2018 – 2019 Influenza Vaccine Codes

2018 ¨C 2019 Influenza Vaccine Codes

Sale NDC11

CVX

Code

Trade Name

Presentation

Description

MVX

Code

CPT Code

VFC

5 yrs

SEQ

90686

N

33332-0418-10

158

Afluria Quadrivalent

5.0 mL multidose vial

Influenza, injectable, quadrivalent, > 5 yrs

SEQ

90688

N

33332-0018-01

140

Afluria Trivalent

10 prefilled syringes, 0.5mL

Influenza, injectable, preservative free, > 5 yrs

SEQ

90656

N

33332-0118-10

141

Afluria Trivalent

5.0 mL multidose vial

Influenza, injectable, > 5 yrs

SEQ

90658

N

70461-0018-03

168

FluAd Adjuvanted

Inactivated, Trivalent

10 prefilled syringes, 0.5mL

Influenza, trivalent, adjuvanted, > 65 yrs

SEQ

90653

N

58160-0898-52

150

Fluarix Quadrivalent

10 prefilled syringes, 0.5 mL

SKB

90686

Y

49281-0718-10

185

FluBlok Quadrivalent

10 prefilled syringes, 0.5 mL

PMC

90682

N

70461-0318-03

171

Flucelvax Quadrivalent

10 prefilled syringes, 0.5 mL

SEQ

90674

N

70461-0418-10

186

Flucelvax Quadrivalent

5.0 mL multidose vial

SEQ

90756

N

19515-0909-52

150

Flulaval Quadrivalent

10 prefilled syringes, 0.5 mL

IDB

90686

Y

19515-0900-11

158

Flulaval Quadrivalent

5.0 mL multidose vial

influenza, injectable, quadrivalent, > 6 mos

IDB

90688

N

66019-0305-10

149

Flumist Quadrivalent

10 single dose prefilled

intanasal sprayer, 0.2 mL

Influenza, live, intranasal,

quadrivalent, 2 through 49 yrs

MED

90672

Y

49281-0418-50

150

Fluzone Quadrivalent

10 prefilled syringes, 0.5 mL

influenza, injectable, quadrivalent, preservative

free, > 3 yrs

PMC

90686

Y

49281-0418-10

150

Fluzone Quadrivalent

10 single dose vials, 0.5 mL

influenza, injectable, quadrivalent, preservative

free, > 3 yrs

PMC

90686

Y

49281-0518-25

161

Fluzone Quadrivalent

10 prefilled syringes, 0.25 mL

Influenza, injectable, quadrivalent, preservative

free, pediatric, 6 through 35 mos

PMC

90685

Y

5.0 mL multidose vial

influenza, injectable, quadrivalent, > 6 mos

PMC

49281-0629-15

49281-0403-65

158

135

Fluzone Quadrivalent

(0.25 mL dose)

Fluzone Quadrivalent

(0.5 mL dose)

Fluzone Trivalent,

high-dose

Influenza, injectable, quadrivalent, preservative

free, > 6 mos

Influenza, recombinant,

injectable, (RIV4), preservative free, > 18 yrs

Influenza, injectable, quadrivalent, (ccIIV4),

preservative free, > 4 yrs

Influenza, injectable, quadrivalent, (ccIIV4), > 4

yrs

influenza, injectable, quadrivalent, preservative

free, > 6 mos

90687

N

90688

10 prefilled syringes, 0.5 mL

Influenza, high dose seasonal, preservative

free > 65 yrs

PMC

90662

N

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download