria CRM₁₉₇ Conjugate Vaccine

Item # 58160-0955-09 corresponds with NDC # 46028-0208-01 and 58160-0208-01

58160-0955-09

5 Single-dose Vials with Diluent for Reconstitution (10mcg/0.5 mL)

Federal Excise Tax of $3.75 per package will be applied.

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58160-0955-09
5 Single-dose Vials with Diluent for Reconstitution (10mcg/0.5 mL)

Prevnar 13®

(Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM₁₉₇ Protein]) Suspension for intramuscular injection

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RabAvert®

Rabies Vaccine

Item # 58160-0964-12 corresponds with NDC # 58160-0501-02

58160-0964-12

1 Single-dose Kit (1.0mL)

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58160-0964-12
1 Single-dose Kit (1.0mL)

ROTARIX®

Rotavirus Vaccine, Live, Oral

58160-0854-52

10 Vials of Lyophilized Vaccine and 10 Prefilled Oral Applicators of Liquid Diluent with Plunger Stopper (1.0mL) and 10 Transfer Adapters - Applicator tip may contain latex

Federal Excise Tax of $7.50 per package will be applied.

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Manufacturer: GlaxoSmithKline

Federal Excise Tax of $7.50 per package will be applied.

Storage Information: Vials: Store the vials of lyophilized ROTARIX refrigerated at 2° to 8°C (36° to 46°F). Protect vials from light.
Diluent: The diluent may be stored at a controlled room temperature 20° to 25°C (68° to 77°F). Do not freeze. Discard if the diluent has been frozen.

Storage After Reconstitution: ROTARIX should be administered within 24 hours of reconstitution. It may be stored refrigerated at 2° to 8°C (36° to 46°F) or at room temperature up to 25°C (77°F), after reconstitution. Discard the reconstituted vaccine if not used within 24 hours in biological waste container. Do not freeze. Discard if the vaccine has been frozen.

Product CPT^®a Code	90681
Administration CPT Code, 18 years of age and younger, with qualified counseling	90460
Administration CPT Code, 18 years of age and younger, without qualified counseling, and all patients over 18 years of age	90473 or 90474
Typical ICD-9-CM Code	V04.89
Typical ICD-10 Code	Z23

^a CPT is a registered trademark of the American Medical Association.

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Prescribing Information
SAFETY DATA SHEET

58160-0854-52
10 Vials of Lyophilized Vaccine and 10 Prefilled Oral Applicators of Liquid Diluent with Plunger Stopper (1.0mL) and 10 Transfer Adapters - Applicator tip may contain latex

SHINGRIX

gE Recombinant Varicella Zoster Virus (VZV) glycoprotein E

SHINGRIX needs to be stored in the REFRIGERATOR at 2-8 °C with your other vaccines. Please remind your colleagues that receive vaccine shipments that Shingrix should not be put in the freezer.

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TRUMENBA®

(Meningococcal Group B Vaccine)

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TWINRIX®

Hepatitis A Inactivated & Hepatitis B (Recombinant) Vaccine (Preservative Free Formulation)

58160-0815-52

10 Single-dose Prefilled TIP-LOK Syringes (20mcg/1.0mL) (Needles Not Included)

Federal Excise Tax of $15.00 per package will be applied.

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58160-0815-52
10 Single-dose Prefilled TIP-LOK Syringes (20mcg/1.0mL) (Needles Not Included)

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