0% found this document useful (0 votes)
125 views21 pages

Pediatric/VFC Vaccine Price List

This document lists vaccine prices for pediatric and VFC vaccines. It provides information on brand name, NDC code, packaging, CDC cost per dose, private sector cost per dose, contract end date, and manufacturer for various vaccines.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
125 views21 pages

Pediatric/VFC Vaccine Price List

This document lists vaccine prices for pediatric and VFC vaccines. It provides information on brand name, NDC code, packaging, CDC cost per dose, private sector cost per dose, contract end date, and manufacturer for various vaccines.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 21

CDC Vaccine Price List

Pediatric/VFC Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

DTaP [1] Daptacel® 49281- 10 pack – $17.16 $30.00 03/31/2018 Sanofi Pasteur 200-
0286- 1 dose 2017-
10 vial 93275

DTaP [1] Infanrix® 58160- 10 pack – $17.73 $22.40 03/31/2018 GlaxoSmithKline 200-
0810- 1 dose 2017-
11 vial 93272

58160- 10 pack – $17.73 $22.40


0810- 1 dose
52 syringe
DTaP-IPV [2] Quadracel™ 49281- 10 pack – $39.57 $51.67 03/31/2018 Sanofi Pasteur 200-
0562- 1 dose 2017-
10 vial 93275

DTaP-IPV [2] Kinrix® 58160- 10 pack – $39.57 $49.35 03/31/2018 GlaxoSmithKline 200-
0812- 1 dose 2017-
11 vial 93272

58160- 10 pack – $39.57 $49.35


0812- 1 dose
52 syringe

DTaP-Hep B-IPV [4] Pediarix® 58160- 10 pack – $56.43 $72.73 03/31/2018 GlaxoSmithKline 200-
0811- 1 dose 2017-
52 syringe 93272

DTaP-IP-HI [4] Pentacel® 49281- 5 pack – 1 $56.738 $92.58 03/31/2018 Sanofi Pasteur 200-
0510- dose vial 2017-
05 93275

e-IPV [5] IPOL® 49281- 10 dose $13.04 $31.97 03/31/2018 Sanofi Pasteur 200-
0860- vial 2017-
10 93275

Hepatitis A Pediatric Vaqta® 00006- 10 pack – $18.75 $32.03 03/31/2018 Merck 200-
[5] 4831- 1 dose 2017-
41 vial 93273

Hepatitis A Pediatric Havrix® 58160- 10 pack – $18.68 $30.14 03/31/2018 GlaxoSmithKline 200-
[5] 0825- 1 dose 2017-
11 vial 93272

58160- 10 pack – $18.68 $30.14


0825- 1 dose
52 syringe

Hepatitis A-Hepatitis Twinrix® 58160- 10 pack – $56.97 $98.10 03/31/2018 GlaxoSmithKline 200-
B 18 only [3] 0815- 1 dose 2017-
52 syringe 93272

Hepatitis B [5] Engerix B® 58160- 10 pack – $12.30 $22.40 03/31/2018 GlaxoSmithKline 200-
Pediatric/Adolescent 0820- 1 dose 2017-
52 syringe 93272

Hepatitis B [5] Recombivax 00006- 10 pack – $12.30 $23.95 03/31/2018 Merck 200-
4981- 1 dose 2017-
Pediatric/Adolescent HB® 00 vial 93273

Hib [5] PedvaxHIB® 00006- 10 pack – $12.79 $26.23 03/31/2018 Merck 200-
4897- 1 dose 2017-
00 vial 93273

Hib [5] ActHIB® 49281- 5 pack – 1 $9.55 $16.05 03/31/2018 Sanofi Pasteur 200-
0545- dose vial 2017-
03 93275

Hib [5] Hiberix® 58160- 10 pack – $9.46 $10.26 03/31/2018 GlaxoSmithKline 200-
0818- 1 dose 2017-
11 vial 93272

HPV – Human Gardasil®9 00006- 10 pack – $154.28 $204.87 03/31/2018 Merck 200-
Papillomavirus 9- 4119- 1 dose 2017-
valent [5] 03 vial 93273

MENB – Trumenba® 00005- 10 pack – $100.98 $133.62 03/31/2018 Pfizer 200-


Meningococcal 0100- 1 dose 2017-
Group B [5] 10 syringe 93274

MENB – Bexsero® 58160- 10 pack – $98.51 $160.75 03/31/2018 GlaxoSmithKline 200-


Meningococcal 0976- 1 dose 2017-
Group B [5] 20 syringe 93272

58160- 1 pack – 1 $98.51 $160.75


0976- dose
06 syringe

Meningococcal Menactra® 49281- 5 pack – 1 $89.16 $116.30 03/31/2018 Sanofi Pasteur 200-
Conjugate (Groups 0589- dose vial 2017-
A, C, Y and W-135) 05 93275
[5]

Meningococcal Menveo® 58160- 5 pack – 1 $71.70 $117.418 03/31/2018 GlaxoSmithKline 200-


Conjugate (Groups 0955- dose vial 2017-
A, C, Y and W-135) 09 93272
[5]

Measles, Mumps M-M-R®II 00006- 10 pack – $20.59 $70.92 03/31/2018 Merck 200-
and Rubella (MMR) 4681- 1 dose 2017-
[1] 00 vial 93273

MMR/Varicella [2] ProQuad® 00006- 10 pack – $118.72 $202.41 03/31/2018 Merck 200-
4171- 1 dose 2017-
00 vial 93273
Pneumococcal Prevnar 13 TM 00005- 10 pack – $126.97 $180.05 03/31/2018 Pfizer 200-
13-valent [5] 1971- 1 dose 2017-
(Pediatric) 02 syringe 93274

Pneumococcal Pneumovax®23 00006- 10 pack – $48.72 $94.51 03/31/2018 Merck 200-


Polysaccharide (23 4943- 1 dose 2017-
Valent) 00 vial 93273

Rotavirus, Live, Oral, RotaTeq® 00006- 10 pack – $69.12 $82.89 03/31/2018 Merck 200-
Pentavalent [5] 4047- 1 dose 2017-
41 tube 93273

00006- 25 pack – $69.12 $82.89


4047- 1 dose
20 tube

Rotavirus, Live, Oral, Rotarix® 58160- 10 pack – $91.05 $109.75 03/31/2018 GlaxoSmithKline 200-
Oral [5] 0854- 1 dose 2017-
52 vial 93272

Tetanus and Tenivac® 49281- 10 pack – $19.69 $32.89 03/31/2018 Sanofi Pasteur 200-
Diphtheria Toxoids 0215- 1 dose 2017-
[3] 15 syringe 93275
49281- 10 pack – $19.69 $32.89
0215- 1 dose
10 vial

Tetanus and Td Vaccine 13533- 10 pack – $12.513 $23.926 03/31/2018 Grifols 200-
Diphtheria Toxoids 0131- 1 dose 2017-
[3] 01 vial 93271

Tetanus Toxoid, Boostrix® 58160- 10 pack – $31.37 $39.35 03/31/2018 GlaxoSmithKline 200-
Reduced Diphtheria 0842- 1 dose 2017-
Toxoid and Acellular 11 vial 93272
Pertussis [1]

58160- 10 pack – $31.37 $39.35


0842- 1 dose
52 syringe

Tetanus Toxoid, Adacel® 49281- 10 pack – $30.99 $44.24 03/31/2018 Sanofi Pasteur 200-
Reduced Diphtheria 0400- 1 dose 2017-
Toxoid and Acellular 10 vial 93275
Pertussis [1]

49281- 5 pack – 1 $30.99 $44.24


0400- dose
15 syringe
Varicella [5] Varivax® 00006- 10 pack – $92.72 $122.02 03/31/2018 Merck 200-
4827- 1 dose 2017-
00 vial 93273

Adult Vaccine Price List

Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Hepatitis A-Adult Vaqta® 00006- 10 pack – $31.18 $66.91 6/30/2018 Merck 200-
[5] 4096- 1 dose 2017-
02 syringe 94412

00006- 10 pack – $29.23 $66.91


4841- 1 dose vial
41
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Hepatitis A Adult Havrix® 58160- 10 pack – $25.73 $65.65 6/30/2018 GlaxoSmithKline 200-
[5] 0826- 1 dose vial 2017-
11 94414

58160- 10 pack – $27.68 $65.65


0826- 1 dose
52 syringe

Hepatitis A- Twinrix® 58160- 10 pack – $55.90 $98.10 6/30/2018 GlaxoSmithKline 200-


Hepatitis B Adult 0815- 1 dose 2017-
[3] 52 syringe 94414

Hepatitis B-Adult Engerix-B® 58160- 10 pack – $26.07 $55.65 6/30/2018 GlaxoSmithKline 200-
[5] 0821- 1 dose vial 2017-
11 94414
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

58160- 10 pack – $29.38 $55.65


0821- 1 dose
52 syringe

HPV-Human Gardasil®9 00006- 10 pack – $116.22 $204.87 6/30/2018 Merck 200-


Papillomavirus 9 4119- 1 dose vial 2017-
Valent [5] 03 94412

Measles, Mumps, M-M-R®II 00006- 10 pack – $42.12 $70.92 6/30/2018 Merck 200-
& Rubella-Adult 4681- 1 dose 2017-
[1] 00 vials 94412

Meningococcal Menveo® 58160- 5 pack – 1 $65.91 $117.418 6/30/2018 GlaxoSmithKline 200-


Conjugate 0955- dose vial 2017-
(Groups A, C, Y 09 94414
and W-135) [5]
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Meningococcal Menactra 49281- 5 pack – 1 $76.152 $116.30 6/30/2018 Sanofi 200-


Conjugate 0589- dose vial 2017-
(Groups A, C, Y 05 94417
and W-135) [5]

MENB – Trumenba® 00005- 10 pack – $75.814 $133.62 6/30/2018 Pfizer 200-


Meningococcal 0100- 1 dose 2017-
Group B [5] 10 syringe 94416

MENB – Bexsero® 58160- 10 pack – $106.07 $160.75 6/30/2018 GlaxoSmithKline 200-


Meningococcal 0976- 1 dose 2017-
Group B [5] 20 syringe 94414

58160- 1 pack – 1 $102.33 $160.75


0976- dose
06 syringe
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Pneumococcal Prevnar 13™ 00005- 10 pack – $112.737 $180.05 6/30/2018 Pfizer 200-
13-valent [5] 1971- 1 dose 2017-
(Adult) 02 syringes 94416

Pneumococcal Pneumovax®23 00006- 10 pack – $48.52 $94.51 6/30/2018 Merck 200-


Polysaccharide 4837- 1 dose 2017-
(23 Valent) 03 syringes 94412

00006- 10 pack – $47.80 $94.51


4943- single
00 dose vial

Tetanus and Td Vaccine 13533- 10 pack – $13.575 $23.926 6/30/2018 Grifols 200-
Diphtheria 0131- 1 dose vial 2017-
Toxoids [3] 01 94415
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Tetanus Toxoid, Adacel 49281- 10 pack – $24.769 $44.24 6/30/2018 Sanofi 200-
Reduced 0400- 1 dose vial 2017-
Diphtheria 10 94417
Toxoid and
Acellular
Pertussis [1] 49281- 5 pack – 1 $24.478 $44.24
0400- dose
15 syringe

Tetanus Toxoid, Boostrix® 58160- 10 pack – $24.36 $39.35 6/30/2018 GlaxoSmithKline 200-
Reduced 0842- 1 dose vial 2017-
Diphtheria 11 94414
Toxoid and
Acellular
Pertussis [1] 58160- 10 pack – $24.79 $39.35
0842- 1 dose
52 syringe
Adult Vaccine Price List

Private
CDC Sector
Brandname/ Cost/ Cost/ Contract Contract
Vaccine Tradename NDC Packaging Dose Dose End Date Manufacturer Number

Varicella-Adult Varivax® 00006- 10 pack – $69.94 $122.02 6/30/2018 Merck 200-


[5] 4827- 1 dose vial 2017-
00 94412

Zoster Vaccine Zostavax® 00006- 10 pack – 134.16 $212.666 6/30/2018 Merck 200-
Live 4963- 1 dose vial 2017-
41 94412
Pediatric Influenza Vaccine Price List

Note: The table below reflects new contracts for the 2017-2018 Pediatric Flu.

Pediatric Influenza Vaccine Price List

CDC Private
Brandname/ Cost/ Sector Contract Contract
Vaccine Tradename NDC Packaging Dose Cost/ Dose End Date Manufacturer Number

Influenza [5] Fluzone® 49281- 10 dose vial $14.52 $16.622 2/28/2018 Sanofi Pasteur 200-2017-
(Age 6 Quadrivalent 0627-15 92736
months and
older)

Influenza [5] Fluzone® 49281- 10 pack – 1 $15.675 $18.72 2/28/2018 Sanofi Pasteur 200-2017-
(Age 6-35 Quadrivalent 0517-25 dose syringe 92736
months) Pediatric dose

Influenza [5] Fluzone® 49281- 10 pack – 1 $15.675 $17.97 2/28/2018 Sanofi Pasteur 200-2017-
(Age 36 Quadrivalent 0417-50 dose syringe 92736
Pediatric Influenza Vaccine Price List

CDC Private
Brandname/ Cost/ Sector Contract Contract
Vaccine Tradename NDC Packaging Dose Cost/ Dose End Date Manufacturer Number

months and 49281- 10 pack – 1 $15.675 $17.97


older) 0417-10 dose vial

Influenza [5] Fluarix® 58160- 10 pack- 1 $14.43 $16.82 2/28/2018 GlaxoSmithKline 200-2017-
(Age 36 Quadrivalent 0907-52 dose syringe 92735
months and
older)

Influenza [5] FluLaval 19515- 10 dose vial $13.55 $15.77 2/28/2018 GlaxoSmithKline 200-2017-
(Age 6 Quadrivalent 0896-11 92735
months and
older)
19515- 10 pack – 1 $14.43 $16.82
0912-52 dose syringe

Influenza [5] Flucelvax® 70461- 10 pack – 1 $15.42 $21.22 2/28/2018 Seqirus USA, Inc 200-2017-
(Age 4 years Quadrivalent 0201-01 dose syringe 92737
Pediatric Influenza Vaccine Price List

CDC Private
Brandname/ Cost/ Sector Contract Contract
Vaccine Tradename NDC Packaging Dose Cost/ Dose End Date Manufacturer Number

and older) 70461- 10 dose vial $14.07 $20.12


0301-10
Adult Influenza Vaccine Price List

Note: The table below reflects new contracts for the 2017-2018 Adult Flu.

Adult Influenza Vaccine Price List

Private
Brandname/ CDC Cost/ Sector Cost/ Contract End Contract
Vaccine Tradename NDC Packaging Dose Dose Date Manufacturer Number

Influenza [5] Fluzone® 49281- 10 dose vial $12.571 $16.622 2/28/2018 Sanofi Pasteur 200-2017-
(Age 6 months Quadrivalent 0627-15 92733
and older)

Influenza [5] Fluzone® 49281- 10 pack – 1 $13.575 $17.97 2/28/2018 Sanofi Pasteur 200-2017-
(Age 36 Quadrivalent 0417-10 dose vial 92733
months and
older)
49281- 10 pack – 1 $13.575 $17.97
0417-50 dose syringe

Influenza [5] Fluarix® 58160- 10 pack- 1 $12.72 $16.82 2/28/2018 GlaxoSmithKline 200-2017-
(Age 36 Quadrivalent 0907-52 dose syringe 92732
months and
older)
Adult Influenza Vaccine Price List

Private
Brandname/ CDC Cost/ Sector Cost/ Contract End Contract
Vaccine Tradename NDC Packaging Dose Dose Date Manufacturer Number

Influenza [5] FluLaval 19515- 10 dose vial $11.94 $15.77 2/28/2018 GlaxoSmithKline 200-2017-
(Age 36 Quadrivalent 0896-11 92732
months and
older)

Influenza [5] Afluria® 33332- 10 pack-1 $9.99 $17.01 2/28/2018 Seqirus USA, Inc 200-2017-
(Age 9 years 0017-01 dose 92734
and older) syringe

33332- 10 dose vial $9.50 $15.64


0117-10

Influenza [5] Fluvirin® 70461- 10 dose vial $9.50 $15.64 2/28/2018 Seqirus USA, Inc 200-2017-
(Age 4 years 0120-10 92734
and older)

70461- 10 pack – 1 $9.99 $17.01


0120-02 dose syringe
Adult Influenza Vaccine Price List

Private
Brandname/ CDC Cost/ Sector Cost/ Contract End Contract
Vaccine Tradename NDC Packaging Dose Dose Date Manufacturer Number

Influenza [5] Flucelvax 70461- 10 pack – 1 $13.80 $21.22 2/28/2018 Seqirus USA, Inc 200-2017-
(Age 4 years Quadrivalent 0201-01 dose syringe 92734
and older)

70461- 10 dose vial $12.55 $20.12


0301-10

Influenza [5] Afluria® 33332- 10 pack – 1 $12.68 $17.61 2/28/2018 Seqirus USA, Inc 200-2017-
(Age 18 years Quadrivalent 0317-01 dose syringe 92734
and older)

33332- 10 dose vial $11.95 $16.46


0417-10
Footnotes

1. Vaccine cost includes $2.25 per dose Federal Excise Tax


2. Vaccine cost includes $3.00 per dose Federal Excise Tax
3. Vaccine cost includes $1.50 per dose Federal Excise Tax
4. Vaccine cost includes $3.75 per dose Federal Excise Tax
5. Vaccine cost includes $0.75 per dose Federal Excise Tax

Page last reviewed: January 1, 2018


Page last updated: January 1, 2018
Content source: National Center for Immunization and Respiratory Diseases

You might also like