Influenza Vaccines --United States CHIRP Codes

2017 ¨C 2018 Influenza Season

Updated August 2017

*includes CVX codes and NDC

numbers

Influenza Vaccines --United States

CHIRP Codes

Manufacturer

GlaxoSmithKline

GlaxoSmithKline

GlaxoSmithKline

Protein Sciences

Protein Sciences

Sanofi Pasteur

Sanofi Pasteur

Trade Name

Fluarix?

quadrivalent

Flulaval?

quadrivalent

Flulaval?

quadrivalent

Flublok?

Flublok?

quadrivalent

Fluzone? High

Dose

Fluzone?

Intradermal (ID)

quadrivalent

Seqirus

Fluzone?

quadrivalent

Fluzone?

quadrivalent

Fluzone?

quadrivalent

Fluzone?

quadrivalent,

pediatric

Afluria?

Seqirus

Afluria?

Sanofi Pasteur

Sanofi Pasteur

Sanofi Pasteur

Sanofi Pasteur

NDC

Presentation

Age Indication

58160-0907-52

0.5 mL syringe

19515-0896-11

5.0 mL MDV

6 months & Older

19515-0912-52

0.5 mL syringe

6 months & Older

42874-0017-10

0.5 mL SDV

18 Years & Older

42874-0117-10

0.5 mL syringe

18 Years & Older

49281-0401-65

0.5 mL syringe

65 Years & Older

49281-0712-40

0.1 mL prefilled

microinjection

system

3 Years & Older

18-64 Years

CHIRP Code & CVX

influenza, injectable, quadrivalent, preservative

free (CVX 150)

influenza, injectable, quadrivalent (CVX 158)

influenza, injectable, quadrivalent, preservative

free (CVX 150)

influenza, recombinant, injectable, preservative

free (CVX 155)

influenza, recombinant, quadrivalent, injectable,

preservative free (CVX 185)

Influenza, high dose seasonal (CVX 135)

influenza, intradermal, quadrivalent, preservative

free (CVX 166)

49281-0627-15

5.0 mL MDV

6 months & Older

influenza, injectable, quadrivalent (CVX 158)

49281-0417-10

0.5 mL SDV

3 Years & Older

49281-0417-50

0.5 mL syringe

3 Years & Older

influenza, injectable, quadrivalent, preservative

free (CVX 150)

influenza, injectable, quadrivalent, preservative

free(CVX 150)

49281-0517-25

0.25 mL syringe

6 - 35 months

Influenza, injectable, quadrivalent, preservative

free, pediatric (CVX 161)

33332-0117-10

5.0 mL MDV

9 Years & Older

33332-0017-01

0.5 mL syringe

9 Years & Older

Influenza, seasonal, injectable (CVX 141)

Influenza, seasonal, injectable, preservative free

(CVX 140)

08/15/2017

2017 ¨C 2018 Influenza Season

Seqirus

Seqirus

Afluria?

quadrivalent

Afluria?

Quadrivalent

preservative free

33332-0417-10

18 Years & Older

33332-0317-01

Seqirus

Fluad?

70461-0002-01

Seqirus

Flucelvax

quadrivalent,

preservative free

70461-0201-01

Flucelvax?

quadrivalent,

preservative

70461-0301-10

Seqirus

Fluvirin

70461-0120-10

Seqirus

Fluvirin

70461-0120-02

Seqirus

0.5 mL SDV

0.5 mL syringe

18 Years & Older

0.5 mL syringe

65 Years & Older

0.5 mL syringe

4 Years & Older

0.5 mL SDV

4 Years & Older

5.0 mL MDV

4 Years & Older

0.5 mL syringe

4 Years & Older

influenza, injectable, quadrivalent (CVX 158)

influenza, injectable, quadrivalent, preservative

free (CVX 150)

influenza, trivalent, adjuvanted (CVX 168)

Influenza, injectable, MDCK, preservative free,

quadrivalent (CVX 171)

Influenza, injectable, MDCK, quadrivalent,

preservative (CVX 186)

Influenza, seasonal, injectable (CVX 141)

Influenza, seasonal, injectable, preservative free

(CVX 140)

08/15/2017

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