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1 | Source: https://www.cdc.gov/vaccines/programs/vfc/awardees/vaccine-management/price-list/index.html#f5 | |||||||||||||||||||||||||
2 | Type/Source | Vaccine | Brandname/ Tradename | NDC | Packaging | CDC Cost/ Dose | Private Sector Cost/ Dose | Contract End Date | Manufacturer | Contract Number | ||||||||||||||||
3 | Pediatric/VFC Vaccine Price List | DTaP [1] | Daptacel® | 49281-0286-10 | 10 pack – 1 dose vial | 18.546 | 31.7 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
4 | Pediatric/VFC Vaccine Price List | DTaP [1] | Infanrix® | 58160-0810-52 | 10 pack – 1 dose syringe | 19.163 | 24.71 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
5 | Pediatric/VFC Vaccine Price List | DTaP-IPV [2] | Quadracel™ | 49281-0562-10 | 10 pack – 1 dose vial | 41.797 | 54.63 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
6 | Pediatric/VFC Vaccine Price List | DTaP-IPV [2] | Kinrix® | 58160-0812-11 | 10 pack – 1 dose vial | 42.459 | 52.14 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
7 | Pediatric/VFC Vaccine Price List | DTaP-IPV [2] | Kinrix® | 58160-0812-11 | 10 pack – 1 dose vial | 42.459 | 52.14 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
8 | Pediatric/VFC Vaccine Price List | DTaP-Hep B-IPV [4] | Pediarix® | 58160-0811-52 | 10 pack – 1 dose syringe | 60.709 | 79.15 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
9 | Pediatric/VFC Vaccine Price List | DTaP-IP-HI [4] | Pentacel® | 49281-0510-05 | 5 pack – 1 dose vial | 61.648 | 99.83 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
10 | Pediatric/VFC Vaccine Price List | e-IPV [5] | IPOL® | 49281-0860-10 | 10 dose vial | 13.85 | 35.17 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
11 | Pediatric/VFC Vaccine Price List | Hepatitis A Pediatric [5] | Vaqta® | 00006-4095-02 | 10 pack – 1 dose syringe | 20.61 | 33.295 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
12 | Pediatric/VFC Vaccine Price List | Hepatitis A Pediatric [5] | Havrix® | 58160-0825-52 | 10 pack – 1 dose syringe | 21.113 | 32.89 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
13 | Pediatric/VFC Vaccine Price List | Hepatitis A-Hepatitis B 18 only [3] | Twinrix® | 58160-0815-52 | 10 pack – 1 dose syringe | 63.282 | 104 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
14 | Pediatric/VFC Vaccine Price List | Hepatitis B [5] Pediatric/Adolescent | Engerix B® | 58160-0820-52 | 10 pack – 1 dose syringe | 17.394 | 23.72 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
15 | Pediatric/VFC Vaccine Price List | Hepatitis B [5] Pediatric/Adolescent | Recombivax HB® | 00006-4981-00 | 10 pack – 1 dose vial | 12.53 | 23.95 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
16 | Pediatric/VFC Vaccine Price List | Hib [5] | PedvaxHIB® | 00006-4897-00 | 10 pack – 1 dose vial | 13.514 | 26.233 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
17 | Pediatric/VFC Vaccine Price List | Hib [5] | ActHIB® | 49281-0545-03 | 5 pack – 1 dose vial | 9.746 | 17.14 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
18 | Pediatric/VFC Vaccine Price List | Hib [5] | Hiberix® | 58160-0818-11 | 10 pack – 1 dose vial | 9.46 | 10.85 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
19 | Pediatric/VFC Vaccine Price List | HPV – Human Papillomavirus 9-valent [5] | Gardasil®9 | 00006-4121-02 | 10 pack – 1 dose syringe | 187.01 | 227.931 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
20 | Pediatric/VFC Vaccine Price List | MENB – Meningococcal Group B [5] | Trumenba® | 00005-0100-10 | 10 pack – 1 dose syringe | 114.36 | 149.89 | 2021-03-31 | Pfizer | 75D30120D07513 | ||||||||||||||||
21 | Pediatric/VFC Vaccine Price List | MENB – Meningococcal Group B [5] | Bexsero® | 58160-0976-20 | 10 pack – 1 dose syringe | 120.24 | 170.75 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
22 | Pediatric/VFC Vaccine Price List | Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menactra® | 49281-0589-05 | 5 pack – 1 dose vial | 96.232 | 128.38 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
23 | Pediatric/VFC Vaccine Price List | Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menveo® | 58160-0955-09 | 5 pack – 1 dose vial | 95.78 | 130.75 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
24 | Pediatric/VFC Vaccine Price List | Measles, Mumps and Rubella (MMR) [1] | M-M-R®II | 00006-4681-00 | 10 pack – 1 dose vial | 21.708 | 78.678 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
25 | Pediatric/VFC Vaccine Price List | MMR/Varicella [2] | ProQuad® | 00006-4171-00 | 10 pack – 1 dose vial | 137.516 | 224.937 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
26 | Pediatric/VFC Vaccine Price List | Pneumococcal 13-valent [5] (Pediatric) | Prevnar 13TM | 00005-1971-02 | 10 pack – 1 dose syringe | 143.82 | 202 | 2021-03-31 | Pfizer | 75D30120D07513 | ||||||||||||||||
27 | Pediatric/VFC Vaccine Price List | Pneumococcal Polysaccharide (23 Valent) | Pneumovax®23 | 00006-4837-03 | 10 pack – 1 dose syringe | 59.12 | 105.194 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
28 | Pediatric/VFC Vaccine Price List | Rotavirus, Live, Oral, Pentavalent [5] | RotaTeq® | 00006-4047-41 | 10 pack – 1 dose tube | 71.88 | 84.532 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
29 | Pediatric/VFC Vaccine Price List | Rotavirus, Live, Oral, Pentavalent [5] | RotaTeq® | 00006-4047-20 | 25 pack – 1 dose tube | 71.88 | 84.531 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
30 | Pediatric/VFC Vaccine Price List | Rotavirus, Live, Oral, Oral [5] | Rotarix® | 58160-0854-52 | 10 pack – 1 dose vial | 97.508 | 120.95 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
31 | Pediatric/VFC Vaccine Price List | Tetanus and Diphtheria Toxoids [3] | Tenivac® | 49281-0215-15 | 10 pack – 1 dose syringe | 21.18 | 34.8 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
32 | Pediatric/VFC Vaccine Price List | Tetanus and Diphtheria Toxoids [3] | Tenivac® | 49281-0215-10 | 10 pack – 1 dose vial | 21.18 | 34.8 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
33 | Pediatric/VFC Vaccine Price List | Tetanus and Diphtheria Toxoids [3] | TDVAX™ | 13533-0131-01 | 10 pack – 1 dose vial | 16.343 | 25.876 | 2021-03-31 | Grifols | 75D30120D07517 | ||||||||||||||||
34 | Pediatric/VFC Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-11 | 10 pack – 1 dose vial | 33.14 | 41.19 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
35 | Pediatric/VFC Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-52 | 10 pack – 1 dose syringe | 33.14 | 41.19 | 2021-03-31 | GlaxoSmithKline | 75D30120D07515 | ||||||||||||||||
36 | Pediatric/VFC Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel® | 49281-0400-10 | 10 pack – 1 dose vial | 32.634 | 46.8 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
37 | Pediatric/VFC Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel® | 49281-0400-20 | 5 pack – 1 dose syringe | 32.634 | 46.8 | 2021-03-31 | Sanofi Pasteur | 75D30120D07514 | ||||||||||||||||
38 | Pediatric/VFC Vaccine Price List | Varicella [5] | Varivax® | 00006-4827-00 | 10 pack – 1 dose vial | 109.26 | 135.725 | 2021-03-31 | Merck | 75D30120D07516 | ||||||||||||||||
39 | Adult Vaccine Price List | Hepatitis A Adult [5] | Vaqta® | 00006-4096-02 | 10 pack – 1 dose syringe | 30.758 | 69.58 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
40 | Adult Vaccine Price List | Hepatitis A Adult [5] | Vaqta® | 00006-4841-41 | 10 pack – 1 dose vial | 30.758 | 69.58 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
41 | Adult Vaccine Price List | Hepatitis A Adult [5] | Havrix® | 58160-0826-52 | 10 pack – 1 dose syringe | 30.758 | 69.56 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
42 | Adult Vaccine Price List | Hepatitis A-Hepatitis B Adult [3] | Twinrix® | 58160-0815-52 | 10 pack – 1 dose syringe | 61.858 | 104 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
43 | Adult Vaccine Price List | Hepatitis B Adult [5] | Heplisav-B™ | 43528-0003-05 | 5 pack – 1 dose syringe | 69.75 | 115.75 | 2020-06-30 | Dynavax | 75D30119D05107 | ||||||||||||||||
44 | Adult Vaccine Price List | Hepatitis B Adult [5] | Engerix-B® | 58160-0821-11 | 10 pack – 1 dose vial | 29.733 | 58.95 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
45 | Adult Vaccine Price List | Hepatitis B Adult [5] | Engerix-B® | 58160-0821-52 | 10 pack – 1 dose syringe | 33.515 | 58.95 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
46 | Adult Vaccine Price List | HPV-Human Papillomavirus 9 Valent [5] | Gardasil®9 | 00006-4121-02 | 10 pack – 1 dose syringe | 140.587 | 227.931 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
47 | Adult Vaccine Price List | Measles, Mumps, & Rubella [1] | M-M-R®II | 00006-4681-00 | 10 pack – 1 dose vial | 48.861 | 78.678 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
48 | Adult Vaccine Price List | Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menveo® | 58160-0955-09 | 5 pack – 1 dose vial | 67.618 | 130.75 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
49 | Adult Vaccine Price List | Meningococcal Conjugate (Groups A, C, Y and W-135) [5] | Menactra® | 49281-0589-05 | 5 pack – 1 dose vial | 75.066 | 128.38 | 2020-06-30 | Sanofi | 75D30119D05106 | ||||||||||||||||
50 | Adult Vaccine Price List | MENB – Meningococcal Group B [5] | Trumenba® | 00005-0100-10 | 10 pack – 1 dose syringe | 85.1 | 149.89 | 2020-06-30 | Pfizer | 75D30119D05110 | ||||||||||||||||
51 | Adult Vaccine Price List | MENB – Meningococcal Group B [5] | Bexsero® | 58160-0976-20 | 10 pack – 1 dose syringe | 103.938 | 170.75 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
52 | Adult Vaccine Price List | Pneumococcal 13-valent [5] | Prevnar 13™ | 00005-1971-02 | 10 pack – 1 dose syringe | 125.07 | 202 | 2020-06-30 | Pfizer | 75D30119D05110 | ||||||||||||||||
53 | Adult Vaccine Price List | Pneumococcal Polysaccharide (23 Valent) | Pneumovax®23 | 00006-4837-03 | 10 pack – 1 dose syringe | 62.689 | 105.194 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
54 | Adult Vaccine Price List | Tetanus and Diphtheria Toxoids [3] | TDVAX™ | 13533-0131-01 | 10 pack – 1 dose vial | 16.027 | 25.876 | 2020-06-30 | Grifols | 75D30119D05109 | ||||||||||||||||
55 | Adult Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel® | 49281-0400-10 | 10 pack – 1 dose vial | 24.491 | 46.8 | 2020-06-30 | Sanofi | 75D30119D05106 | ||||||||||||||||
56 | Adult Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Adacel® | 49281-0400-20 | 5 pack – 1 dose syringe | 24.89 | 46.8 | 2020-06-30 | Sanofi | 75D30119D05106 | ||||||||||||||||
57 | Adult Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-11 | 10 pack – 1 dose vial | 24.49 | 41.19 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
58 | Adult Vaccine Price List | Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis [1] | Boostrix® | 58160-0842-52 | 10 pack – 1 dose syringe | 25.1 | 41.19 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
59 | Adult Vaccine Price List | Varicella [5] | Varivax® | 00006-4827-00 | 10 pack – 1 dose vial | 82.039 | 135.725 | 2020-06-30 | Merck | 75D30119D05105 | ||||||||||||||||
60 | Adult Vaccine Price List | Zoster Vaccine Recombinant, Adjuvanted | Shingrix® | 58160-0819-12 | 1 pack – 1 dose vial | 101.51 | 151.41 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
61 | Adult Vaccine Price List | Zoster Vaccine Recombinant, Adjuvanted | Shingrix® | 58160-0823-11 | 10 pack – 1 dose vial | 102.316 | 144.2 | 2020-06-30 | GlaxoSmithKline | 75D30119D05108 | ||||||||||||||||
62 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0633-15 | 10 dose vial | 13.55 | 16.939 | 2021-02-28 | Sanofi Pasteur | 75D30120D07115 | ||||||||||||||||
63 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0420-50 | 10 pack – 1 dose syringe | 13.5 | 18.144 | 2021-02-28 | Sanofi Pasteur | 75D30120D07115 | ||||||||||||||||
64 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0420-10 | 10 pack – 1 dose vial | 13.5 | 18.144 | 2021-02-28 | Sanofi Pasteur | 75D30120D07115 | ||||||||||||||||
65 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluarix® Quadrivalent | 58160-0885-52 | 10 pack- 1 dose syringe | 13.75 | 17.3 | 2021-02-28 | GlaxoSmithKline | 75D30120D07111 | ||||||||||||||||
66 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | FluLaval Quadrivalent | 19515-0816-52 | 10 pack – 1 dose syringe | 13.75 | 17.3 | 2021-02-28 | GlaxoSmithKline | 75D30120D07111 | ||||||||||||||||
67 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 4 years and older) | Flucelvax® Quadrivalent | 70461-0320-03 | 10 pack – 1 dose syringe | 16.02 | 32.47 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07117 | ||||||||||||||||
68 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 4 years and older) | Flucelvax® Quadrivalent | 70461-0420-10 | 10 dose vial | 15.15 | 30.76 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07117 | ||||||||||||||||
69 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 -35 months) | Afluria® Quadrivalent | 33332-0220-20 | 10 pack – 1 dose syringe | 13.26 | 22.24 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07117 | ||||||||||||||||
70 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 36 months and older) | Afluria® Quadrivalent | 33332-0320-01 | 10 pack – 1 dose syringe | 13.26 | 22.24 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07117 | ||||||||||||||||
71 | Pediatric Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Afluria® Quadrivalent | 33332-0420-10 | 10 dose vial | 12.45 | 20.56 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07117 | ||||||||||||||||
72 | Pediatric Influenza Vaccine Price List | Influenza [5] Live, Intranasal (Age 2-49 years) | FluMist® Quadrivalent | 66019-0307-10 | 10 pack- 1 dose sprayer (Intranasal) | 18.88 | 23.7 | 2021-02-28 | AstraZeneca | 75D30120D07113 | ||||||||||||||||
73 | Adult Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0633-15 | 10 dose vial | 12.808 | 16.939 | 2021-02-28 | Sanofi Pasteur | 75D30120D07114 | ||||||||||||||||
74 | Adult Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0420-10 | 10 pack – 1 dose vial | 13.705 | 18.144 | 2021-02-28 | Sanofi Pasteur | 75D30120D07114 | ||||||||||||||||
75 | Adult Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluzone® Quadrivalent | 49281-0420-50 | 10 pack – 1 dose syringe | 13.705 | 18.144 | 2021-02-28 | Sanofi Pasteur | 75D30120D07114 | ||||||||||||||||
76 | Adult Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Fluarix® Quadrivalent | 58160-0885-52 | 10 pack- 1 dose syringe | 12.45 | 17.3 | 2021-02-28 | GlaxoSmithKline | 75D30120D07110 | ||||||||||||||||
77 | Adult Influenza Vaccine Price List | Influenza [5] Age 6 months and older) | FluLaval Quadrivalent | 19515-0816-52 | 10 pack- 1 dose syringe | 12.45 | 17.3 | 2021-02-28 | GlaxoSmithKline | 75D30120D07110 | ||||||||||||||||
78 | Adult Influenza Vaccine Price List | Influenza [5] (Age 4 years and older) | Flucelvax Quadrivalent | 70461-0320-03 | 10 pack – 1 dose syringe | 15.45 | 32.47 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07116 | ||||||||||||||||
79 | Adult Influenza Vaccine Price List | Influenza [5] (Age 4 years and older) | Flucelvax Quadrivalent | 70461-0420-10 | 10 dose vial | 14.44 | 30.76 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07116 | ||||||||||||||||
80 | Adult Influenza Vaccine Price List | Influenza [5] (Age 36 months and older) | Afluria® Quadrivalent | 33332-0320-01 | 10 pack – 1 dose syringe | 12.48 | 22.24 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07116 | ||||||||||||||||
81 | Adult Influenza Vaccine Price List | Influenza [5] (Age 6 months and older) | Afluria® Quadrivalent | 33332-0420-10 | 10 dose vial | 11.67 | 20.56 | 2021-02-28 | Seqirus USA, Inc | 75D30120D07116 | ||||||||||||||||
82 | Adult Influenza Vaccine Price List | Influenza [5] Live, Intranasal (Age 2-49 years) | FluMist® Quadrivalent | 66019-0307-10 | 10 pack- 1 dose sprayer (Intranasal) | 18.19 | 23.7 | 2021-02-28 | AstraZeneca | 75D30120D07112 | ||||||||||||||||