Our Goal Is to Make This Transition As Smooth As Possible. in Order to Guide You Through

Our Goal Is to Make This Transition As Smooth As Possible. in Order to Guide You Through

November 16, 2011

The Maine Immunization Program (MIP) is pleased to support the Maine Vaccine Board (MVB) in implementing Public Law 2009-595. This law is to reinstate the universal status of childhood immunizationswhich will take effect on January 1st, 2012. The MVB has decided on a list of vaccines that will offer you broad brand-choices, including combination vaccines. MIP has created the means to order these vaccines through ImmPact2. By offering combination vaccines we hope to reduce missed opportunities during patient visits and improve the immunization rates in Maine.

Our goal is to make this transition as smooth as possible. In order to guide you through this transition here is a timeline for the remainder of 2011.

  • Around December 1st, 2011 the 2012 Annual Provider Agreement will be available for your submittal through ImmPact2.
  • After your Provider Agreement has been approved, you will be able to order from the MVB selected list of vaccines. ( This list is attached.)
  • You should receive your vaccine order by the end of December 2011.
  • Start offering ALL children in your practice MIP supplied vaccine on January 1, 2011.

Once your 2012 Annual Provider Agreement has been approved, place your vaccine order as soon as possible. Please be sensitive of holiday shipping schedules and days that your office may be closed during the month of December.

To benefit you during this transition we encourage you to visit the Maine Vaccine Board’s website and review the “Question and Answer” document. You can locate this site at

For general question contact the Maine Immunization Program at or 1-800-867-4775.

2012 Vaccine Board Approved List of Vaccines
Vaccine Antigen / Vaccine Component / Brandname/Tradename / NDC Number / Manufacturer / Packaging
Diphtheria, Tetanus, Pertussis (Dtap) / #Dtap / Tripedia / 49281-0298-10 / Sanofi Pasteur / 10-pack 1 dose vials
Dtap / Daptacel / 49281-0286-10 / Sanofi Pasteur / 10-pack 1 dose vials
Dtap / Infanrix / 58160-0810-11 / GlaxoSmithKline / 10-pack 1 dose vials
Dtap, IPV / Kinrix / 48160-0812-52 / GlaxoSmithKline / 10-pack 1 dose, tip lock syringe, no needle tip
Dtap, Hep B, IPV / Pediarix / 58160-0811-52 / GlaxoSmithKline / 10-pack 1 dose, tip lock syringe, no needle tip
Dtap, IPV, HIB / Pentacel / 49281-0510-05 / Sanofi Pasteur / 5-pack,1 dose vial
Polio / IPV / IPOL / 49281-0860-10 / Sanofi Pasteur / 10 dose vial
Dtap, IPV / Kinrix / 48160-0812-52 / GlaxoSmithKline / 10-pack 1 dose, tip lock syringe, no needle tip
Dtap, Hep B, IPV / Pediarix / 58160-0811-52 / GlaxoSmithKline / 5-pack 1 dose, tip lock syringe, no needle tip
Dtap, IPV, HIB / Pentacel / 49281-0510-05 / Sanofi Pasteur / 5-pack,1 dose vial
Hepatitis B (Hep B) / Hep B / Engerix / 58160-0820-11 / GlaxoSmithKline / 10 pack-1 dose vials
Hep B / Recombivax / 00006-4981-00 / Merck / 10-pack 1 dose vials
Dtap, Hep B, IPV / Pediarix / 58160-0811-52 / GlaxoSmithKline / 5-pack 1 dose, tip lock syringe, no needle tip
Haemophilus influenzae type b (HIB) / HIB / PedvaxHIB / 00006-4897-00 / Merck / 10-pack 1 dose vials
HIB / ActHiB / 49281-0545-05 / Sanofi Pasteur / 5-pack-1 dose vials
Dtap, IPV, HIB / Pentacel / 49281-0510-05 / Sanofi Pasteur / 5-pack,1 dose vial
Hepatitis A (Hep A) / Hep A / Vaqta / 00006-4831-41 / Merck / 10-pack 1 dose vials
Hep A / Havrix / 58160-0825-11 / GlaxoSmithKline / 10-pack 1 dose vials
Rotavirus / Rotavirus / Rotarix / 58160-0854-52 / GlaxoSmithKline / 10 pack-1 dose vials
Rotavirus / Rotateq / 00006-4047-41 / Merck / 10 pack - 1 dose 2mL tubes
Pneumococcal (PNU 13) / PNU 13 / Prevnar / 00005-1971-02 / Wyeth / 10-pack 1 dose syringes, No Needle
MMR / MMR / MMRII / 00006-4681-00 / Merck / 10 pack-1 dose vials
*MMR, VAR / ProQuad / 00006-4999-00 / Merck / 10 pack-1 dose vials
2012 Vaccine Board Approved List of Vaccines
Varicella / Varicella / Varivax / 00006-4827-00 / Merck / 10 pack-1 dose vials
*MMR, VAR / ProQuad / 00006-4999-00 / Merck / 10 pack-1 dose vials
Human Papillomavirus (HPV) / HPV-Quadrivalent / Gardasil / 00006-4045-41 / Merck / 10 pack-1 dose vials
Meningococcal (MCV4) / Meningococcal Conjugate (groups A, C, Y and W-135) / Menactra / 49281-0589-05 / Sanofi Pasteur / 5-pack, 1 dose vial
Meningococcal Conjugate (groups A, C, Y and W-135) / Menveo / 46028-0208-01 / Novartis / 5-pack, 1 dose vial
Tetanus, Diphtheria and Pertussis (Tdap) / Tdap / Boostrix / 58160-0842-11 / GlaxoSmithKline / 10 pack 1 dose vials
Tdap / Adacel / 49281-0400-10 / Sanofi Pasteur / 10 pack 1 dose vials
Influenza / Influenza/Age 6 months and older / Fluzone / 49281-0388-15 / Sanofi Pasteur / 10-dose vial
Influenza/Age 6-35 months (preservative free) / Fluzone / 49281-0111-25 / Sanofi Pasteur / 10-pack, 1 dose syringe (.25ml)
Influenza/Age 36 months and older (preservative free) / Fluzone / 49281-0011-50 / Sanofi Pasteur / 10-pack, 1 dose syringe (.50ml)
Influenza/Age 36 months and older (preservative free) / Fluarix / 58160-0878-52 / GlaxoSmithKline / 10-pack, 1 dose syringe (.50ml)
Influenza Intranasal (Age 2-49 years)(preservative free) / FluMist / 66019-0109-10 / MedImmune / 10-pack, 1 dose sprayer
# In 2011, Sanofi Pasteur will discontinue the production of Tripedia
*MMR, VAR=Is not on the Federal Contract due to Supply issues with the Manufacture