Overview

Active ingredients: Clostridium tetani toxoid antigen (Formaldehyde inactivated), Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated), Bordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated), Bordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated), Bordetella pertussis pertactin antigen (Formaldehyde inactivated). Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed
Strengths
Clostridium tetani toxoid antigen (Formaldehyde inactivated) 5 [iU]/.5mL; Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) 2.5 [iU]/.5mL; Bordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated) 8 ug/.5mL; Bordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated) 8 ug/.5mL; Bordetella pertussis pertactin antigen (Formaldehyde inactivated) 2.5 ug/.5mL
Dosage forms
Suspension
Routes
Intramuscular
Drug classes (FDA established)
Inactivated Bordetella Pertussis Vaccine, Inactivated Clostridium Tetani Vaccine, Inactivated Corynebacterium Diphtheriae Vaccine
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
3

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Boostrix NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Boostrixtetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine, adsorbedClostridium tetani toxoid antigen (Formaldehyde inactivated) 5 [iU]/.5mL + 4 more ingredientsSuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-84258160-0842-52—
Boostrixtetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine, adsorbedClostridium tetani toxoid antigen (Formaldehyde inactivated) 5 [iU]/.5mL + 4 more ingredientsSuspensionIntramuscularA-S Medication Solutions50090-137750090-1377-0050090-1377-01—

Boostrix: common questions

What is the NDC for Boostrix?
Boostrix has 2 product NDCs, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.
Is there a J-code for Boostrix?
Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.
Which NDC goes on a claim?
The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.

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Boostrix NDC Codes & NDC Number | Med-Code