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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