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233 lines
30 KiB
233 lines
30 KiB
INSERT INTO `codes` (`id`, `code_text`, `code_text_short`, `code`, `code_type`, `modifier`, `units`, `fee`, `superbill`, `related_code`, `taxrates`, `active`) |
|
VALUES |
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(NULL, "diphtheria, tetanus toxoids and pertussis vaccine", "DTP", 1, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "trivalent poliovirus vaccine, live, oral", "OPV", 2, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "measles, mumps and rubella virus vaccine", "MMR", 3, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "measles and rubella virus vaccine", "M/R", 4, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "measles virus vaccine", "measles", 5, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "rubella virus vaccine", "rubella", 6, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "mumps virus vaccine", "mumps", 7, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hepatitis B vaccine, pediatric or pediatric/adolescent dosage", "Hep B, adolescent or pediatric", 8, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)", "Td (adult), 2 Lf tetanus toxoid, preservative free, adsorbed", 9, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "poliovirus vaccine, inactivated", "IPV", 10, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "pertussis vaccine", "pertussis", 11, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "diphtheria antitoxin", "diphtheria antitoxin", 12, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tetanus immune globulin", "TIG", 13, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "immune globulin, unspecified formulation", "IG, unspecified formulation", 14, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE", "influenza, split (incl. purified surface antigen)", 15, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "influenza virus vaccine, whole virus", "influenza, whole", 16, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b vaccine, conjugate unspecified formulation", "Hib, unspecified formulation", 17, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rabies vaccine, for intramuscular injection RETIRED CODE", "rabies, intramuscular injection", 18, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Bacillus Calmette-Guerin vaccine", "BCG", 19, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "diphtheria, tetanus toxoids and acellular pertussis vaccine", "DTaP", 20, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "varicella virus vaccine", "varicella", 21, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "DTP-Haemophilus influenzae type b conjugate vaccine", "DTP-Hib", 22, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "plague vaccine", "plague", 23, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "anthrax vaccine", "anthrax", 24, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "typhoid vaccine, live, oral", "typhoid, oral", 25, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "cholera vaccine, unspecified formulation", "cholera, unspecified formulation", 26, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "botulinum antitoxin", "botulinum antitoxin", 27, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "diphtheria and tetanus toxoids, adsorbed for pediatric use", "DT (pediatric)", 28, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "cytomegalovirus immune globulin, intravenous", "CMVIG", 29, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis B immune globulin", "HBIG", 30, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis A vaccine, pediatric dosage, unspecified formulation", "Hep A, pediatric, unspecified formulation", 31, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "meningococcal polysaccharide vaccine (MPSV4)", "meningococcal MPSV4", 32, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "pneumococcal polysaccharide vaccine, 23 valent", "pneumococcal polysaccharide PPV23", 33, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rabies immune globulin", "RIG", 34, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tetanus toxoid, adsorbed", "tetanus toxoid, adsorbed", 35, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "varicella zoster immune globulin", "VZIG", 36, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "yellow fever vaccine", "yellow fever", 37, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rubella and mumps virus vaccine", "rubella/mumps", 38, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Japanese Encephalitis Vaccine SC", "Japanese encephalitis SC", 39, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rabies vaccine, for intradermal injection", "rabies, intradermal injection", 40, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "typhoid vaccine, parenteral, other than acetone-killed, dried", "typhoid, parenteral", 41, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis B vaccine, adolescent/high risk infant dosage", "Hep B, adolescent/high risk infant", 42, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis B vaccine, adult dosage", "Hep B, adult", 43, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis B vaccine, dialysis patient dosage", "Hep B, dialysis", 44, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis B vaccine, unspecified formulation", "Hep B, unspecified formulation", 45, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b vaccine, PRP-D conjugate", "Hib (PRP-D)", 46, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b vaccine, HbOC conjugate", "Hib (HbOC)", 47, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b vaccine, PRP-T conjugate", "Hib (PRP-T)", 48, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b vaccine, PRP-OMP conjugate", "Hib (PRP-OMP)", 49, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "DTaP-Haemophilus influenzae type b conjugate vaccine", "DTaP-Hib", 50, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Haemophilus influenzae type b conjugate and Hepatitis B vaccine", "Hib-Hep B", 51, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis A vaccine, adult dosage", "Hep A, adult", 52, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)", "typhoid, parenteral, AKD (U.S. military)", 53, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "adenovirus vaccine, type 4, live, oral", "adenovirus, type 4", 54, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "adenovirus vaccine, type 7, live, oral", "adenovirus, type 7", 55, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "dengue fever vaccine", "dengue fever", 56, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hantavirus vaccine", "hantavirus", 57, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis C vaccine", "Hep C", 58, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis E vaccine", "Hep E", 59, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "herpes simplex virus, type 2 vaccine", "herpes simplex 2", 60, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "human immunodeficiency virus vaccine", "HIV", 61, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "human papilloma virus vaccine, quadrivalent", "HPV, quadrivalent", 62, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Junin virus vaccine", "Junin virus", 63, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "leishmaniasis vaccine", "leishmaniasis", 64, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "leprosy vaccine", "leprosy", 65, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Lyme disease vaccine", "Lyme disease", 66, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "malaria vaccine", "malaria", 67, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "melanoma vaccine", "melanoma", 68, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "parainfluenza-3 virus vaccine", "parainfluenza-3", 69, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Q fever vaccine", "Q fever", 70, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "respiratory syncytial virus immune globulin, intravenous", "RSV-IGIV", 71, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rheumatic fever vaccine", "rheumatic fever", 72, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Rift Valley fever vaccine", "Rift Valley fever", 73, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "rotavirus, live, tetravalent vaccine", "rotavirus, tetravalent", 74, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "vaccinia (smallpox) vaccine", "vaccinia (smallpox)", 75, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Staphylococcus bacteriophage lysate", "Staphylococcus bacterio lysate", 76, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tick-borne encephalitis vaccine", "tick-borne encephalitis", 77, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tularemia vaccine", "tularemia vaccine", 78, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "vaccinia immune globulin", "vaccinia immune globulin", 79, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Venezuelan equine encephalitis, live, attenuated", "VEE, live", 80, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Venezuelan equine encephalitis, inactivated", "VEE, inactivated", 81, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "adenovirus vaccine, unspecified formulation", "adenovirus, unspecified formulation", 82, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule", "Hep A, ped/adol, 2 dose", 83, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule", "Hep A, ped/adol, 3 dose", 84, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hepatitis A vaccine, unspecified formulation", "Hep A, unspecified formulation", 85, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "immune globulin, intramuscular", "IG", 86, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "immune globulin, intravenous", "IGIV", 87, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "influenza virus vaccine, unspecified formulation", "influenza, unspecified formulation", 88, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "poliovirus vaccine, unspecified formulation", "polio, unspecified formulation", 89, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "rabies vaccine, unspecified formulation", "rabies, unspecified formulation", 90, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "typhoid vaccine, unspecified formulation", "typhoid, unspecified formulation", 91, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Venezuelan equine encephalitis vaccine, unspecified formulation", "VEE, unspecified formulation", 92, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular", "RSV-MAb", 93, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "measles, mumps, rubella, and varicella virus vaccine", "MMRV", 94, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tuberculin skin test; old tuberculin, multipuncture device", "TST-OT tine test", 95, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "tuberculin skin test; purified protein derivative solution, intradermal", "TST-PPD intradermal", 96, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tuberculin skin test; purified protein derivative, multipuncture device", "TST-PPD tine test", 97, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tuberculin skin test; unspecified formulation", "TST, unspecified formulation", 98, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "RESERVED - do not use", "RESERVED - do not use", 99, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "pneumococcal conjugate vaccine, 7 valent", "pneumococcal conjugate PCV 7", 100, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "typhoid Vi capsular polysaccharide vaccine", "typhoid, ViCPs", 101, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine", "DTP-Hib-Hep B", 102, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal C conjugate vaccine", "meningococcal C conjugate", 103, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hepatitis A and hepatitis B vaccine", "Hep A-Hep B", 104, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "vaccinia (smallpox) vaccine, diluted", "vaccinia (smallpox) diluted", 105, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens", "DTaP, 5 pertussis antigens", 106, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation", "DTaP, unspecified formulation", 107, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal ACWY vaccine, unspecified formulation", "meningococcal ACWY, unspecified formulation", 108, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "pneumococcal vaccine, unspecified formulation", "pneumococcal, unspecified formulation", 109, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "DTaP-hepatitis B and poliovirus vaccine", "DTaP-Hep B-IPV", 110, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza virus vaccine, live, attenuated, for intranasal use", "influenza, live, intranasal", 111, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus toxoid, unspecified formulation", "tetanus toxoid, unspecified formulation", 112, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)", "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed", 113, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)", "meningococcal MCV4P", 114, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed", "Tdap", 115, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "rotavirus, live, pentavalent vaccine", "rotavirus, pentavalent", 116, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "varicella zoster immune globulin (Investigational New Drug)", "VZIG (IND)", 117, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "human papilloma virus vaccine, bivalent", "HPV, bivalent", 118, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "rotavirus, live, monovalent vaccine", "rotavirus, monovalent", 119, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)", "DTaP-Hib-IPV", 120, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "zoster vaccine, live", "zoster live", 121, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "rotavirus vaccine, unspecified formulation", "rotavirus, unspecified formulation", 122, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)", "influenza, H5N1-1203", 123, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Novel Influenza-H1N1-09, live virus for nasal administration", "Novel Influenza-H1N1-09, nasal", 125, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Novel influenza-H1N1-09, preservative-free, injectable", "Novel influenza-H1N1-09, preservative-free", 126, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Novel influenza-H1N1-09, injectable", "Novel influenza-H1N1-09", 127, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Novel influenza-H1N1-09, all formulations", "Novel Influenza-H1N1-09, all formulations", 128, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Japanese Encephalitis vaccine, unspecified formulation", "Japanese Encephalitis, unspecified formulation", 129, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated", "DTaP-IPV", 130, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Historical record of a typhus vaccination", "typhus, historical", 131, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.", "DTaP-IPV-HIB-HEP B, historical", 132, 100, '', 0, 0, '', '', '', 1), |
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(NULL, "pneumococcal conjugate vaccine, 13 valent", "Pneumococcal conjugate PCV 13", 133, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Japanese Encephalitis vaccine for intramuscular administration", "Japanese Encephalitis IM", 134, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, high dose seasonal, preservative-free", "Influenza, high dose seasonal", 135, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)", "Meningococcal MCV4O", 136, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "HPV, unspecified formulation", "HPV, unspecified formulation", 137, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus and diphtheria toxoids, not adsorbed, for adult use", "Td (adult)", 138, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Td(adult) unspecified formulation", "Td(adult) unspecified formulation", 139, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, seasonal, injectable, preservative free", "Influenza, seasonal, injectable, preservative free", 140, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, seasonal, injectable", "Influenza, seasonal, injectable", 141, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus toxoid, not adsorbed", "tetanus toxoid, not adsorbed", 142, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Adenovirus, type 4 and type 7, live, oral", "Adenovirus types 4 and 7", 143, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "seasonal influenza, intradermal, preservative free", "influenza, seasonal, intradermal, preservative free", 144, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "respiratory syncytial virus monoclonal antibody (motavizumab), intramuscular", "RSV-MAb (new)", 145, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus, Haemophilus b Conjugate (Meningococcal Protein Conjugate), and Hepatitis B (Recombinant) Vaccine.", "DTaP,IPV,Hib,HepB", 146, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)", "meningococcal MCV4, unspecified formulation", 147, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine", "Meningococcal C/Y-HIB PRP", 148, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, live, intranasal, quadrivalent", "influenza, live, intranasal, quadrivalent", 149, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, injectable, quadrivalent, preservative free", "influenza, injectable, quadrivalent, preservative free", 150, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza nasal, unspecified formulation", "influenza nasal, unspecified formulation", 151, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Pneumococcal Conjugate, unspecified formulation", "Pneumococcal Conjugate, unspecified formulation", 152, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, injectable, Madin Darby Canine Kidney, preservative free", "Influenza, injectable, MDCK, preservative free", 153, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Hepatitis A immune globulin", "Hep A, IG", 154, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free", "influenza, recombinant, injectable, preservative free", 155, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Rho(D) Immune globulin- IV or IM", "Rho(D)-IG", 156, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Rho(D) Immune globulin - IM", "Rho(D) -IG IM", 157, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, injectable, quadrivalent, contains preservative", "influenza, injectable, quadrivalent", 158, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Rho(D) Unspecified formulation", "Rho(D) - Unspecified formulation", 159, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013", "Influenza A monovalent (H5N1), ADJUVANTED-2013", 160, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, injectable,quadrivalent, preservative free, pediatric", "Influenza, injectable,quadrivalent, preservative free, pediatric", 161, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal B vaccine, fully recombinant", "meningococcal B, recombinant", 162, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal B vaccine, recombinant, OMV, adjuvanted", "meningococcal B, OMV", 163, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal B, unspecified formulation", "meningococcal B, unspecified", 164, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Human Papillomavirus 9-valent vaccine", "HPV9", 165, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, intradermal, quadrivalent, preservative free, injectable", "influenza, intradermal, quadrivalent, preservative free", 166, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal vaccine of unknown formulation and unknown serogroups", "meningococcal, unknown serogroups", 167, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Seasonal trivalent influenza vaccine, adjuvanted, preservative free", "influenza, trivalent, adjuvanted", 168, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Hep A, live attenuated-IM", "Hep A, live attenuated", 169, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)", "DTAP/IPV/HIB - non-US", 170, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent", "Influenza, injectable, MDCK, preservative free, quadrivalent", 171, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "cholera, WC-rBS", "cholera, WC-rBS", 172, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "cholera, BivWC", "cholera, BivWC", 173, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "cholera, live attenuated", "cholera, live attenuated", 174, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Human Rabies vaccine from human diploid cell culture", "Rabies - IM Diploid cell culture", 175, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Human rabies vaccine from Chicken fibroblast culture", "Rabies - IM fibroblast culture", 176, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "pneumococcal conjugate vaccine, 10 valent", "PCV10", 177, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Non-US bivalent oral polio vaccine (types 1 and 3)", "OPV bivalent", 178, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Non-US monovalent oral polio vaccine, unspecified formulation", "OPV ,monovalent, unspecified", 179, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus immune globulin", "tetanus immune globulin", 180, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "anthrax immune globulin", "anthrax immune globulin", 181, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Oral Polio Vaccine, Unspecified formulation", "OPV, Unspecified", 182, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Yellow fever vaccine alternative formulation", "Yellow fever vaccine - alt", 183, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Yellow fever vaccine, unspecified formulation", "Yellow fever, unspecified formulation", 184, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free", "influenza, recombinant, quadrivalent,injectable, preservative free", 185, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, injectable, Madin Darby Canine Kidney, quadrivalent with preservative", "Influenza, injectable, MDCK, quadrivalent, preservative", 186, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "zoster vaccine recombinant", "zoster recombinant", 187, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "zoster vaccine, unspecified formulation", "zoster, unspecified formulation", 188, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Hepatitis B vaccine (recombinant), CpG adjuvanted", "HepB-CpG", 189, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Typhoid conjugate vaccine (non-US)", "Typhoid conjugate vaccine (TCV)", 190, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal A polysaccharide vaccine (non-US)", "meningococcal A polysaccharide (non-US)", 191, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal AC polysaccharide vaccine (non-US)", "meningococcal AC polysaccharide (non-US)", 192, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "hepatitis A and hepatitis B vaccine, pediatric/adolescent (non-US)", "Hep A-Hep B, pediatric/adolescent", 193, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Influenza, Southern Hemisphere, unspecified formulation (Non-US)", "Influenza, Southern Hemisphere", 194, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Diphtheria, Tetanus, Poliomyelitis adsorbed", "DT, IPV adsorbed", 195, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use, Lf unspecified", "Td, adsorbed, preservative free, adult use, Lf unspecified", 196, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, high-dose seasonal, quadrivalent, preservative free", "influenza, high-dose, quadrivalent", 197, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Diphtheria, pertussis, tetanus, hepatitis B, Haemophilus Influenza Type b, (Pentavalent)", "DTP-hepB-Hib Pentavalent Non-US", 198, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, seasonal, Southern Hemisphere, quadrivalent, pediatric 0.25mL dose, preservative free", "influenza, Southern Hemisphere, pediatric, preservative free", 200, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, seasonal, Southern Hemisphere, quadrivalent, 0.5mL dose, no preservative", "influenza, Southern Hemisphere, preservative free", 201, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, seasonal, Southern Hemisphere, quadrivalent, 0.5mL dose, with preservative", "influenza, Southern Hemisphere, quadrivalent, with preservative", 202, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "meningococcal polysaccharide (groups A, C, Y, W-135) tetanus toxoid conjugate vaccine .5mL dose, preservative free", "meningococcal polysaccharide (groups A, C, Y, W-135) TT conjugate", 203, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Ebola Zaire vaccine, live, recombinant, 1mL dose", "Ebola Zaire vaccine, live, recombinant, 1mL dose", 204, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "influenza, seasonal vaccine, quadrivalent, adjuvanted, .5mL dose, preservative free", "Influenza vaccine, quadrivalent, adjuvanted", 205, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "smallpox monkeypox vaccine, live attenuated, preservative free (National Stockpile)", "Smallpox monkeypox vaccine (National Stockpile)", 206, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose", "COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5 mL dose", 207, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose", "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose", 208, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative free, 0.5 mL ", "COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0.5 mL", 210, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, Subunit, recombinant spike protein-nanoparticle+Matrix-M1 Adjuvant, preservative free, 0.5mL per dose", "COVID-19 vaccine, Subunit, rS-nanoparticle+Matrix-M1 Adjuvant, PF, 0.5 mL", 211, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-Ad26, preservative free, 0.5 mL", "COVID-19 vaccine, vector-nr, rS-Ad26, PF, 0.5 mL", 212, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED", "SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED", 213, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Ebola, unspecified", "Ebola, unspecified", 214, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Pneumococcal conjugate vaccine 15-valent (PCV15), polysaccharide CRM197 conjugate, adjuvant, preservative free", "Pneumococcal conjugate PCV15, polysaccharide CRM197 conjugate, adjuvant, PF", 215, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "Pneumococcal conjugate vaccine 20-valent (PCV20), polysaccharide CRM197 conjugate, adjuvant, preservative free", "Pneumococcal conjugate PCV20, polysaccharide CRM197 conjugate, adjuvant, PF", 216, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose, tris-sucrose formulation", "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose, tris-sucrose", 217, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 10 mcg/0.2mL dose, tris-sucrose formulation", "COVID-19, mRNA, LNP-S, PF, 10 mcg/0.2 mL dose, tris-sucrose", 218, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 3 mcg/0.2mL dose, tris-sucrose formulation", "COVID-19, mRNA, LNP-S, PF, 3 mcg/0.2 mL dose, tris-sucrose", 219, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Non-US Vaccine, Specific Product Unknown", "COVID-19 Non-US Vaccine, Product Unknown", 500, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (QAZCOVID-IN)", "COVID-19 IV Non-US Vaccine (QAZCOVID-IN)", 501, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (COVAXIN)", "COVID-19 IV Non-US Vaccine (COVAXIN)", 502, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Live Attenuated Virus Non-US Vaccine Product (COVIVAC)", "COVID-19 LAV Non-US Vaccine (COVIVAC)", 503, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik Light)", "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik Light)", 504, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik V)", "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (Sputnik V)", 505, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Viral Vector Non-replicating Non-US Vaccine Product (CanSino Biological Inc./Beijing Institute of Biotechnology)", "COVID-19 VVnr Non-US Vaccine (CanSino Biological Inc./Beijing Institute of Biotechnology)", 506, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Anhui Zhifei Longcom Biopharmaceutical + Institute of Microbiology, Chinese Academy of Sciences)", "COVID-19 PS Non-US Vaccine (Anhui Zhifei Longcom Biopharm + Inst of Micro, Chinese Acad of Sciences)", 507, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (Jiangsu Province Centers for Disease Control and Prevention)", "COVID-19 PS Non-US Vaccine (Jiangsu Province Centers for Disease Control and Prevention)", 508, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Protein Subunit Non-US Vaccine Product (EpiVacCorona)", "COVID-19 PS Non-US Vaccine (EpiVacCorona)", 509, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (BIBP, Sinopharm)", "COVID-19 IV Non-US Vaccine (BIBP, Sinopharm)", 510, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "SARS-COV-2 COVID-19 Inactivated Virus Non-US Vaccine Product (CoronaVac, Sinovac)", "COVID-19 IV Non-US Vaccine (CoronaVac, Sinovac)", 511, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "AS03 Adjuvant", "AS03 Adjuvant", 801, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "no vaccine administered", "no vaccine administered", 998, 100, '', 0, 0, '', '', '', 1), |
|
(NULL, "unknown vaccine or immune globulin", "unknown", 999, 100, '', 0, 0, '', '', '', 1);
|
|
|