COVID-19 Vaccine Information
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Last Modified on 11/15/2022 2:53 pm EST

Version 20.17

COVID-19 Vaccine Product List

The Vaccine Products below are available in OP. Future Products that have not yet been added to OP, including the new bivalent COVID Vaccine, can be found here.

Important: 

  • COVID-19 vaccines have been added to VacLogic+; this includes the administration of a booster or high-risk dose.
  • The Immunizations Forecast window has been updated to include a COVID19 group panel.
  • The ability to change the expiration date on COVID-19 vaccine lots where the vaccine was administered to patients has been added.
  • Each vaccine product and dose will have its own unique vaccine administration code, and OP will automatically add the administration code according to the COVID vaccine documented. Caveat: If you have Insurance Payers set up to not send immunization admin codes on claims, these will also not be sent.
  • Some EUA (Emergency Use Authorization) fact sheets are available in OP. If not available, the practice can input into the Immunization Codes > Vaccine Information Sheets table. Once the EUA is added by OP, the Practice will need to archive the manually added EUA.
  • If your Practice receives a COVID vaccine that is not yet available in the Vaccine Codes table, the Practice is responsible for input. Once the COVID vaccines are added by OP into the Vaccine Codes table, archive the manually added vaccine.
  • OP does not have COVID vaccine templates, at this time. The Practice may create a template using the Copy feature in the Template Editor or use the template available for Shot Only Visits.
  • COVID-19 vaccines currently do not show on School/Camp forms. If needed, it is suggested you print the Immunizations Complete List. This improvement will be coming in a future release.
  • If your Practice has questions about the vaccine registry and OP, please contact your state registry.

OP Vaccine Name
OP Inventory Name
Manufacturer Code
Description
CVX Code
CPT Code
COVID19 100COV2-MOD
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 100 mcg/0.5mL dose
207
91301
Recommended Age: 18 yrs+
Administration Code Dose 1: 0011A
Administration Code Dose 2 (Series complete): 0012A
Administration Code Dose 3 (High risk): 0013A
NDCID
GTIN
8077702731000380777273105
80777027315
00380777273150
8077702739800380777273983
8077702739900380777273990
COVID19 MOD-BOOSTERCOV2-MOD-B-18+
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA-LNP, spike protein, PF, 100 mcg or 50 mcg/0.25mL dosage
207
91306
Recommended Age: 18 yrs+
Administration Code Booster: 0064A
NDCID
GTIN
8077702731000380777273105
80777027315
00380777273150
8077702739800380777273983
8077702739900380777273990
COVID19_BOOSTER_221COV2-MOD-B-18+
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA-LNP, spike protein, PF, 50 mcg/0.5mL dosage
221
91309
Recommended Age: 18 yrs+
Administration Code Booster: 0094A
NDCID
GTIN
8077702750500380777275055
80777027599
00380777275994
*COVID19 MOD BIVCOV2-MOD-BIVMODSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent booster, preservative-free, 50 mcg/0.5 mL or 25 mcg/0.25 mL dose
22991313
Recommended Age: 18 yrs+
Administration Code Booster: 0134A
NDCID
GTIN
80777028299
00380777282992
80777028205
00380777282053
COVID19 MOD-12-17COV2-MOD-12-17
MOD
COVID-19, mRNA, LNP-S, preservative-free, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose
207
91301
Recommended Age: 12-17 years
Administration Code Dose 1: 0011A
Administration Code Dose 2 (Series complete): 0012A
Administration Code Dose 3 (High risk): 0013A
NDCID
GTIN
8077702731000380777273105
8077702739900380777273990
COVID19 MOD-6-11COV2-MOD-6-11
MOD
50 mcg/0.5mL pediatric primary series for ages 6 yrs to < 12 years
221
91309
Recommended Age: 6-11 yrs
Administration Code Dose 1: 0091A
Administration Code Dose 2 (Series complete): 0092A
Administration Code Dose 3 (High risk): 0093A
NDCID
GTIN
8077702770500380777277059
80777027799
00380777277998
COVID19 MOD BIV 6-11

COV2-MOD-BIV

MOD
SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent booster, preservative-free, 50 mcg/0.5 mL or 25 mcg/0.25 mL dose
22991314
Recommended Age: 6-11 yrs
Administration Code Dose: 0144A
NDCID
GTIN
80777028299
00380777282992
80777028205
00380777282053

COVID19 MOD-6m-5YCOV2-MOD-6m-5yr
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA-LNP, spike protein, preservative-free, 25mcg/0.25 mL dose
228
91311
Recommended Age: 6m-5 years
Administration Code Dose 1: 0111A
Administration Code Dose 2: 0112A
Administration Code Dose 3 (High risk): 0113A
NDCID
GTIN
8077702790500380777279053
80777027999
00380777279992
COVID19 30COV2-PFRPFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 30 mcg/0.3mL dose
208
91300
Recommended Age: 12 yrs+
Administration Code Dose 1: 0001A
Administration Code Dose 2 (Series complete): 0002A
Administration Code Dose 3 (High risk): 0003A
Administration Code Booster: 0004A
NDCID
GTIN
5926710000100359267100017
5926710000200359267100023
5926710000300359267100030
COVID19 PFR TRIS-SUCCOV2-PFR-12+PFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 30mcg/0.3mL dose, TRIS-SUC formulation
217
91305
Recommended Age: 12 yrs+
Administration Code Dose 1: 0051A
Administration Code Dose 2 (Series complete): 0052A
Administration Code Dose 3 (High risk): 0053A
Administration Code Booster: 0054A
NDCID
GTIN
5926710250100359267102515
5926710250200359267102522
5926710250300359267102539
5926710250400359267102546
COVID19 PFR BIVCOV2-PFR-BIV-12PFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent booster, preservative-free, 30 mcg/0.3mL dose, tris-sucrose formulation
30091312
Recommended Age: 12 yrs+
Administration Code: 0124A
NDCID
GTIN
5926703040100359267304018
5926703040200359267304025
59267140401
00359267404015
59267140402
00359267404022
COVID19 PFR TRIS-SUC 5-11COV2-PFR-5-11yrPFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 10mcg/0.2mL dose, TRIS-SUC formulation
218
 91307
Recommended Age: 5-11 years
Administration Code Dose 1: 0071A
Administration Code Dose 2 (Series complete): 0072A
Administration Code Dose 3 (High risk): 0073A
Administration Code Booster: 0074A
NDCID
GTIN
5926710550100359267105516
5926710550200359267105523
5926710550400359267105530
COVID19 PFR BIV 5-11
COV2-PFR-BIV
PFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, bivalent booster, preservative-free, 10 mcg/0.2 mL dose, tris-sucrose formulation
30191315
Recommended Age: 5-11 years
Administration Code Dose: 0154A
NDCID
GTIN
59267056502
00359267565020
59267056501
00359267565013

COVID19 PFR TRIS-SUC 6M-4COV2-PFR-6m-4yrPFRSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA, LNP, spike protein, preservative-free, 3mcg/0.2mL dose, diluent reconstituted, TRIS-SUC formulation
219
91308
Recommended Age: 6m-4 years
Administration Code Dose 1: 0081A
Administration Code Dose 2: 0082A
Administration Code Dose 3: 0083A
NDCID
GTIN
5926700780100359267078018
5926700780400359267078049
COVID19 OXFORDCOV2-ASZASZSARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative-free, 0.5 mL
210
91302
Recommended Age: 18 yrs+
Administration Code Dose 1: 0021A
Administration Code Dose 2 (Series complete): 0022A
NDCID
GTIN
0031012221000303101222105
0031012221500303101222150
COVID19 JANSSENCOV2-JSN
JSN
SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-Ad26, preservative-free, 0.5mL
212
91303
Recommended Age: 18 yrs+
Administration Code Dose 1 (Series complete): 0031A
NDCID
GTIN
5967605800500359676580058
5967605801500359676580157
COVID-19 NOVAVAXCOV2-NVX
NVX
SARS-COV-2 (COVID-19) vaccine, Subunit, recombinant spike protein-nanoparticle+Matrix-M1 Adjuvant, preservative-free 0.5mL per dose
211
91304
Recommended Age: 18 yrs+
Administration Code Dose 1: 0041A
Administration Code Dose 2 (Series complete): 0042A
NDCID
GTIN
8063101000100380631100011
8063101001000380631100103
COVID19 UNKNOWN*COV2-NOS

SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED
213

* The COVID19 UNKNOWN should not be used for the administration of vaccines. This entry is to be used for historic input and will not be supported for dosing and immunization administration login.

Additional Booster Administration Codes

CodeShort Description
Long Description		Manufacturer
0004A
ADM SARSCOV2 30MCG/0.3ML BST
IMM ADMIN, IM SARS-CoV-2 [COVID-19], mRNA-LNP, spike prot, PF, 30mcg/0.3mL, diluent recons; booster
PFR
0054A
ADM SARSCV2 30MCG TRS-SUCR B
IMM ADMIN, IM SARS-CoV-2 [COVID-19], mRNA-LNP, spike prot, PF, 30mcg/0.3mL, trissucrose; booster
PFR
0034A
IMM ADMIN, COVID19 JANSSEN, BOOSTER
IMM ADMIN, IM SARS-CoV-2 [COVID-19] , DNA, spike prot, Ad26 vect, PF, 5x1010 viaral part/0.5mL, booster
JSN
Version 20.16

Important:  Practices that had previously added the COVID-19 vaccine as 5-12, the vaccine was documented incorrectly and should have been 5-11. Any templates you have created for COVID vaccines should be reviewed and modified to the correct vaccine. 

COVID-19 Vaccine Product List

The Vaccine Products below are available in OP. 

Important: 

  • COVID-19 vaccines have been added to VacLogic; this includes the administration of a booster or high-risk dose.
  • The Immunizations Forecast window has been updated to include a COVID19 group panel.
  • The ability to change the expiration date on COVID-19 vaccine lots where the vaccine was administered to patients has been added.
  • Each vaccine product and dose will have its own unique vaccine administration code, and OP will automatically add the administration code according to the COVID vaccine documented. Caveat: If you have Insurance Payers set up to not send immunization admin codes on claims, these will also not be sent.
  • Some EUA (Emergency Use Authorization) fact sheets are available in OP. If not available, the practice can input into the Immunization Codes > Vaccine Information Sheets table. Once the EUA is added by OP, the Practice will need to archive the manually added EUA.
  • If your Practice receives a COVID vaccine that is not yet available in the Vaccine Codes table, the Practice is responsible for input. Once the COVID vaccines are added by OP into the Vaccine Codes table, archive the manually added vaccine.
  • OP does not have COVID vaccine templates, at this time. The Practice may create a template using the Copy feature in the Template Editor or use the template available for Shot Only Visits.
  • COVID-19 vaccines currently do not show on School/Camp forms. If needed, it is suggested you print the Immunizations Complete List. This improvement will be coming in a future release.
  • If your Practice has questions about the vaccine registry and OP, please contact your state registry.

OP Vaccine Name
OP Inventory Name
Manufacturer Code
Description
CVX Code
CPT Code
COVID19 100COV2-MOD
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 100 mcg/0.5mL dose
207
91301
Recommended Age: 18 yrs+
Administration Code Dose 1: 0011A
Administration Code Dose 2: 0012A
Administration Code Dose 3: 0013A
NDCID
GTIN
8077702731000380777273105
80777027315
00380777273150
8077702739800380777273983
8077702739900380777273990
COVID19 MOD-BOOSTERCOV2-MOD-B-18+
MOD
SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 100 mcg or 50 mcg dose
207
91306
Recommended Age: 18 yrs+
Administration Code Booster: 0064A
NDCID
GTIN
8077702731000380777273105
80777027315
00380777273150
8077702739800380777273983
8077702739900380777273990
COVID19 30COV2-PFRPFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 30 mcg/0.3mL dose
208
91300
Recommended Age: 12 yrs+
Administration Code Dose 1: 0001A
Administration Code Dose 2: 0002A
Administration Code Dose 3: 0003A
NDCID
GTIN
5926710000100359267100017
5926710000200359267100023
5926710000300359267100030
COVID19 PFR TRIS-SUCCOV2-PFR-12+PFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 30mcg/0.3mL dose, TRIS-SUC formulation
217
91305
Recommended Age: 12 yrs+
Administration Code Dose 1: 0051A
Administration Code Dose 2: 0052A
Administration Code Dose 3: 0053A
NDCID
GTIN
5926710250100359267102515
5926710250200359267102522
5926710250300359267102539
5926710250400359267102546
COVID19 PFR TRIS-SUC 5-11COV2-PFR-5-11yrPFRSARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative-free, 10mcg/0.2mL dose, TRIS-SUC formulation
218
91307
Recommended Age: 5-11 years
Administration Code Dose 1: 0071A
Administration Code Dose 2: 0072A
NDCID
GTIN
5926710550100359267105516
5926710550200359267105523
5926710550400359267105530
COVID19 OXFORDCOV2-ASZASZSARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-ChAdOx1, preservative-free, 0.5 mL
210
91302
Recommended Age: 18 yrs+
Administration Code Dose 1: 0021A
Administration Code Dose 2: 0022A
NDCID
GTIN
0031012221000303101222105
0031012221500303101222150
COVID19 JANSSENCOV2-JSN
JSN
SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-Ad26, preservative-free, 0.5mL
212
91303
Recommended Age: 18 yrs+
Administration Code Dose 1: 0031A
NDCID
GTIN
5967605800500359676580058
5967605801500359676580157
COVID-19 NOVAVAXCOV2-NVX
NVX
SARS-COV-2 (COVID-19) vaccine, Subunit, recombinant spike protein-nanoparticle+Matrix-M1 Adjuvant, preservative-free 0.5mL per dose
211
91304
Recommended Age: 18 yrs+
Administration Code Dose 1: 0041A
Administration Code Dose 2: 0042A
NDCID
GTIN
8063101000100380631100011
8063101001000380631100103
COVID19 UNKNOWN*COV2-NOS

SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED
213

* The COVID19 UNKNOWN should not be used for the administration of vaccines. This entry is to be used for historic input and will not be supported for dosing and immunization administration login.

Additional Booster Administration Codes

CodeShort Description
Long Description		Manufacturer
0004A
ADM SARSCOV2 30MCG/0.3ML BST
IMM ADMIN, IM SARS-CoV-2 [COVID-19], mRNA-LNP, spike prot, PF, 30mcg/0.3mL, diluent recons; booster
PFR
0054A
ADM SARSCV2 30MCG TRS-SUCR B
IMM ADMIN, IM SARS-CoV-2 [COVID-19], mRNA-LNP, spike prot, PF, 30mcg/0.3mL, trissucrose; booster
PFR
0034A
IMM ADMIN, COVID19 JANSSEN, BOOSTER
IMM ADMIN, IM SARS-CoV-2 [COVID-19] , DNA, spike prot, Ad26 vect, PF, 5x1010 viaral part/0.5mL, booster
JSN
Tags: COVID-19 vaccines

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