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Pneumococcal Vaccination Recommendations

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Pneumococcal Vaccination Recommendations D E I S L A O N H Pneumococcal Vaccination D R D H E T Recommendations P L A 1-4 COLLEGE OF R A Adults ≥19 Years PHARMACY T E M H DRUG INFORMATION F E N T O (Including updated recommendations for the use of PCV13 in Adults) SERVICES 401-874-9188 Healthy Adults ≥ 65 Pneumococcal Vaccination Previously vaccinated with Previously vaccinated with Naive or Unknown History PPSV23 at age ≥65 PPSV23 before age 65 ≥ 1 year after PPSV23 GIVE: PCV13 ≥ 1 year after PPSV23 GIVE: PCV13 if not previously given Wait ≥ 1 year* Wait ≥ 1 year* (and ≥ 5 years after PPSV23) GIVE: PPSV23† GIVE: PCV13 if not previously given GIVE: PPSV23† ADULTS ≥ 19 with UNDERLYING MEDICAL CONDITIONS (see chart on back) OR who SMOKE or live in a NURSING HOME Pneumococcal Vaccination Previously vaccinated with one Naive or Unknown History dose PPSV23 Vaccination is NOT indicated for healthy persons GIVE: PPSV23 19 - 64 years of age While PCV13 is FDA-approved for persons > 50 years, the Advisory At Age ≥65 At Age ≥65 Committee on Immune Practices GIVE: PCV13 ≥ 1 year after PPSV23 GIVE: PCV13 ≥ 1year after PPSV23 does not provide guidance for use THEN: PPSV23† ≥ 1 year* after THEN: PPSV23† ≥ 1 year* after in this population. PCV13 and ≥ 5 years after PPSV23 PCV13 and ≥ 5 years after PPSV23 ADULTS ≥ 19 with IMMUNE COMPROMISING CONDITIONS (see chart on back), OR ASPLENIA (including sickle cell anemia), CEREBROSPINAL FLUID LEAK, or COCHLEAR IMPLANT Pneumococcal Vaccination Previously vaccinated with one Previously vaccinated with Naive or Unknown History dose PPSV23 two doses of PPSV23 GIVE: PCV13 ≥ 1 year after PPSV23 ≥8 weeks* later GIVE: PCV13 if not previously given ≥ 1 year after PPSV23 If < 65 If ≥65 ≥8 weeks* later GIVE: PPSV23 If < 65 and If ≥65 GIVE: PCV13 if not previously given ≥ 5 years after If < 65 and PPSV23 ≥ 5 years after PPSV23 GIVE: second § GIVE: second PPSV23 PPSV23 § At Age ≥65 At Age ≥65 At Age ≥ 65 GIVE: PPSV23† GIVE: PPSV23† GIVE: PPSV23† GIVE: PPSV23† ≥5 years after GIVE: PPSV23† ≥ 8 weeks* after ≥ 5 years after ≥ 5 years after PPSV23 PCV13 and ≥ 5 years after PPSV23 PPSV23 PPSV23 * Minimum intervalGIVE: between PPSV23 sequential administration of PCV13 and PPSV23 is 8 weeks in immunocompromised patients. For Medicare reimbursement interval must be 11 full months. Please refer to page 4. † The ACIP (Advisory Committee on Immunization Practices) recommends only 1 dose of PPSV23 at age ≥65. Revaccination is not necessary. § A second PPSV23 for patients with cerebrospinal fluid leak, or cochlear implant is not required. PPSV23=23-Valent Pneumococcal Polysaccharide Vaccine (Pneumovax®23) PCV13=13-Valent Pneumococcal Conjugate Vaccine (Prevnar 13®) © 2014 Rhode Island Board of Education D E I S L A O N Pneumococcal Vaccination Pneumococcal Vaccina>on H D Informa>on Sheet R Pneumococcal Vaccina>on D Informa>on Sheet PCV13 (Prevnar 13®) and H PPSV23 (Pneumovax® 23) Pneumococcal Vaccina>on E Informa>on Sheet T Recommendations PCV13 (Prevnar 13®) and P PPSV23 (Pneumovax® 23) L PCV13 (Prevnar 13®) and A PPSV23 1-5 (Pneumovax® COLLEGE 23) OF R A Adults ≥19 Years PHARMACY PCV13 (Prevnar13®) PPSV23 (Pneumovax®23) T E Pneumococcal Pneumococcal Vaccina>on Vaccina>on M H Informa>on Informa>on DRUG INFORMATION Sheet Sheet PCV13 (Prevnar13®) PPSV23 (Pneumovax®23) E F SERVICES PPSV23 (Pneumovax®23) N T O PCV13 (Prevnar13®) PCV13 PCV13 Manufacturer: Pneumococcal (Prevnar (Prevnar 13®) 13®) Vaccina>on and and PPSV23 (Including PPSV23 updated recommendations for the use of PCV13 Informa>on in (Pneumovax® Adults) 23) (Pneumovax® 23) 401-874-9188 Manufacturer: Sheet Merck Manufacturer: PCV13 (Prevnar 13®) and PPSV23 (Pneumovax® 23) Pfizer Manufacturer: Manufacturer: Manufacturer: www.merckvaccines.comMerck / PCV13 and PPSV23 Indications for Adults ≥ 19 Years* by Risk Group 2,3 www.pfizerpro.comPfizer PCV13 PCV13 / (Prevnar13®) (Prevnar13®) PPSV23 www.merckvaccines.comMerck PPSV23 (Pneumovax®23) (Pneumovax®23) / www.pfizerpro.comPfizer / How www.merckvaccines.com PPSV23 Supplied: (Pneumovax®23) / How www.pfizerpro.com Supplied: PCV13 / (Prevnar13®) Manufacturer: Manufacturer: How Pneumococcal Supplied: Vaccina>on PCV13 (Prevnar13 ®) Informa>on PPSV23 (Pneumovax®23) Manufacturer: Manufacturer: How Supplied: Sheet Manufacturer: 0.5ml Single Dose Vial Manufacturer: Prefilled Syringe Merck Merck 0.5ml How PCV13 Supplied: Single (Prevnar Dose Vial 13®) and Risk Group Underlying PPSV23 Medical Condition (Pneumovax® 23) Pfizer Pfizer Prefilled How Supplied: Syringe Merck Mul@-­‐Dose (5 dose Vial) Revaccinate 5 years (10 per Package) www.merckvaccines.comwww.merckvaccines.com0.5ml Single Dose / Vial / Recommended Recommended www.pfizerpro.comwww.pfizerpro.comPrefilled Pfizer Syringe / / Mul@-­‐Dose (5 dose Vial) after first dose (10 per Package) Storage Mul@-­‐Dose www.merckvaccines.com and (5 Handling dose : Vial) / Storage (10 www.pfizerpro.com per and Package) Handling/ : How How PPSV23 Supplied: Supplied: (Pneumovax®23) How How Supplied: Supplied: PCV13 (Prevnar13®) Refrigerate Storage and on Handling Arrival : Refrigerate Storage and on Handling Arrival : 0.5ml 0.5ml Storage How Single Supplied: Single and Dose Dose Handling Vial : Vial Persons with normal Cigarette smoker ✓ Prefilled Prefilled Storage How Supplied: Syringe Syringe and Handling: Store Manufacturer: Refrigerate at 2◦C on to 8◦C Arrival immune function Store Manufacturer: Refrigerate at 2◦C on to 8◦C Arrival Refrigerate 0.5ml Single on Dose Arrival Vial Refrigerate Prefilled Syringe on Arrival Mul@-­‐Dose Mul@-­‐Dose Merck Store at (5 2◦C (5 dose to 8◦C Vial) dose Vial) Chronic heart disease† ✓ (10 (10 Pfizer Store per per at Package) 2◦C Package) to 8◦C Mul@-­‐Dose DO NOT FREEZE (5 dose Vial) (10 DO per NOT Package) FREEZE www.merckvaccines.comDO Store NOT at 2◦C FREEZE to 8◦C / www.pfizerpro.comDO Store NOT at 2◦C FREEZE to 8◦C / Storage Storage Discard and aYer and Handling the Handling: : expira@on date § Storage Storage Discard and aYer and Handling the Handling: : expira@on date DO NOT FREEZE Chronic lung disease ✓ DO NOT FREEZE Refrigerate Refrigerate Storage Discard aYer on and on Arrival the Handling Arrival : expira@on date Refrigerate Refrigerate Storage Discard aYer on and on Arrival the Handling Arrival : expira@on date Special How Discard Pneumococcal Supplied: instruc7ons: aYer the expira@on Vaccina>on date Informa>on Special How Discard Supplied: Sheet instruc7ons: aYer the expira@on date Store Store Refrigerate Pneumococcal at at 2◦C 2◦C on to 8◦C to 8◦C Arrival Vaccina>on Diabetes mellitus Informa>on ✓ Store Store Refrigerate at at Sheet 2◦C 2◦C on to 8◦C to 8◦C Arrival None 0.5ml Special PCV13 Pneumococcal Single instruc7ons: (Prevnar Dose Vial 13®) Vaccina>on and PPSV23 Informa>on (Pneumovax® 23) Shake Prefilled Special Sheet well instruc7ons: Syringe to obtain a homogeneous white suspension Special Store PCV13 at instruc7ons: (Prevnar 2◦C to 8◦C 13®) and PPSV23 (Pneumovax® 23) Special Store at instruc7ons: 2◦C to 8◦C DO DO Mul@-­‐Dose None PCV13 NOT NOT (Prevnar FREEZE FREEZE (5 dose 13®) Vial) and PPSV23 (Pneumovax® 23) DO DO (10 Shake NOT per NOT well FREEZE Package) FREEZE to obtain a homogeneous white suspension None DO NOT FREEZE Cerebrospinal fluid leak ✓ ✓ Shake DO NOT well FREEZE to obtain a homogeneous white suspension Discard Discard Route PPSV23 aYer of aYer the (Pneumovax®23) Administra7on: the expira@on expira@on date date Discard Discard Route aYer of aYer the Administra7on: PCV13 the expira@on expira@on date (Prevnar13®) date 0.5mL Storage Route Discard of IM aYer and or Administra7on: SQ the Handling: expira@on date £ 0.5mL Storage Route Discard of IM aYer and Administra7on: ONLY PCV13 the Handling: expira@on (Prevnar13®) date Route PPSV23 of (Pneumovax®23) Administra7on: Cochlear implant ✓ ✓ Route of Administra7on: PCV13 (Prevnar13®) Special Special Refrigerate 0.5mL Pneumococcal PPSV23 instruc7ons: IM instruc7ons: on (Pneumovax®23) or SQ Arrival Vaccina>on Informa>on Special Special Refrigerate 0.5mL instruc7ons: Sheet IM instruc7ons: on ONLY Arrival Special Manufacturer: instruc7ons: Special Manufacturer: instruc7ons: None None Manufacturer: 0.5mL IM or SQ Alcoholism Shake Shake Manufacturer: 0.5mL well well IM to ONLY to obtain obtain a a homogeneous homogeneous white suspension white suspension Merck Manufacturer: Store PCV13 at (Prevnar 2◦C to 8◦C 13®) and PPSV23 Insurance ✓ (Pneumovax® 23) Carrier Pfizer Manufacturer: Store at Informa>on: 2◦C to 8◦C Merck None Pfizer Shake well to obtain a homogeneous white suspension Route Route www.merckvaccines.comMerck DO of NOT of Administra7on: FREEZE Administra7on: / Insurance Carrier Route Route www.pfizerpro.comPfizer DO of NOT of Informa>on: Administra7on: FREEZE Administra7on: / www.merckvaccines.com/ Chronic liver disease,Insurance cirrhosis ✓ Carrier www.pfizerpro.com Informa>on:/ 0.5mL 0.5mL www.merckvaccines.comRoute Discard PPSV23 IM of IM aYer or SQ or (Pneumovax®23) SQ Administra7on: the / expira@on date Medicare www.medicarenhic.com0.5mL 0.5mL www.pfizerpro.comRoute Discard IM of IM aYer ONLY ONLY Administra7on: PCV13 1-­‐866-­‐801-­‐5304 the / expira@on (Prevnar13®) date How Pneumococcal Supplied: Medicare Vaccina>on Medicare Part B www.medicarenhic.com reimburses Informa>on for How both Supplied: Sheet the cost 1-­‐866-­‐801-­‐5304 of the vaccine and its administraDon How 0.5mL Supplied: IM or SQ Medicare Persons with functional or Sickle cell disease or other www.medicarenhic.com✓ ✓ ✓ How 0.5mL Supplied: IM ONLY 1-­‐866-­‐801-­‐5304 0.5ml How Manufacturer: Special PCV13 Supplied: Single instruc7ons: (Prevnar Dose Vial 13®) Medicare
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