Overview

Active ingredients: Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated), Clostridium tetani toxoid antigen (Formaldehyde inactivated), Bordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated), Bordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated), Bordetella pertussis pertactin antigen (Formaldehyde inactivated), Hepatitis b virus subtype adw2 hbsag surface protein antigen, Poliovirus type 1 antigen (Formaldehyde inactivated), Poliovirus type 2 antigen (Formaldehyde inactivated), Poliovirus type 3 antigen (Formaldehyde inactivated). Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Hepatitis B (Recombinant) and Inactivated Poliovirus Vaccine Combined
Strengths
Corynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) 25 [iU]/.5mL; Clostridium tetani toxoid antigen (Formaldehyde inactivated) 10 [iU]/.5mL; Bordetella pertussis toxoid antigen (Formaldehyde, Glutaraldehyde inactivated) 25 ug/.5mL; Bordetella pertussis filamentous hemagglutinin antigen (Formaldehyde inactivated) 25 ug/.5mL; Bordetella pertussis pertactin antigen (Formaldehyde inactivated) 8 ug/.5mL; Hepatitis b virus subtype adw2 hbsag surface protein antigen 10 ug/.5mL; Poliovirus type 1 antigen (Formaldehyde inactivated) 40 [iU]/.5mL; Poliovirus type 2 antigen (Formaldehyde inactivated) 8 [iU]/.5mL; Poliovirus type 3 antigen (Formaldehyde inactivated) 32 [iU]/.5mL
Dosage forms
Injection, Suspension
Routes
Intramuscular
Drug classes (FDA established)
Inactivated Bordetella Pertussis Vaccine, Inactivated Poliovirus Vaccine, Inactivated Clostridium Tetani Vaccine, Inactivated Corynebacterium Diphtheriae Vaccine
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
2

NDC codes

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

Pediarix NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Pediarixdiphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis b (recombinant) and inactivated poliovirus vaccine combinedCorynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) 25 [iU]/.5mL + 8 more ingredientsInjection, SuspensionIntramuscularGlaxoSmithKline Biologicals SA58160-81158160-0811-52—
Pediarixdiphtheria and tetanus toxoids and acellular pertussis adsorbed, hepatitis b (recombinant) and inactivated poliovirus vaccine combinedCorynebacterium diphtheriae toxoid antigen (Formaldehyde inactivated) 25 [iU]/.5mL + 8 more ingredientsInjection, SuspensionIntramuscularA-S Medication Solutions50090-754150090-7541-00—

Pediarix: common questions

What is the NDC for Pediarix?
Pediarix 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 Pediarix?
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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Pediarix NDC Codes & NDC Number | Med-Code