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However, if both Meningococcal B vaccines are administered on the same day, and one vaccine would complete a Meningococcal B series, then evaluate that vaccine as Valid and the other Meningococcal B vaccine as Invalid with a reason code of DUPLICATE_SAME_DAY. (Example - CVX 162 (Trumenba) administered at 16 years old. CVX 162 (Trumenba) and CVX 163 (Bexsero) administered on same day (at 16 years, 6 months old). Trumenba 2-dose series applies/Series Complete. CVX 163 would be evaluated as Invalid/DUPLICATE_SAME_DAY.)
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Rules Based on Patient's Age
- If no doses are on record and
- the patient is < 10 years old, then the Recommendation is Not Recommended and the reason code is BELOW_MINIMUM_AGE_HIGH_RISK_SERIES.
- the patient is >= 10 years old and < 16 years old, then the Recommendation is Conditional and the reason code is HIGH_RISK.
- the patient is >= 16 years old and < 24 years old, then the Recommendation is Conditional and the reason code is CLINICAL_PATIENT_DISCRETION.
- the patient is >= 24 years old, then the Recommendation is Conditional and the reason code is TOO_OLD_HIGH_RISK.
Rules for Recommending at the CVX Code vs. Vaccine Group Level - When recommending in the MenB 4C 2-dose Series, recommend CVX 163 for the next target dose.
- If patient has at least one CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) and at least one CVX 163 (Meningococcal B 4C, OMV (Bexsero)) on record, recommend CVX 163 and include the reason codes: DUE_NOW or DUE_IN_FUTURE and OTHER_VACCINE_PRODUCT_POSSIBLE.
- When recommending in the MenB FHbp 2-dose Series or MenB FHbp 3-dose Series, recommend CVX 162 for the next target dose.
- If patient has at least one CVX 162 (Meningococcal B FHbp, recombinant (Trumenba)) and at least one CVX 163 (Meningococcal B 4C, OMV (Bexsero)) on record, then recommend CVX 162 and include the reason codes: DUE_NOW or DUE_IN_FUTURE and OTHER_VACCINE_PRODUCT_POSSIBLE.
- If recommendation is Conditional, recommend at the vaccine group level.
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