GSK

PEDIARIX

Manufacturer:

GSK

Pediarix HCPCS:

90723

HCPCS Code Descriptor:

Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use

Category:

CPT Drug Code

Pediarix NDCs:

58160-0811-52

Primary Type:

Vaccine-Pediatric combination

Generic/Specialty Status:

Single-Source

Package Type:

Not Found

Route of Administration:

Intramuscular

Pediarix CPT Codes:

Potential CPT administration codes for Pediarix can be found at the following link.

Potential NDC Listing Errors:

Our team has identified potential listing errors/discrepancies with the following NDCs:

58160-0811-52

About Pediarix:

PEDIARIX is a Vaccine-Pediatric combination drug manufactured by GSK and administered via the Intramuscular route of administration. The CPT Drug Code: 90723 is aligned to the drug PEDIARIX.

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90723 Added Date:

NA

90723 Effective Date:

NA

90723 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Pediarix billing and coding information.
Our team did not identify a source for Pediarix patient assistance information. Please reach out to our team if you feel that this is a mistake.
PEDIARIX prescribing information can be found at the link below:
Our team has not yet identified a source of side effects information for PEDIARIX. Please check back in a few weeks.