Payment Allowances and Effective Dates for the 2018-2019 ...

Payment Allowances and Effective Dates for the 2018-2019 Flu Season:

CODE 90653 90656 90662 90674 90682 90685

90686

90687

90688 90756 Q2035

LABELER NAME Seqirus Inc Seqirus Inc Sanofi Pasteur Seqirus Inc Sanofi Pasteur

Sanofi Pasteur

Seqirus Inc, GlaxoSmithKline, Sanofi Pasteur

Sanofi Pasteur

Seqirus Inc, GlaxoSmithKline, Sanofi Pasteur Seqirus Inc Seqirus Inc

DRUG NAME

Fluad (2018/2019)

Afluria (2018/2019)

Fluzone High-Dose (2018/2019)

Flucelvax Quadrivalent (2018/2019)

Flublok Quadrivalent (2018/2019) Fluzone Quadrivalent Pediatric (2018/2019)

Afluria Quadrivalent (2018/2019), Fluarix Quadrivalent (2018/2019), Flulaval Quadrivalent (2018/2019), Fluzone Quadrivalent (2018/2019) [Preservative Free]

Fluzone Quadrivalent Pediatric (2018/2019) Afluria Quadrivalent (2018/2019), Flulaval Quadrivalent (2018/2019), Fluzone Quadrivalent (2018/2019)

Flucelvax Quadrivalent (2018/2019)

Afluria (2018/2019)

PAYMENT ALLOWANCE

$54.673 $19.773 $53.373 $24.047 $53.373

EFFECTIVE DATES

08/01/2018 - 07/31/2019 08/01/2018 - 07/31/2019 08/01/2018 - 07/31/2019 08/01/2018 - 07/31/2019 08/01/2018 - 07/31/2019

$21.813 08/01/2018 - 07/31/2019

$19.032 08/01/2018 - 07/31/2019

$9.403 08/01/2018 - 07/31/2019

$17.835 08/01/2018 - 07/31/2019 $22.793 08/01/2018 - 07/31/2019 $18.236 08/01/2018 - 07/31/2019

Additional information on 2018-2019 Influenza Vaccines pricing is available in MM10914. Information for some codes is pending FDA approval. Updates to the payment limits and effective dates will be posted to this webpage.

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