Vaccine · BLA
Prevnar 13 (pneumococcal 13-valent conjugate vaccine) NDC 50090-1944
Streptococcus pneumoniae type 1 capsular polysaccharide diphtheria crm197 protein conjugate antigen 2.2 ug/.5mL + 12 more ingredients · Injection, Suspension · Intramuscular · A-S Medication Solutions
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50090-1944-1 | 50090194401 | 1 SYRINGE in 1 POUCH (50090-1944-1) / .5 mL in 1 SYRINGE (50090-1944-0)Marketed from Mar 12, 2010 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 13
- Generic name (nonproprietary)
- pneumococcal 13-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 9v 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 18c 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 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/.5mL
- Dosage form
- Injection, Suspension
- Route
- Intramuscular
- Labeler
- A-S Medication Solutions
- Product type
- Vaccine
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 125324
- 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 50090-1944_e7d82789-54b1-4a5b-b9bf-982616a93ec6SPL ID e7d82789-54b1-4a5b-b9bf-982616a93ec6
- 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 codeNo match
No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
- 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
N450090194401followed by a unit qualifier and the quantityPackage 50090-1944-01. 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.