Vaccine · BLA
Vaxelis NDC 63361-243
Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) 15 [Lf]/.5mL + 10 more ingredients · Injection, Suspension · Intramuscular · MSP Vaccine Company
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 63361-243-15 | 63361024315 | 10 SYRINGE in 1 PACKAGE (63361-243-15) / .5 mL in 1 SYRINGE (63361-243-88)Marketed from Dec 21, 2018 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Vaxelis
- Generic name (nonproprietary)
- diphtheria and tetanus toxoids and acellular pertussis, inactivated poliovirus, haemophilus b conjugate and hepatitis b vaccine
- Active ingredients
- Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) — 15 [Lf]/.5mLClostridium tetani toxoid antigen (Formaldehyde inactivated) — 5 [Lf]/.5mLBordetella pertussis toxoid antigen (Glutaraldehyde inactivated) — 20 ug/.5mLBordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated) — 20 ug/.5mLBordetella pertussis pertactin antigen — 3 ug/.5mLBordetella pertussis fimbriae 2/3 antigen — 5 ug/.5mLPoliovirus type 1 antigen (Formaldehyde inactivated) — 29 [D'ag'U]/.5mLPoliovirus type 2 antigen (Formaldehyde inactivated) — 7 [D'ag'U]/.5mLPoliovirus type 3 antigen (Formaldehyde inactivated) — 26 [D'ag'U]/.5mLHepatitis b virus subtype adw hbsag surface protein antigen — 10 ug/.5mLHaemophilus influenzae type b capsular polysaccharide meningococcal outer membrane protein conjugate antigen — 3 ug/.5mL
- Dosage form
- Injection, Suspension
- Route
- Intramuscular
- Labeler
- MSP Vaccine Company
- Product type
- Vaccine
- Marketing category
- BLA — Biologics License ApplicationApplication BLA 125563
- 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)Diphtheria Toxoid (Chemical structure)Haemophilus Vaccines (Chemical structure)Hepatitis B Vaccines (Chemical structure)Pertussis Vaccine (Chemical structure)Pertussis Vaccine (Chemical structure)Pertussis Vaccine (Chemical structure)Poliovirus Vaccines (Chemical structure)Poliovirus Vaccines (Chemical structure)Poliovirus Vaccines (Chemical structure)Tetanus Toxoid (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 63361-243_899b15fd-89c2-44ab-95c8-a457ea7cf0beSPL ID 899b15fd-89c2-44ab-95c8-a457ea7cf0be
- Pharmacologic class
- Inactivated Bordetella Pertussis Vaccine; Inactivated Clostridium Tetani Vaccine; Inactivated Corynebacterium Diphtheriae Vaccine; Inactivated Haemophilus Influenzae B Vaccine; Inactivated Hepatitis B Virus Vaccine; Inactivated Poliovirus 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
N463361024315followed by a unit qualifier and the quantityPackage 63361-0243-15. 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.