Vaccine Formulary – 2023-2024
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Vaccine Formulary – 2023-2024
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Reviewed and approved by P&T Committee: 9/12/2023
Vaccines sorted by generic/components
Generic Name/ Components | Brand Name | Safety Information |
|---|---|---|
COVID-19 | COVID-19 Vaccine, Moderna | |
COVID-19 | COVID-19 Vaccine, Pfizer-Biontech | |
DTaP | Daptacel | LASA medication |
DTaP+HepB+IPV | Pediarix | |
DTaP+IPV | QUADRACEL | |
DTaP+IPV+Hib | Pentacel | |
Hepatitis A | Havrix | |
Hepatitis A | Vaqta | |
Hepatitis B | Engerix B, Adult | LASA medication |
Hepatitis B | Engerix B, Pediatric | LASA medication |
Hepatitis B | Recombivax HB | LASA medication |
Hib | ActHIB | |
High dose Influenza | Fluzone High-Dose Quadrivalent | LASA medication |
HPV | Gardasil | |
Influenza | Fluarix, FluLaval, Flucelvax, and/or Fluzone Quadrivalent | LASA medication |
Meningococcal Conjugate (Groups A, C, Y, W) | MenQuadfi | |
Meningococcal B | Bexsero | |
Pneumococcal | Pneumovax 23 | LASA medication |
Pneumococcal | Prevnar 13 | LASA medication |
Pneumococcal | Prevnar 20 | LASA medication |
Polio | IPOL | |
PPD | Tubersol | LASA medication |
Rotavirus | RotaTeq | |
Td | Tenivac | LASA medication |
Tdap | Adacel | LASA medication |
Varicella Virus Vaccine, Live | Varivax | LASA medication |
Vaccines sorted by brand name
Brand Name | Generic Name/ Components | Safety Information |
|---|---|---|
ActHIB | Hib | |
Adacel | Tdap | LASA medication |
Bexsero | Meningococcal B | |
COVID-19 Vaccine, Moderna | COVID-19 | |
COVID-19 Vaccine, Pfizer-Biontech | COVID-19 | |
Daptacel | DTaP | LASA medication |
Engerix B, Adult | Hepatitis B | LASA medication |
Engerix B, Pediatric | Hepatitis B | LASA medication |
Fluarix, FluLaval, Flucelvax, and/or Fluzone Quadrivalent | Influenza | LASA medication |
Fluzone High-Dose Quadrivalent | High dose Influenza | LASA medication |
Gardasil | HPV | |
Havrix | Hepatitis A | |
IPOL | Polio | |
MenQuadfi | Meningococcal Conjugate (Groups A, C, Y, W) | |
Pediarix | DTaP+HepB+IPV | |
Pentacel | DTaP+IPV+Hib | |
Pneumovax 23 | Pneumococcal | LASA medication |
Prevnar 13 | Pneumococcal | LASA medication |
Prevnar 20 | Pneumococcal | LASA medication |
QUADRACEL | DTaP+IPV | |
Recombivax HB | Hepatitis B | LASA medication |
RotaTeq | Rotavirus | |
Tenivac | Td | LASA medication |
Tubersol | PPD | LASA medication |
Vaqta | Hepatitis A | |
Varivax | Varicella Virus Vaccine, Live | LASA medication |
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