WyIR 2022-23 Influenza Vaccine Cheat Sheet

[Pages:1]Product Name

WyIR 2022-23 Influenza Vaccine Cheat Sheet

Products highlighted in blue are the seven presentations offered through PVP Programs in 2022-23

Formulation

Vaccine Name/Description in WyIR

Age Indication

CVX Code

NDC

CPT Manufacturer Code

Afluria Quadrivalent

5.0-mL MDV 0.5-mL PFS

Fluad

0.5-mL PFS

Fluarix Quadrivalent 0.5-mL PFS

Flublok Quadrivalent 0.5-mL PFS

0.5-mL PFS Flucelvax Quadrivalent

5.0-mL MDV

Flulaval

0.5-mL PFS

FluMist Quadrivalent

0.2-mL prefilled single-use intranasal sprayer

Fluzone High-Dose 0.7-mL PFS

influenza, injectable, quadrivalent

6 mos

influenza, injectable, quadrivalent, preservative free influenza vaccine, quadrivalent, adjuvanted

influenza, injectable, quadrivalent, preservative free

influenza, recombinant, quadrivalent, injectable, preservative free

Influenza, injectable, MDCK, preservative free, quadrivalent

6 mos 65 yrs 6 mos 18 yrs 6 mos

Influenza, injectable, MDCK, quadrivalent 6 mos

influenza, injectable, quadrivalent, preservative free

6 mos

influenza, live, intranasal, quadrivalent 2 through 49 yrs

Influenza, high-dose, quadrivalent

65 yrs

158 33332-0422-10 90688

SEQ

150 33332-0322-03 90686

SEQ

205 70461-0122-03 90694

SEQ

150 58160-0890-52 90686

SKB

185 49281-0722-10 90682

PMC

171 70461-0322-03 90674

SEQ

186 70461-0422-10 90756

SEQ

150 19515-0808-52 90686

IDB

149 66019-0308-10 90672

MED

197 49281-0122-65 90662

PMC

5.0-mL MDV Fluzone Quadrivalent 0.5-mL PFS

0.5-mL SDV

influenza, injectable, quadrivalent

influenza, injectable, quadrivalent, preservative free influenza, injectable, quadrivalent, preservative free

6 mos 6 mos 6 mos

158 49281-0637-15 90688

PMC

150 49281-0422-50 90686

PMC

150 49281-0422-10 90686

PMC

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