MSP VACCINE COMPANY

VAXELIS

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

MSP VACCINE COMPANY

Vaxelis HCPCS:

90697

HCPCS Code Descriptor:

Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use

Category:

CPT Drug Code

Vaxelis NDCs:

63361-0243-88, 63361-0243-58, 63361-0243-15, 63361-0243-10

Primary Type:

Vaccine

Generic/Specialty Status:

Single-Source

Package Type:

Not Found

Route of Administration:

Intramuscular

Vaxelis CPT Codes:

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

Potential NDC Listing Errors:

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

63361-0243-88, 63361-0243-58, 63361-0243-15, 63361-0243-10

About Vaxelis:

VAXELIS is a Vaccine drug manufactured by MSP VACCINE COMPANY and administered via the Intramuscular route of administration. The CPT Drug Code: 90697 is aligned to the drug VAXELIS.

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90697 Added Date:

NA

90697 Effective Date:

NA

90697 Termination Date:

HCPCS Active

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