Thursday, 2 February 2012

Pediatric/VFC Vaccine Price List

Vaccine
Brandname/ Tradename
NDC
Packaging
CDC
Cost/
Dose
Private Sector Cost/
Dose
Contract End Date
Manufacturer
Contract Number
DTaPVaccine cost includes $2.25 dose Federal Excise Tax Tripedia® 49281-0298-10 10 pack - 1 dose vials $13.25 $23.68 03/31/2012 Sanofi Pasteur 200-2011-38199
Daptacel® 49281-0286-10 10 pack - 1 dose vials $14.51 $25.29
DTaP Vaccine cost includes $2.25 dose Federal Excise Tax Infanrix® 58160-0810-11 10 pack - 1 dose vials $14.85 $20.96 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0810-52 10 pack - 1 dose T-L syringes. No Needle $14.85 $21.44
DTaP-IPV Vaccine cost includes $3.00 per dose Federal Excise Tax Kinrix® 58160-0812-11 10 pack - 1 dose vials $34.25 $48.00 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0812-52 10 pack - 1 dose T-L syringes $34.25 $48.00
DTaP-Hep B-IPV Vaccine cost includes $3.75 per dose Federal Excise Tax Pediarix® 58160-0811-52 10 pack - 1 dose T-L syringes, No Needle $51.15 $70.72 03/31/2012 GlaxoSmithKline 200-2011-38201
DTaP-IP-HI Vaccine cost includes $3.75 per dose Federal Excise Tax Pentacel® 49281-0510-05 5 pack - 1 dose vials $52.55 $80.43 03/31/2012 Sanofi Pasteur 200-2011-38199
e-IPV Vaccine cost includes $0.75 per dose Federal Excise Tax IPOL® 49281-0860-10 10 dose vial $11.97 $26.66 03/31/2012 Sanofi Pasteur 200-2011 -38199
Hepatitis B-Hib Vaccine cost includes $1.50 per dose Federal Excise Tax Comvax® 00006-4898-00 10 pack - 1 dose vial $29.50 $43.56 03/31/2012 Merck 200-2011-38200
Hepatitis A Pediatric Vaccine cost includes $0.75 per dose Federal Excise Tax Vaqta® 00006-4831-41 10 pack - 1 dose vial $14.25 $30.369 03/31/2012 Merck 200-2011-38200
Hepatitis A Pediatric Vaccine cost includes $0.75 per dose Federal Excise Tax Havrix® 58160-0825-11 10 pack - 1 dose vials $14.25 $28.74 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0825-52 10 pack - 1 dose T-L syringes. No Needle $14.25 $28.74
Hepatitis A-Hepatitis B 18 only Vaccine cost includes $1.50 per dose Federal Excise Tax Twinrix® 58160-0815-11 10 pack - 1 dose vials $47.50 $92.50 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0815-52 10 pack - 1 dose T-L syringes, No Needle $47.50 $89.85
Hepatitis BVaccine cost includes $0.75 per dose Federal Excise Tax
Pediatric/Adolescent		 Engerix B® 58160-0820-11 10 pack - 1 dose vials $10.35 $21.37 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0820-52 10 pack - 1 dose T-L syringes, No Needle $10.35 $21.37
Hepatitis B Vaccine cost includes $0.75 per dose Federal Excise Tax
Pediatric/Adolescent 		Recombivax
HB®		 00006-4981-00 10 pack - 1 dose vials $10.50 $23.20 03/31/2012 Merck 200-2011-38200
Hib Vaccine cost includes $0.75 per dose Federal Excise Tax PedvaxHIB® 00006-4897-00 10 pack - 1 dose vials $11.64 $22.77 03/31/2012 Merck 200-2011-38200
Hib Vaccine cost includes $0.75 per dose Federal Excise Tax ActHIB® 49281-0545-05 5 pack - 1 dose vials $9.00 $25.47 03/31/2012 Sanofi Pasteur 200-2011-38199
Hib Vaccine cost includes $0.75 per dose Federal Excise Tax Hiberix® 58160-0806-05 10 pack - 1 dose vials $8.98 $22.83 03/31/2012 GlaxoSmithKline 200-2011-38201
HPV - Quadrivalent Human Papillomavirus Types 6, 11, 16 and 18 Recombinant Vaccine cost includes $0.75 per dose Federal Excise Tax Gardasil® 00006-4045-41 10 pack – 1 dose vials $95.75 $130.27 03/31/2012 Merck 200-2011-38200
HPV -Bivalent Human Papillomavirus Types 16 and 18 Vaccine cost includes $0.75 per dose Federal Excise Tax Cervarix® 58160-0830-52 10 pack-1 dose syringe, No Needle $96.08 $128.75 03/31/2012 GlaxoSmithKline 200-2011-38201
Meningococcal Conjugate (Groups A, C, Y and W-135) Vaccine cost includes $0.75 per dose Federal Excise Tax Menactra® 49281-0589-05 5 pack - 1 dose vial $82.12 $109.66 03/31/2012 Sanofi Pasteur 200-2011-38199
Meningococcal Conjugate (Groups A, C, Y and W-135) Vaccine cost includes $0.75 per dose Federal Excise Tax Menveo® 46028-0208-01 5 pack - 1 dose vial $82.12 $110.72 03/31/2012 Novartis 200-2011-38204
Measles, Mumps and Rubella (MMR) Vaccine cost includes $2.25 dose Federal Excise Tax MMRII® 00006-4681-00 10 pack - 1 dose vials $18.989 $52.073 03/31/2012 Merck 200-2011-38200
Pneumococcal
13-valentVaccine cost includes $0.75 per dose Federal Excise Tax (Pediatric) 		Prevnar 13 TM 00005-1971-02 10 pack – 1 dose syringes, No Needle $97.21 $120.95 03/31/2012 Pfizer 200-2011-38203
Pneumococcal Polysaccharide (23 Valent) Pneumovax® 00006-4943-00 10 pack - 1 dose vials $34.540 $61.944 03/31/2012 Merck 200-2011-38200
Rotavirus, Live, Oral, Pentavalent Vaccine cost includes $0.75 per dose Federal Excise Tax RotaTeq® 00006-4047-41 10 pack - 1 dose 2mL tubes $59.760 $72.339 03/31/2012 Merck 200-2011-38200
00006-4047-20
 25 pack – 1 dose 2mL tubes $59.760 $72.339
Rotavirus, Live, Oral, Oral Vaccine cost includes $0.75 per dose Federal Excise Tax Rotarix® 58160-0854-52 10 pack - 1 dose vials $89.25 $106.57 03/31/2012 GlaxoSmithKline 200-2011-38201
Tetanus & Diphtheria Toxoids Vaccine cost includes $1.50 per dose Federal Excise Tax Tenivac ®
Effective
Feb 1, 2012
 49281-0215-15 10 pack - 1 dose syringes
No Needle 		$16.50 $21.15 03/31/2012 Sanofi Pasteur 200-2011-38199
49281-0215-10 10 pack – 1 dose vials $16.50 $21.15
Tetanus & Diphtheria Toxoids Vaccine cost includes $1.50 per dose Federal Excise Tax MassBiologics 14362-0111-03 10 pack - 1 dose vials $15.00
03/31/2012 MassBiologics 200-2011-38202
Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine cost includes $2.25 dose Federal Excise Tax Boostrix® 58160-0842-11 10 pack - 1 dose vials $29.59 $37.55 03/31/2012 GlaxoSmithKline 200-2011-38201
58160-0842-52 10 pack - 1 dose TL syringes,
No Needle		 $29.59 $37.55
Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine cost includes $2.25 dose Federal Excise Tax Adacel® 49281-0400-10 10 pack - 1 dose vials $29.59 $39.93 03/31/2012 Sanofi Pasteur 200-2011-38199
49281-0400-15 5 pack - 1 dose BD Leur-Lok syringes $29.59 $39.93
Varicella Vaccine cost includes $0.75 per dose Federal Excise Tax Varivax® 00006-4827-00 10 pack - 1 dose vials $69.734 $87.095 03/31/2012 Merck 200-2011-38200
Vaccine cost includes $2.25 dose Federal Excise Tax Vaccine cost includes $2.25 dose Federal Excise Tax
Vaccine cost includes $3.00 per dose Federal Excise Tax Vaccine cost includes $3.00 per dose Federal Excise Tax
Vaccine cost includes $1.50 per dose Federal Excise Tax Vaccine cost includes $1.50 per dose Federal Excise Tax
Vaccine cost includes $3.75 per dose Federal Excise Tax Vaccine cost includes $3.75 per dose Federal Excise Tax
Vaccine cost includes $0.75 per dose Federal Excise Tax Vaccine cost includes $0.75 per dose Federal Excise Tax
Vaccines which contain Thimerosal as a preservative Vaccines which contain Thimerosal as a preservative

The CDC Vaccine Price Lists posted on this website provide current vaccine contract prices and list the private sector vaccine prices for general information. Contract prices are those for CDC vaccine contracts that are established for the purchase of vaccines by immunization programs that receive CDC immunization grant funds (i.e., state health departments, certain large city immunization projects, and certain current and former U.S. territories). Private providers and private citizens cannot directly purchase vaccines through CDC contracts. Private sector prices are those reported by vaccine manufacturers annually to CDC. All questions regarding the private sector prices should be directed to the manufacturers
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