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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