Vaccine · BLA
Prevnar 20 (pneumococcal 20-valent conjugate vaccine) NDC 0005-2000
Streptococcus pneumoniae type 1 capsular polysaccharide diphtheria crm197 protein conjugate antigen 2.2 ug/.5mL + 19 more ingredients · Injection, Suspension · Intramuscular · Wyeth Pharmaceutical Division of Wyeth Holdings LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0005-2000-02 | 00005200002 | 1 SYRINGE in 1 CARTON (0005-2000-02) / .5 mL in 1 SYRINGE (0005-2000-01)Marketed from Aug 10, 2021 | |
| 0005-2000-10 | 00005200010 | 10 SYRINGE in 1 CARTON (0005-2000-10) / .5 mL in 1 SYRINGE (0005-2000-01)Marketed from Aug 10, 2021 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- Prevnar 20
- Generic name (nonproprietary)
- pneumococcal 20-valent conjugate vaccine
- Active ingredients
- Streptococcus pneumoniae type 1 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 3 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 4 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 5 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 6a capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 6b capsular polysaccharide diphtheria crm197 protein conjugate antigen — 4.4 ug/.5mLStreptococcus pneumoniae type 7f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 8 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 9v capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 10a capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 11a capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 12f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 14 capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 15b capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 18c capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 19a capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 19f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 22f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 23f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mLStreptococcus pneumoniae type 33f capsular polysaccharide diphtheria crm197 protein conjugate antigen — 2.2 ug/.5mL
- Dosage form
- Injection, Suspension
- Route
- Intramuscular
- Product type
- Vaccine
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 125731
- Marketing start
- Listing expires
- Other FDA classes
- Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Actively Acquired Immunity (Physiologic effect)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Pneumococcal Vaccines (Chemical structure)Conjugate (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)Inactivated (Chemical structure)
- Identifiers
- Product ID 0005-2000_1e9f4bbc-5eb3-45b3-ac12-c8228be3252eSPL ID 1e9f4bbc-5eb3-45b3-ac12-c8228be3252e
- Pharmacologic class
- Inactivated Pneumococcal Vaccine
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeMed-Code curated
CPT 90677 — Vaccine product code for PREVNAR 20 (pneumococcal 20-valent conjugate vaccine)
Billing unit: 1 dose. Units on the claim = dose given ÷ 1 dose.
Other pneumococcal conjugate vaccines (for example Prevnar 13) have different CPT product codes.
- Administration
Immunization administration (CPT 90460–90474)
Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.
- NDC on a medical claim
N400005200002followed by a unit qualifier and the quantityPackage 00005-2000-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
The FDA listing for this product does not reference a label (SPL) set.