Nexara Health — Health Canada Drug Establishment Licence #3-002896

PREVNAR 20 2.2 MCG / 0.5 ML

Last verified 2026-09-10 · Source: Health Canada Drug Product Database (DPD), DIN 02527049

PREVNAR 20 2.2 MCG / 0.5 ML — DIN 02527049

PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 9V : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 11A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6B : 4.4 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 15B : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 23F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 4 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 14 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 33F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 1 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 8 : 2.2 MCG / 0.5 ML CORYNEBACTERIUM DIPHTHERIAE CRM-197 PROTEIN : 51 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 22F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 10A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 3 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 5 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 12F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 18C : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 7F : 2.2 MCG / 0.5 ML · PFIZER CANADA ULC · SUSPENSION · wholesale supply in Canada

Health Canada status: MARKETED

What is PREVNAR 20?

PREVNAR 20 2.2 MCG / 0.5 ML contains PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 9V : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 11A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6B : 4.4 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 15B : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 23F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 4 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 14 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 33F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 1 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 8 : 2.2 MCG / 0.5 ML CORYNEBACTERIUM DIPHTHERIAE CRM-197 PROTEIN : 51 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 22F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 10A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 3 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 5 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 12F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 18C : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 7F : 2.2 MCG / 0.5 ML. It is listed in the Health Canada Drug Product Database under DIN 02527049, held by PFIZER CANADA ULC, supplied as SUSPENSION for INTRAMUSCULAR administration. Health Canada currently lists it as marketed, status dated 08-Jul-2022. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.

What is PREVNAR 20 used for?

PREVNAR 20 is indicated for active immunization of infants, children and adolescents from 6 weeks through 17 years of age (prior to the 18th birthday) for the prevention of invasive pneumococcal disease (including sepsis, meningitis, bacteremic pneumonia, pleural empyema and bacteremia) caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F. PREVNAR 20 is also indicated for active immunization of adults 18 years of age and older for the prevention of pneumonia and invasive pneumococcal disease (including sepsis, meningitis, bacteremic pneumonia, pleural empyema and bacteremia) caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.

Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.

Is there a generic Pneumococcus, Purified Polysacc.antigen Conjugated in Canada, and who makes it?

Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.

5 holders have a Canadian DIN containing Pneumococcus, Purified Polysacc.antigen Conjugated, across 10 DINs, of which 3 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.

Market authorization holderDINsMarketedBrand namesPosition
MERCK CANADA INC42CAPVAXIVE, PNEUMOVAX 23, PNEUMOVAX 23 -(5-DOSE), VAXNEUVANCESourceable in Canada
PFIZER CANADA ULC31PREVNAR, PREVNAR 13, PREVNAR 20Sourceable in Canada
GLAXOSMITHKLINE INC10SYNFLORIXNo marketed DIN
LEDERLE LABS, DIVISION OF AMERICAN CYANAMID CO10PNU-IMUNE 23No marketed DIN
SANOFI PASTEUR LIMITED10PNEUMO 23No marketed DIN

Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.

How is it supplied and stored?

Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.

Strength on the label2.2 MCG / 0.5 ML
Dosage formSUSPENSION
RouteINTRAMUSCULAR
Pack configuration (monograph)PREVNAR 20 is supplied in cartons of 1 and 10 single-dose pre-filled syringes, without needles.
StorageStore in a refrigerator between 2°C and 8°C (36°F to 46°F). Syringes should be stored horizontally to minimize re-dispersion time. Do not freeze. Discard if the vaccine has been frozen. Administer as soon as possible after removal from refrigeration. Total cumulative multiple excursions time out of refrigeration (at temperatures between 8°C and 25°C) should not exceed 96 hours. Total time between 0°C and 2°C should not exceed 72 hours (not recommendations for storage). Do not use after the expiry date.
Shipping classCold chain — validated shipper with temperature monitoring

Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation, because this listing covers more than one of them.

Cold chain. This product is stored refrigerated. Nexara ships it on a validated cold chain with temperature monitoring; a delivery address that cannot receive and store it at 2–8 °C on arrival must be flagged before the order is placed.

Substance and classification

Active substancePneumococcus, Purified Polysacc.antigen Conjugated
ATC codeJ07AL02
Biosimilar biologicNo

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Health Canada record and identifiers

The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.

DIN (8-digit, as used in ordering)02527049
DIN (unpadded, as printed on some documents)2527049
Brand namePREVNAR 20
Generic / active ingredientPNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 9V : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 11A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6B : 4.4 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 15B : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 23F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 4 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 6A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 14 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 33F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 1 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 8 : 2.2 MCG / 0.5 ML CORYNEBACTERIUM DIPHTHERIAE CRM-197 PROTEIN : 51 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 22F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 10A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 3 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 5 : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 12F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19A : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 19F : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 18C : 2.2 MCG / 0.5 ML PNEUMOCOCCAL POLYSACCHARIDE SEROTYPE 7F : 2.2 MCG / 0.5 ML
Market authorization holderPFIZER CANADA ULC
Health Canada scheduleSchedule D
ATC codeJ07AL02
ATC anatomical main groupJ — Anti-infectives for systemic use
ATC therapeutic subgroupJ07AL
Current statusMARKETED
Status date08-Jul-2022
Status sourceLive Health Canada DPD sync

Verify on the primary sources

Health Canada DPD record Approved product monograph (PDF)

How is it administered?

PREVNAR 20 is administered intramuscularly. Do not mix PREVNAR 20 with any other vaccines or products in the same syringe. Routine Vaccination Schedule for Infants and Toddlers 6 Weeks Through 15 Months of Age (4-Dose Series): 4 doses of 0.5 mL. Primary series: 3 doses, first dose at 2 months (as early as 6 weeks), with 4 to 8 weeks between doses. Fourth dose: between 11 and 15 months of age and at least 2 months after the third dose. Pre-term Infants (<37 Weeks Gestation at Birth): 4 doses of 0.5 mL. Primary series: 3 doses, first dose at 2 months (as early as 6 weeks), with 4 to 8 weeks between doses. Fourth dose: between 11 and 15 months of age and at least 2 months after the third dose. Catch-up Vaccination Schedule for Unvaccinated Children and Adolescents 7 Months Through 17 Years of Age: - Infants 7 Through 11 Months of Age: 3 doses of 0.5 mL, first 2 doses at least 4 weeks apart, third dose after 1-year birthday and at least 2 months after second dose. - Children 12 Through 23 Months of Age: 2 doses of 0.5 mL, with an interval of 2 months between doses. - Children and Adolescents 2 Through 17 Years of Age: One single 0.5 mL dose. Catch-up Vaccination Schedule for Children Previously or Incompletely Vaccinated with PREVNAR 13 (15 months through 17 years of age): 1 single 0.5 mL dose, at least 8 weeks after the final dose of PREVNAR 13. Adults (18 Years of Age and Older): Single 0.5 mL dose intramuscularly. Administration: Hold pre-filled syringe horizontally and shake vigorously until homogeneous white suspension. Visually inspect for particulate matter or discoloration. Remove syringe cap by turning counter-clockwise. Attach sterile needle appropriate for intramuscular administration by turning clockwise. Inject intramuscularly into anterolateral aspect of thigh (infants) or deltoid muscle of upper arm (children and adults). Do not administer intravascularly.

Included because it drives pack selection and wastage. Consult the monograph.

Contraindications

PREVNAR 20 is contraindicated in individuals who are hypersensitive to the active substance or to any component of the vaccine, including diphtheria toxoid.

Warnings and precautions

As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in case of a rare anaphylactic event following the administration of the vaccine. Administration should be postponed in individuals suffering from acute severe febrile illness. Minor infection (e.g., cold) should not defer vaccination. PREVNAR 20 only protects against Streptococcus pneumoniae serotypes included in the vaccine and may not protect all individuals. The potential risk of apnea should be considered when administering the primary immunization series to preterm infants (born ≤28 weeks of gestation) who remain hospitalized; monitoring for at least 48 hours after vaccination should be considered. Vaccination should not be withheld or delayed in this group due to high benefit.

What can be used instead?

Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.

1 · Same molecule, other Canadian presentations

3 of 10 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.

ProductStrengthFormHolderHealth Canada statusDIN
CAPVAXIVE4 MCG / 0.5 MLSOLUTIONMERCK CANADA INCMARKETED02549891
VAXNEUVANCE30 MCG / 0.5 MLSUSPENSIONMERCK CANADA INCMARKETED02522403
PNEUMO 2325 MCG / 0.5 MLLIQUIDSANOFI PASTEUR LIMITEDCANCELLED POST MARKET02231259
PNEUMOVAX 2325 MCG / 0.5 MLSOLUTIONMERCK CANADA INCCANCELLED POST MARKET00431648
PNEUMOVAX 23 -(5-DOSE)25 MCG / 0.5 MLSOLUTIONMERCK CANADA INCCANCELLED POST MARKET02240632
PNU-IMUNE 2325 MCG / 0.5 MLLIQUIDLEDERLE LABS, DIVISION OF AMERICAN CYANAMID COCANCELLED POST MARKET02230175
PREVNAR20 MCG / 0.5 MLSUSPENSIONPFIZER CANADA ULCCANCELLED POST MARKET02244081
PREVNAR 132.2 MCG / 0.5 MLSUSPENSIONPFIZER CANADA ULCCANCELLED POST MARKET02335204
SYNFLORIX3 MCG / 0.5 MLSUSPENSIONGLAXOSMITHKLINE INCCANCELLED POST MARKET02320541

2 · Same class — other molecules in ATC J07AL

MoleculeCanadian brandsDINsMarketedSourceable
Pneumococcus, Purified Polysacc.antigen ConjugatedCAPVAXIVE &middot; PNEUMO 23 &middot; PNEUMOVAX 23 &middot; PNEUMOVAX 23 -(5-DOSE) &middot; +6 more103Yes
Pneumococcus, Purified Polysaccharides AntigenPNEUMOVAX 2310Not in Canada

A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.

3 · Adjacent classes in ATC J07A

ATC subgroupMoleculesDINsMarketed
J07AHMeningococcal Vaccines &middot; Meningococcus B, Multicomponent Vaccine &middot; Meningococcus C, Purified Polysaccharides Antigen Conjugated &middot; Meningococcus, A, C, Bivalent Purified Polysacc. Antigen &middot; Meningococcus, A, C, Y, W-135, Tetraval. Purified Polysacc. Antigen &middot; +1 more176
J07AECholera, Inactivated, Whole Cell &middot; Cholera, Live Attenuated42
J07APTyphoid, Inactivated, Whole Cell &middot; Typhoid, Oral, Live Attenuated &middot; Typhoid, Purified Polysaccharide Antigen52
J07AMTetanus Toxoid &middot; Tetanus Toxoid, Comb. With Diphtheria Toxoid71
J07AXOther Bacterial Vaccines41
J07AGHemophilus Influenzae B Vaccines &middot; Hemophilus Influenzae B, Combinations With Pertussis And Toxoids &middot; Hemophilus Influenzae B, Combinations With Toxoids &middot; Hemophilus Influenzae B, Purified Antig. Conjugated81
J07AJPertussis, Inact., Whole Cell, Comb. With Toxoids &middot; Pertussis, Inactivated, Whole Cell &middot; Pertussis, Purified Antigen &middot; Pertussis, Purified Antigen, Comb. With Toxoids71
J07ANTuberculosis, Live Attenuated20

4 · Fixed-dose combinations with Canadian supply

ProductActive ingredientsHolderStatusDIN
ADACELPERTUSSIS TOXOID : 2.5 MCG / 0.5 ML FILAMENTOUS HAEMAGGLUTININ : 5 MCG / 0.5 ML DIPHTHERIA TOXOID : 2 LF / 0.5 ML PERTACTIN : 3 MCG / 0.5 ML FIMBRIAE TYPES 2 AND 3 (FIM) : 5 MCG / 0.5 ML TETANUS TOXOID : 5 LF / 0.5 MLSANOFI PASTEUR LIMITEDMARKETED02240255
DUKORALVIBRIO CHOLERAE INABA 48 CLASSICAL BIOTYPE, HEAT INACTIVATED : 31250000000 CELLS VIBRIO CHOLERAE OGAWA 50 CLASSICAL BIOTYPE, FORMALIN INACTIVATED : 31250000000 CELLS VIBRIO CHOLERAE INABA 6973 EL TOR BIOTYPE, FORMALIN INACTIVATED : 31250000000 CELLS VIBRIO CHOLERAE OGAWA 50 CLASSICAL BIOTYPE, HEAT INACTIVATED : 31250000000 CELLS RECOMBINANT CHOLERA TOXIN B SUBUNIT : 1 MGVALNEVA SWEDEN ABMARKETED02247208
VAXCHORAVIBRIO CHOLERAE, STRAIN CVD 103-HGR, LIVE : 2000000000 UNITBAVARIAN NORDIC ASMARKETED02538164

Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.

What else is PREVNAR 20 called?

Also recorded in Canada as: APEVEXX (EU), APEVEXX (UK), PREVENAR 20 (GLOBAL), Pneumococcal 20-valent Conjugate Vaccine (GLOBAL).

How can I get it?

Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.

Request a quote for PREVNAR 20

Ordering questions

Who can buy this from Nexara?

Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.

Is there a minimum order?

Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.

What is the lead time?

Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.

Why is there no price on this page?

Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.

Can Nexara supply this for a clinical trial?

Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.

Sources and disclaimer

Product data sourced from the Health Canada Drug Product Database and the approved product monograph (PDF). Health Canada status reconciled against the live DPD sync. Last reviewed 10 Sep 2026.

Nothing on this page is medical advice. Nexara Health is a licensed wholesale distributor and supplies licensed entities only; consumer orders are routed to a partner pharmacy. Alternatives tables describe supply, not clinical equivalence.

Related pages

Sourcing this product