Pediatric Vaccines

Pediatric Vaccines

Vaccines for pediatric and adolescent use
ActHIB®
Manufacturer: Sanofi Pasteur

Item#  1598-545-03    NDC#  49281-0545-03
Haemophilus b Conjugate Vaccine (Tetanus Toxoid Conjugate)

Single-dose, lyophilized vaccine vial packaged with single-dose diluent vial. Supplied as package of 5 vials each.

ADACEL® (TDAP)
Manufacturer: Sanofi Pasteur

Item#     NDC#  

Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed

(For persons 10 through 64 years of age)


BEXSERO®
Manufacturer: GlaxoSmithKline

Item#  5892-976-20    NDC#  58160-0976-20
Meningococcal Group B Vaccine
BEXSERO is supplied as a 0.5 mL suspension in a glass pre-filled syringe.  Package of 10 syringes per carton. 
BEYFORTUS™
Manufacturer: Sanofi Pasteur

Item#     NDC#  

 Nirsevimab-alip injection for RSV prevention

Currently Unavailable



BOOSTRIX® (TDAP)
Manufacturer: GlaxoSmithKline

Item#     NDC#  
Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed
DAPTACEL® (DTaP)
Manufacturer: Sanofi Pasteur

Item#  1598-286-10    NDC#  49281-0286-10

Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed

(Children up to 7 years for age)

Supplied in a single dose vial in packages of 10 vials
ENGERIX-B® Pediatric
Manufacturer: GlaxoSmithKline

Item#  5892-820-52    NDC#  58160-0820-52
Hepatitis B Vaccine (Recombinant)
Prefilled single-dose 10 mcg/0.5 mL disposable TIP-LOK syringes  (Preservative-Free Formulation) (packaged without needles) in package of 10.
GARDASIL® 9
Manufacturer: Merck

Item#  4376-4121-02    NDC#  00006-4121-02
Human Papillomavirus 9-valent Vaccine, Recombinant
Carton of ten 0.5-mL single-dose prefilled Luer Lock syringes with tip caps.
HAVRIX® Pediatric
Manufacturer: GlaxoSmithKline

Item#  5892-825-52    NDC#  58160-0825-52
Hepatitis A Vaccine
Prefilled single-dose 720 EL.U./0.5 mL disposable TIP-LOK syringes (Preservative-Free Formulation) (packaged without needles) in package of 10.
HIBERIX®
Manufacturer: GlaxoSmithKline

Item#  5892-726-15    NDC#  58160-0726-15
Haemophilus Influenzae Type B (Hib)

HIBERIX Vial and Prefilled Syringe Presentation is supplied in a carton (NDC 58160-726-15)
containing:

• 10 single-dose vials of Lyophilized Antigen Component: NDC 58160-816-03.

• 10 single-dose, prefilled, ungraduated TIP-LOK syringes (Luer Lock syringes) of Sterile
Saline Diluent packaged without needles NDC 58160-817-02.

INFANRIX® (DTAP)
Manufacturer: GlaxoSmithKline

Item#  5892-810-52    NDC#  58160-0810-52
Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed
Prefilled single-dose 0.5mL disposable TIP-LOK syringes (packaged without needles) in package of 10.
 
IPOL®
Manufacturer: Sanofi Pasteur

Item#  1598-860-10    NDC#  49281-0860-10
Poliovirus Vaccine Inactivated
Vial containing ten 0.5 mL doses.
KINRIX®
Manufacturer: GlaxoSmithKline

Item#  5892-812-52    NDC#  58160-0812-52
Diphtheria and Tetanus and Acellular Pertusis and Poliovirus
Single-dose disposable prefilled TIP-LOK syringes (packaged without needles) in package of 10.
MenQuadfi™
Manufacturer: Sanofi Pasteur

Item#  1598-590-05    NDC#  49281-0590-05
Meningococcal (Groups A, C, Y, W) Conjugate Vaccine
 Single-dose vial, 0.5 mL in package of 5 vials.
MENVEO®  TWO VIAL
Manufacturer: GlaxoSmithKline

Item#  5892-955-09    NDC#  58160-0955-09

Meningococcal (Groups A, C, Y and W-135) Oligosaccharide Diphtheria CRM 197 Conjugate Vaccine

Five doses (10 vials) per package:

  • 5 vials containing MenA lyophilized conjugate component
  • 5 vials containing MenCYW-135 liquid conjugate component 
MENVEO® SINGLE VIAL
Manufacturer: GlaxoSmithKline

Item#  5892-827-30    NDC#  58160-0827-30
Meningococcal (Groups A, C, Y and W-135) Oligosaccharide Diphtheria CRM 197 Conjugate Vaccine Single Vial Presentation for use in ages 10-55
Carton of 10 vials (10 doses)
M-M-R®II
Manufacturer: Merck

Item#  4376-4681-00    NDC#  00006-4681-00
Measles, Mumps, and Rubella Virus Vaccine Live

M-M-R II is supplied as follows:

  • a box of 10 single-dose vials of lyophilized vaccine, and
  • a box of 10 vials of diluent.
PEDIARIX®
Manufacturer: GlaxoSmithKline

Item#  5892-811-52    NDC#  58160-0811-52
Diphtheria and Tetanus Toxoids and Acellular Pertussis  Adsorbed Hepatitis B (Recombiant) and Inactivated Poliovirus
 0.5-mL single-dose disposable prefilled TIP-LOK syringes (packaged without needles) in package of 10.
PEDVAXHIB®
Manufacturer: Merck

Item#  4376-4897-00    NDC#  00006-4897-00
Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate)
 Box of 10 single-dose vials of liquid vaccine.
Medico-Mart, Inc. is your trusted source for Penbraya Vaccine
Manufacturer: Pfizer

Item#     NDC#  
Meningococcal Groups A, B, C, W, and Y Vaccine, suspension for intramuscular injection
PENTACEL®
Manufacturer: Sanofi Pasteur

Item#  1598-511-05    NDC#  49281-0511-05

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate) Vaccine

(For children 6 weeks through 4 years of age) prior to fifth birthday

5 vials of DTaP-IPV component to be used to reconstitute 5 single dose vials of lyophilized ActHIB vaccine component.

PREVNAR 20®
Manufacturer: Pfizer

Item#     NDC#  
Pneumococcal 20-valent Conjugate Vaccine, suspension for intramuscular injection
PRIORIX®
Manufacturer: GlaxoSmithKline

Item#  5892-824-15    NDC#  58160-0824-15
Measles, Mumps, and Rubella Vaccine, Live, suspension for
subcutaneous i
njection
  • PRIORIX is supplied in a box containing:
    10 single-dose vials of lyophilized antigen component

    10 single-dose prefilled ungraduated syringes of sterile water diluent (packaged without
    needles)

    After reconstitution, each vial contains one dose (approximately 0.5 mL) of PRIORIX.
PROQUAD®
Manufacturer: Merck

Item#  4376-4171-00    NDC#  00006-4171-00

Measles, Mumps, Rubella and Varicella Virus Vaccine Live

THIS ITEM DROP SHIPS DIRECTLY FROM MANUFACTURER

 ProQuad is supplied as follows:

  • a package of 10 single-dose vials of lyophilized vaccine, and
  • a separate package of 10 vials of sterile water diluent. 
QUADRACEL™
Manufacturer: Sanofi Pasteur

Item#  1598-564-15    NDC#  49281-0564-15

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

(For children 4 through 6 years of age)

Single dose vial in packages of  10 vials.
RECOMBIVAX HB® Ped/Adol
Manufacturer: Merck

Item#     NDC#  
Hepatitis B Vaccine (Recombinant)
ROTARIX® Oral Liquid Applicator
Manufacturer: GlaxoSmithKline

Item#  5892-740-21    NDC#  58160-0740-21
Rotavirus Vaccine, Live, Oral Liquid Dosing Applicator
Package of 10 doses containing oral dosing applicators that do not require reconstitution or dilution before use.
ROTATEQ®
Manufacturer: Merck

Item#     NDC#  
Rotavirus Vaccine, Live, Oral, Pentavalent
TRUMENBA®
Manufacturer: Pfizer

Item#     NDC#  
Meningococcal Group B Vaccine
TUBERSOL®
Manufacturer: Sanofi Pasteur

Item#     NDC#  
Tuberculin Purified Protein Derivative (Mantoux)
VAQTA® Ped/Adol
Manufacturer: Merck

Item#  4376-4095-02    NDC#  00006-4095-02

Hepatitis A Vaccine, Inactivated

 Carton of ten 25U/0.5-mL prefilled single-dose Luer-Lok® syringes with tip caps
VARIVAX® (Varicella Virus Vaccine Live)
Manufacturer: Merck

Item#  4376-00006482700    NDC#  00006-4827-00

Varicella Virus Vaccine Live

THIS ITEM DROP SHIPS DIRECTLY FROM MANUFACTURER

VARIVAX is supplied as follows:

  • a box of 10 single-dose vials of lyophilized vaccine (package A),
  • a box of 10 vials of diluent (package B)
Vaxelis™
Manufacturer: MSP Vaccine Company

Item#     NDC#  

(Diphtheria and Tetanus Toxoids and Acellular Pertussis, Inactivated Poliovirus, Haemophilus b Conjugateand Hepatitis B Vaccine)Suspension for Intramuscular Injection

VAXNEUVANCE™
Manufacturer: Merck

Item#  4376-4329-03    NDC#  00006-4329-03
VAXNEUVANCE (Pneumococcal 15-valent Conjugate Vaccine)- expanded age indication 6 weeks and up
Prefilled Syringe, 1 Dose (10 per package)
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