2018 – 2019 Influenza Vaccine Codes
2018 ? 2019 Influenza Vaccine Codes
Sale NDC11
CVX Code
Trade Name
33332-0318-01
150 Afluria Quadrivalent
33332-0418-10
158 Afluria Quadrivalent
Presentation
10 prefilled syringes, 0.5 mL 5.0 mL multidose vial
Description
Influenza, injectable, quadrivalent, preservative free, > 5 yrs Influenza, injectable, quadrivalent, > 5 yrs
33332-0018-01
140 Afluria Trivalent
10 prefilled syringes, 0.5mL Influenza, injectable, preservative free, > 5 yrs
33332-0118-10 70461-0018-03 58160-0898-52 49281-0718-10 70461-0318-03 70461-0418-10 19515-0909-52
141 Afluria Trivalent
5.0 mL multidose vial
Influenza, injectable, > 5 yrs
168
FluAd Adjuvanted Inactivated, Trivalent
10 prefilled syringes, 0.5mL
Influenza, trivalent, adjuvanted, > 65 yrs
150 Fluarix Quadrivalent
10 prefilled syringes, 0.5 mL
Influenza, injectable, quadrivalent, preservative free, > 6 mos
185
FluBlok Quadrivalent
10 prefilled syringes, 0.5 mL
Influenza, recombinant, injectable, (RIV4), preservative free, > 18 yrs
171 Flucelvax Quadrivalent 10 prefilled syringes, 0.5 mL Influenza, injectable, quadrivalent, (ccIIV4), preservative free, > 4 yrs
186 Flucelvax Quadrivalent 5.0 mL multidose vial
Influenza, injectable, quadrivalent, (ccIIV4), > 4 yrs
150
Flulaval Quadrivalent
10 prefilled syringes, 0.5 mL
influenza, injectable, quadrivalent, preservative free, > 6 mos
19515-0900-11
158 Flulaval Quadrivalent 5.0 mL multidose vial
influenza, injectable, quadrivalent, > 6 mos
66019-0305-10 49281-0418-50 49281-0418-10 49281-0518-25
49281-0629-15 49281-0403-65
149
Flumist Quadrivalent
10 single dose prefilled intanasal sprayer, 0.2 mL
Influenza, live, intranasal, quadrivalent, 2 through 49 yrs
150
Fluzone Quadrivalent
10 prefilled syringes, 0.5 mL
influenza, injectable, quadrivalent, preservative free, > 3 yrs
150
Fluzone Quadrivalent
10 single dose vials, 0.5 mL
influenza, injectable, quadrivalent, preservative free, > 3 yrs
161
Fluzone Quadrivalent
10 prefilled syringes, 0.25 mL
Influenza, injectable, quadrivalent, preservative free, pediatric, 6 through 35 mos
Fluzone Quadrivalent
158
(0.25 mL dose) Fluzone Quadrivalent
5.0 mL multidose vial
influenza, injectable, quadrivalent, > 6 mos
(0.5 mL dose)
135
Fluzone Trivalent, high-dose
10 prefilled syringes, 0.5 mL
Influenza, high dose seasonal, preservative free > 65 yrs
MVX Code
SEQ
CPT Code 90686
SEQ SEQ SEQ
90688 90656 90658
SEQ
90653
SKB
90686
PMC
90682
SEQ
90674
SEQ
90756
IDB
90686
IDB
90688
MED
90672
PMC PMC
90686 90686
PMC
90685
PMC PMC
90687 90688 90662
VFC
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