2019 Vaccine Guide & Insert - 11

HEPATITIS A
Hepatitis A

HAVRIX®-Adult

Hepatitis A (Inactivated) Vaccines, ThimerosalFree, 1440 ELU/mL
1440 ELU/mL, 1-mL Tip-Lok® Prefilled Syringe
(124-0016).................................................... 10/pkg
CPT® Code: 90633†

INDICATIONS AND USAGE
HAVRIX is a vaccine indicated for active immunization against disease caused by hepatitis
A virus (HAV). HAVRIX is approved for use in persons 12 months of age or older. Primary
immunization should be administered at least 2 weeks prior to expected exposure to HAV.
Adults: A single 1‐mL dose and a 1‐mL booster dose administered between 6 to 12 months later

In 2016, there were
2,007 acute cases
of hepatitis spread
hepatitis A virus to
others is during the
two weeks before
the infected person
develops symptoms
(e.g., yellowing of
skin and eyes).

HAVRIX®-Pediatric/
Adolescent

Hepatitis A (Inactivated) Vaccine,
Thimerosal-Free, 720 ELU/0.5 mL, 0.5 mL
720 ELU, 0.5-mL SDV
(254-0582).................................................... 10/pkg
CPT® Code: 90633

HAVRIX®-Pediatric/
Adolescent

Hepatitis A (Inactivated) Vaccine, ThimerosalFree, 720 ELU/0.5 mL
(254-0023).................................................... 10/pkg

INDICATIONS AND USAGE
HAVRIX is a vaccine indicated for active immunization against disease caused by hepatitis
A virus (HAV). HAVRIX is approved for use in persons 12 months of age or older. Primary
immunization should be administered at least 2 weeks prior to expected exposure to HAV.
Children and adolescents: A single 0.5‐mL dose and a 0.5‐mL booster dose administered
between 6 to 12 months later.

VAQTA®-Adult

VAQTA®-Pediatric/Adolescent

CPT® Code: 90632†
Items stored under refrigeration. May be shipped separately.
VAQTA is a Registered Trademark of Merck & Co., Inc.
All vaccines include Federal Excise Tax (FET).

CPT® Code: 90633†
All vaccines include Federal Excise Tax (FET).
VAQTA® is a registered trademark of Merck & Co., Inc.

Hepatitis A (Inactivated) Vaccine, Thimerosal-Free
50 U/1 mL, 1-mL SDV
(558-4454).................................................... 10/pkg
50 U/1 mL Prefilled Luer-lock Syringe Without
Safety Needle
(122-2081).................................................... 10/pkg

Hepatitis A (Inactivated) Vaccine, ThimerosalFree, 25 U
0.5-mL SDV
(558-4255) ....................................................10/pkg
0.5-mL Prefilled Luer-lock Syringe Without Safety
Needle
(122-2080) ................................................... 10/pkg

For informational purposes only. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances.
See manufacturer package insert for full prescribing information.
†

19MS4037

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2019 Vaccine Guide & Insert

Table of Contents for the Digital Edition of 2019 Vaccine Guide & Insert