Vaccine NDC Codes
NDC Code | Group Name | Brand Name | CVX Code | MVX Code | CPT Code | Vaccine ID |
---|---|---|---|---|---|---|
00005-0100-01 | MEN-B | Trumenba | 162 | PFR | 90621 | 2643 |
00005-0100-02 | MEN-B | Trumenba | 162 | PFR | 90621 | 2643 |
00005-0100-05 | MEN-B | Trumenba; PFR; SYR; 5-pack | 162 | PFR | 90621 | 2643 |
00005-0100-10 | MEN-B | Trumenba; PFR; SYR; 10-pack | 162 | PFR | 90621 | 2643 |
00005-1970-49 | PNE | Prevnar 7 | 100 | WAL | 90669 | 82 |
00005-1970-50 | PNE | Prevnar | 100 | WAL | 90669 | 82 |
00005-1971-01 | PNE | Prevnar 13 | 133 | PFR | 90670 | 1461 |
00005-1971-02 | PNE | Prevnar 13; PFR; SYR; 10-pack | 133 | PFR | 90670 | 1461 |
00005-1971-04 | PNE | Prevnar 13 | 133 | PFR | 90670 | 1461 |
00005-1971-05 | PNE | Prevnar 13 | 133 | PFR | 90670 | 1461 |
00005-2000-01 | PNE | PREVNAR 20 | 216 | PFR | 2891 | |
00005-2000-02 | PNE | PREVNAR 20 | 216 | PFR | 2891 | |
00005-2000-10 | PNE | Prevnar 20; PFR; SYR; 10-pack | 216 | PFR | 2891 | |
00006-4045-00 | HPV | GARDASIL | 62 | MSD | 90649 | 1418 |
00006-4045-01 | HPV | GARDASIL | 62 | MSD | 90649 | 1418 |
00006-4045-41 | HPV | Gardasil; MSD; SDV; 10-pack | 62 | MSD | 90649 | 1418 |
00006-4047-01 | ROT | ROTATEQ | 116 | MSD | 90680 | 1430 |
00006-4047-02 | ROT | ROTATEQ | 116 | MSD | 90680 | 1430 |
00006-4047-20 | ROT | Rotateq; MSD; ORAL DOSE; 25-pack | 116 | MSD | 90680 | 1430 |
00006-4047-41 | ROT | Rotateq; MSD; ORAL DOSE; 10-pack | 116 | MSD | 90680 | 1430 |
00006-4093-01 | HBV | Recombivax-Peds | 08 | MSD | 90744 | 28 |
00006-4093-02 | HBV | Recombivax-Peds; MSD; SYR; 10-pack | 08 | MSD | 90744 | 28 |
00006-4093-09 | HBV | Recombivax-Merck Syr | 08 | MSD | 90744 | 28 |
00006-4094-01 | HBV | Recombivax-Adult | 43 | MSD | 90746 | 27 |
00006-4094-02 | HBV | Recombivax-HB Adult; MSD; SYR; 10-pack | 43 | MSD | 90746 | 27 |
00006-4094-09 | HBV | Recombivax-HB Adult; MSD; SYR; 6-pack | 43 | MSD | 90746 | 27 |
00006-4095-01 | HAV | VAQTA-Peds | 83 | MSD | 90633 | 1436 |
00006-4095-02 | HAV | Vaqta-Peds; MSD; SYR; 10-pack | 83 | MSD | 90633 | 1436 |
00006-4095-09 | HAV | Vaqta-Merck Syr | 83 | MSD | 90633 | 1436 |
00006-4096-01 | HAV | VAQTA-Adult | 52 | MSD | 90632 | 24 |
00006-4096-02 | HAV | Vaqta-Adult; MSD; SYR; 10-pack | 52 | MSD | 90632 | 24 |
00006-4096-09 | HAV | Vaqta Adult; MSD; SYR; 6-pack | 52 | MSD | 90632 | 24 |
00006-4109-01 | HPV | GARDASIL | 62 | MSD | 90649 | 1418 |
00006-4109-02 | HPV | GARDASIL | 62 | MSD | 90649 | 1418 |
00006-4109-09 | HPV | GARDASIL | 62 | MSD | 90649 | 1418 |
00006-4119-01 | HPV | Gardasil 9 | 165 | MSD | 90651 | 2580 |
00006-4119-02 | HPV | Gardasil 9 | 165 | MSD | 90651 | 2580 |
00006-4119-03 | HPV | Gardasil 9; MSD; SDV; 10-pack | 165 | MSD | 90651 | 2580 |
00006-4121-01 | HPV | Gardasil 9 | 165 | MSD | 90651 | 2580 |
00006-4121-02 | HPV | Gardasil 9; MSD; SYR; 10-pack | 165 | MSD | 90651 | 2580 |
00006-4133-01 | Td | Td-MSD | 09 | MSD | 90718 | 2040 |
00006-4133-41 | Td | Td-Merck Vial | 09 | MSD | 90718 | 2040 |
00006-4171-00 | MMR,VAR | ProQuad; MSD; SDV; 10-pack | 94 | MSD | 90710 | 1321 |
00006-4171-01 | MMR,VAR | ProQuad | 94 | MSD | 90710 | 1321 |
00006-4293-01 | Ebola | ERVEBO (Ebola Zaire Vaccine, Live) | 204 | MSD | 2870 | |
00006-4293-02 | Ebola | ERVEBO (Ebola Zaire Vaccine, Live) | 204 | MSD | 2870 | |
00006-4329-01 | PNE | VAXNEUVANCE | 215 | MSD | 2892 | |
00006-4329-02 | PNE | VAXNEUVANCE | 215 | MSD | 2892 | |
00006-4329-03 | PNE | Vaxneuvance; MSD; SYR; 10-pack | 215 | MSD | 2892 | |
00006-4347-01 | PNE | CAPVAXIVE | 327 | MSD | 2992 | |
00006-4347-02 | PNE | CAPVAXIVE PCV21; MSD; SYR; 10-pack | 327 | MSD | 2992 | |
00006-4347-99 | PNE | CAPVAXIVE | 327 | MSD | 2992 | |
00006-4681-00 | MMR | M-M-R II; MSD; SDV; 10-pack | 03 | MSD | 90707 | 1213 |
00006-4681-01 | MMR | M-M-R II | 03 | MSD | 90707 | 1213 |
00006-4739-00 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
00006-4739-01 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
00006-4826-00 | VAR | Varivax | 21 | MSD | 90716 | 45 |
00006-4826-01 | VAR | Varivax | 21 | MSD | 90716 | 45 |
00006-4827-00 | VAR | Varivax; MSD; SDV; 10-pack | 21 | MSD | 90716 | 45 |
00006-4827-01 | VAR | Varivax | 21 | MSD | 90716 | 45 |
00006-4831-01 | HAV | VAQTA-Peds | 83 | MSD | 90633 | 1436 |
00006-4831-41 | HAV | Vaqta-Peds; MSD; SDV; 10-pack | 83 | MSD | 90633 | 1436 |
00006-4837-01 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
00006-4837-02 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
00006-4837-03 | PNE | Pneumovax 23; MSD; SYR; 10-pack | 33 | MSD | 90732 | 622 |
00006-4841-00 | HAV | VAQTA-Adult | 52 | MSD | 90632 | 24 |
00006-4841-01 | HAV | VAQTA-Adult | 52 | MSD | 90632 | 24 |
00006-4841-41 | HAV | Vaqta-Adult; MSD; SDV; 10-pack | 52 | MSD | 90632 | 24 |
00006-4897-00 | HIB | PedvaxHIB; MSD; SDV; 10-pack | 49 | MSD | 90647 | 42 |
00006-4897-01 | HIB | PedvaxHIB | 49 | MSD | 90647 | 42 |
00006-4898-00 | HBV,HIB | Comvax | 51 | MSD | 90748 | 66 |
00006-4898-01 | HBV,HIB | Comvax | 51 | MSD | 90748 | 66 |
00006-4943-00 | PNE | Pneumovax 23; MSD; SDV; 1-pack | 33 | MSD | 90732 | 622 |
00006-4943-01 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
00006-4963-00 | ZOS | Zostavax | 121 | MSD | 1438 | |
00006-4963-01 | ZOS | Zostavax | 121 | MSD | 1438 | |
00006-4963-41 | ZOS | Zostavax; MSD; SDV; 10-pack | 121 | MSD | 1438 | |
00006-4980-00 | HBV | Recombivax-Peds | 08 | MSD | 90744 | 28 |
00006-4981-00 | HBV | Recombivax-Peds; MSD; SDV; 10-pack | 08 | MSD | 90744 | 28 |
00006-4981-01 | HBV | Recombivax-Peds | 08 | MSD | 90744 | 28 |
00006-4992-00 | HBV | Recombivax-Dialysis | 44 | MSD | 90747 | 1428 |
00006-4992-01 | HBV | Recombivax-Dialysis | 44 | MSD | 90747 | 1428 |
00006-4995-00 | HBV | Recombivax-Adult | 43 | MSD | 90746 | 27 |
00006-4995-01 | HBV | Recombivax-Adult | 43 | MSD | 90746 | 27 |
00006-4995-41 | HBV | Recombivax-Adult; MSD; SDV; 10-pack | 43 | MSD | 90746 | 27 |
00006-4999-00 | MMR,VAR | ProQuad; MSD; SDV; 10-pack | 94 | MSD | 90710 | 1321 |
00006-4999-01 | MMR,VAR | ProQuad | 94 | MSD | 90710 | 1321 |
00052-0603-01 | Other | TICE BCG | 19 | MSD | 2877 | |
00052-0603-01 | Other | TICE BCG | 19 | OTC | 90585 | 1441 |
00052-0603-02 | Other | TICE BCG | 19 | MSD | 2877 | |
00052-0603-02 | Other | TICE BCG | 19 | OTC | 90585 | 1441 |
00069-0207-01 | RSV | ABRYSVO | 305 | PFR | 2956 | |
00069-0271-01 | MEN,MEN-B | PENBRAYA | 316 | PFR | 2974 | |
00069-0297-01 | Other | TICOVAC | 223 | PFR | 2912 | |
00069-0297-02 | Other | TICOVAC | 223 | PFR | 2912 | |
00069-0297-10 | Other | TICOVAC | 223 | PFR | 2912 | |
00069-0332-01 | MEN,MEN-B | PENBRAYA | 316 | PFR | 2974 | |
00069-0344-01 | RSV | ABRYSVO RSV; PFR; SDV; 1-pack | 305 | PFR | 2956 | |
00069-0344-05 | RSV | ABRYSVO RSV; PFR; SDV; 5-pack | 305 | PFR | 2956 | |
00069-0344-10 | RSV | ABRYSVO | 305 | PFR | 2956 | |
00069-0411-01 | Other | TICOVAC | 224 | PFR | 2911 | |
00069-0411-01 | Tick-borne encephalitis | TICOVAC | 77 | PFR | 2902 | |
00069-0411-02 | Other | TICOVAC | 224 | PFR | 2911 | |
00069-0411-02 | Tick-borne encephalitis | TICOVAC | 77 | PFR | 2902 | |
00069-0411-10 | Other | TICOVAC | 224 | PFR | 2911 | |
00069-0411-10 | Tick-borne encephalitis | TICOVAC | 77 | PFR | 2902 | |
00069-0600-01 | MEN,MEN-B | PENBRAYA; PFR; SDV; 1-pack | 316 | PFR | 2974 | |
00069-0600-05 | MEN,MEN-B | PENBRAYA; PFR; SDV; 5-pack | 316 | PFR | 2974 | |
00069-0600-10 | MEN,MEN-B | PENBRAYA | 316 | PFR | 2974 | |
00069-2025-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 217 | PFR | 2895 | |
00069-2025-10 | COVID-19 | COVID-19 (Pfizer Comirnaty TRIS); PFR; MDV6; 10-pack | 217 | PFR | 2895 | |
00069-2025-25 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 217 | PFR | 2895 | |
00069-2362-01 | COVID-19 | Comirnaty COVID-19 (2024-2025 12+ years) | 309 | PFR | 2995 | |
00069-2362-10 | COVID-19 | Comirnaty COVID-19 (2023-2024 12+ years); PFR; SDV; 10-pack | 309 | PFR | 91320 | 2960 |
00069-2377-01 | COVID-19 | Comirnaty COVID-19 (2024-2025 12+ years) | 309 | PFR | 2995 | |
00069-2377-10 | COVID-19 | Comirnaty COVID-19 (2023-2024 12+ years); PFR; SYR; 10-pack | 309 | PFR | 91320 | 2960 |
00069-2392-01 | COVID-19 | Comirnaty COVID-19 (2024-2025 12+ years) | 309 | PFR | 2995 | |
00069-2392-10 | COVID-19 | Comirnaty COVID-19 (2023-2024 12+ years); PFR; SYR; 10-pack | 309 | PFR | 91320 | 2960 |
00069-2432-01 | COVID-19 | Comirnaty COVID-19 (2024-2025 12+ years) | 309 | PFR | 2995 | |
00069-2432-10 | COVID-19 | Comirnaty COVID-19 (2024-2025 12+ years); PFR; SYR; 10-pack | 309 | PFR | 2995 | |
00069-2465-01 | RSV | ABRYSVO | 305 | PFR | 2956 | |
00069-2465-10 | RSV | ABRYSVO | 305 | PFR | 2956 | |
00069-2465-19 | RSV | ABRYSVO | 305 | PFR | 2956 | |
00310-1222-10 | COVID-19 | AstraZeneca COVID-19 Vaccine | 210 | ASZ | 2866 | |
00310-1222-15 | COVID-19 | AstraZeneca COVID-19 Vaccine | 210 | ASZ | 2866 | |
13533-0131-00 | Td | Td, adsorbed | 09 | MBL | 2793 | |
13533-0131-01 | Td | TDVAX; GRF; SDV; 1-pack | 09 | GRF | 2728 | |
14362-0111-03 | Td | Td-MassBiologics | 09 | MBL | 2793 | |
14362-0111-04 | Td | Td, adsorbed | 09 | MBL | 2793 | |
17478-0131-00 | Td | Td, adsorbed | 09 | MBL | 2793 | |
17478-0131-01 | Td | Td, adsorbed | 09 | MBL | 2793 | |
19515-0808-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0808-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0810-41 | FLU | 140 | IDB | 2755 | ||
19515-0810-52 | FLU | Flulaval Trivalent, p-free; IDB; SYR; 10-pack (TIV) | 140 | IDB | 2755 | |
19515-0814-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0814-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0816-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0816-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0818-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0818-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0845-01 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0845-11 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0850-41 | FLU | Flulaval, preservative free | 140 | NOV | 90656 | 1463 |
19515-0850-41 | FLU | Flulaval, preservative free | 140 | IDB | 2755 | |
19515-0850-52 | FLU | Flulaval, preservative free | 140 | IDB | 2755 | |
19515-0889-02 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0889-07 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0890-02 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0890-07 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0891-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0891-11 | FLU | FluLaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0893-02 | FLU | FluLaval | 141 | IDB | 1415 | |
19515-0893-07 | FLU | FluLaval; IDB; MDV10; 1-pack | 141 | IDB | 1415 | |
19515-0894-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0894-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
19515-0894-52 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0895-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0895-11 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0896-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0896-11 | FLU | Flulaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0897-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0897-11 | FLU | Flulaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0898-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0898-01 | FLU | Flulaval quadrivalent | 158 | PMC | 90688 | 2694 |
19515-0898-11 | FLU | FluLaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0900-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0900-11 | FLU | Flulaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0901-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0901-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
19515-0901-52 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0903-01 | FLU | Flulaval quadrivalent | 158 | IDB | 2371 | |
19515-0903-11 | FLU | Flulaval Quadrivalent; IDB; MDV10; 1-pack (Quad) | 158 | IDB | 2371 | |
19515-0906-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0906-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0908-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0908-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack | 150 | IDB | 90686 | 2707 |
19515-0909-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0909-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack (Quad) | 150 | IDB | 90686 | 2707 |
19515-0912-41 | FLU | Flulaval, quadrivalent, preservative free | 150 | IDB | 90686 | 2707 |
19515-0912-52 | FLU | Flulaval Quadrivalent, p-free; IDB; SYR; 10-pack | 150 | IDB | 90686 | 2707 |
21695-0413-01 | Td | Td, adsorbed | 09 | MBL | 2793 | |
33332-0010-01 | FLU | Afluria, preservative free | 140 | CSL | 2779 | |
33332-0013-01 | FLU | Afluria, preservative free | 140 | CSL | 2779 | |
33332-0013-02 | FLU | Afluria, preservative free | 140 | CSL | 2779 | |
33332-0014-01 | FLU | Afluria Pfree; CSL; SYR; 10-pack | 140 | CSL | 2779 | |
33332-0014-02 | FLU | Afluria, preservative free | 140 | CSL | 2779 | |
33332-0015-01 | FLU | Afluria Pfree; CSL; SYR; 10-pack | 140 | CSL | 2779 | |
33332-0015-02 | FLU | Afluria, preservative free | 140 | CSL | 2779 | |
33332-0015-02 | FLU | Afluria, preservative free | 140 | NOV | 90656 | 1463 |
33332-0016-01 | FLU | Afluria, p-free; SEQ; SYR; 10-pack | 140 | SEQ | 1466 | |
33332-0016-02 | FLU | Fluvirin-Preservative Free | 140 | SKB | 1317 | |
33332-0016-02 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
33332-0017-01 | FLU | Afluria, p-free; SEQ; SYR; 10-pack | 140 | SEQ | 1466 | |
33332-0017-02 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
33332-0018-01 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
33332-0018-02 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
33332-0024-03 | FLU | Afluria Trivalent, p-free; SEQ; SYR; 10-pack (TIV) | 140 | SEQ | 1465 | |
33332-0024-04 | FLU | 140 | SEQ | 1466 | ||
33332-0110-10 | FLU | AFLURIA | 141 | CSL | 2778 | |
33332-0113-10 | FLU | AFLURIA | 141 | CSL | 2778 | |
33332-0113-11 | FLU | AFLURIA | 141 | CSL | 2778 | |
33332-0114-10 | FLU | Afluria; CSL; MDV10; 1-pack | 141 | CSL | 2778 | |
33332-0114-11 | FLU | AFLURIA | 141 | CSL | 2778 | |
33332-0114-11 | FLU | AFLURIA | 141 | NOV | 2783 | |
33332-0115-10 | FLU | Afluria; CSL; MDV10; 1-pack | 141 | CSL | 2778 | |
33332-0115-11 | FLU | AFLURIA | 141 | CSL | 2778 | |
33332-0115-11 | FLU | AFLURIA | 141 | NOV | 2783 | |
33332-0116-10 | FLU | Afluria; SEQ; MDV10; 1-pack | 141 | SEQ | 1472 | |
33332-0116-11 | FLU | Fluvirin | 141 | SEQ | 1472 | |
33332-0116-11 | FLU | Fluvirin | 141 | PMC | 1473 | |
33332-0117-10 | FLU | Afluria; SEQ; MDV10; 1-pack | 141 | SEQ | 1472 | |
33332-0117-11 | FLU | Fluvirin | 141 | SEQ | 1472 | |
33332-0117-11 | FLU | Fluvirin | 141 | PMC | 1473 | |
33332-0118-10 | FLU | Fluvirin | 141 | SEQ | 1472 | |
33332-0118-11 | FLU | Fluvirin | 141 | SEQ | 1472 | |
33332-0124-10 | FLU | 141 | SEQ | 1472 | ||
33332-0124-11 | FLU | 141 | SEQ | 1445 | ||
33332-0219-20 | FLU | Afluria quadrivalent, preservative free, pediatric | 161 | SEQ | 2843 | |
33332-0219-21 | FLU | Afluria quadrivalent, preservative free, pediatric | 161 | SEQ | 2843 | |
33332-0220-20 | FLU | Afluria Quadrivalent, p-free, pediatric; SEQ; SYR; 10-pack (Quad) | 161 | SEQ | 2843 | |
33332-0220-21 | FLU | Afluria quadrivalent, preservative free, pediatric | 161 | SEQ | 2843 | |
33332-0221-20 | FLU | Afluria Quadrivalent, p-free, pediatric; SEQ; SYR; 10-pack (Quad) | 161 | SEQ | 2843 | |
33332-0221-21 | FLU | Afluria quadrivalent, preservative free, pediatric | 161 | SEQ | 2843 | |
33332-0316-01 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0316-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0317-01 | FLU | Afluria Quadrivalent p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0317-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0318-01 | FLU | Afluria Quadrivalent p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0318-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0319-01 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0319-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0320-01 | FLU | Afluria Quadrivalent, p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0320-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0321-01 | FLU | Afluria Quadrivalent, p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0321-02 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0322-03 | FLU | Afluria Quadrivalent, p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0322-04 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0323-03 | FLU | Afluria Quadrivalent, p-free; SEQ; SYR; 10-pack (Quad) | 150 | SEQ | 90686 | 2714 |
33332-0323-04 | FLU | Afluria quadrivalent preservative free | 150 | SEQ | 90686 | 2714 |
33332-0416-10 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0416-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0417-10 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0417-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0417-11 | FLU | Afluria, quadrivalent | 158 | PMC | 90688 | 2694 |
33332-0418-10 | FLU | Afluria Quadrivalent; SEQ; MDV10; 1-pack (Quad) | 158 | SEQ | 90687 | 2712 |
33332-0418-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0419-10 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0419-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0420-10 | FLU | Afluria Quadrivalent; SEQ; MDV10; 1-pack (Quad) | 158 | SEQ | 90687 | 2712 |
33332-0420-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0421-10 | FLU | Afluria Quadrivalent; SEQ; MDV10; 1-pack (Quad) | 158 | SEQ | 90687 | 2712 |
33332-0421-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0422-10 | FLU | Afluria Quadrivalent; SEQ; MDV10; 1-pack (Quad) | 158 | SEQ | 90687 | 2712 |
33332-0422-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0423-10 | FLU | Afluria Quadrivalent; SEQ; MDV10; 1-pack (Quad) | 158 | SEQ | 90687 | 2712 |
33332-0423-11 | FLU | Afluria, quadrivalent | 158 | SEQ | 90687 | 2712 |
33332-0519-01 | H1N1 | H1N1pfreecsl 0.5 | 126 | CSL | 90666 | 1455 |
33332-0519-25 | H1N1 | H1N1pfreecsl 0.5 | 126 | CSL | 90666 | 1455 |
33332-0629-10 | H1N1 | H1N1csl | 127 | CSL | 90668 | 1456 |
42515-0001-00 | Other | IXIARO | 134 | INT | 2787 | |
42515-0001-00 | Other | IXIARO | 134 | VAL | 90378 | 1640 |
42515-0001-01 | Other | Ixiaro | 134 | INT | 2787 | |
42515-0001-01 | Other | Ixiaro | 134 | VAL | 90378 | 1640 |
42515-0002-01 | Other | Ixiaro | 134 | VAL | 90378 | 1640 |
42515-0003-00 | Other | IXCHIQ | 317 | VAL | 2976 | |
42515-0003-01 | Other | IXCHIQ | 317 | VAL | 2976 | |
42874-0012-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0012-10 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0013-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0013-10 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0014-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0014-10 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0015-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0015-10 | FLU | Flublok; PSC; SDV; 10-pack | 155 | PSC | 2363 | |
42874-0016-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0016-10 | FLU | Flublok; PSC; SDV; 10-pack | 155 | PSC | 2363 | |
42874-0017-01 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0017-10 | FLU | Flublok | 155 | PSC | 2363 | |
42874-0117-01 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
42874-0117-01 | FLU | Flublok quadrivalent | 185 | PSC | 2751 | |
42874-0117-10 | FLU | Flublok quadrivalent | 185 | PSC | 2751 | |
43528-0002-01 | HBV | HEPLISAV-B | 189 | DVX | 90739 | 2771 |
43528-0002-05 | HBV | HEPLISAV-B | 189 | DVX | 90739 | 2771 |
43528-0003-01 | HBV | HEPLISAV-B | 189 | DVX | 90739 | 2771 |
43528-0003-05 | HBV | HEPLISAV-B; DVX; SYR; 5-pack | 189 | DVX | 90739 | 2771 |
46028-0114-01 | MEN-B | Bexsero; SKB; SYR; 10-pack | 163 | NOV | 2781 | |
46028-0114-02 | MEN-B | Bexsero; SKB; SYR; 1-pack | 163 | NOV | 2781 | |
46028-0114-11 | MEN-B | Bexsero | 163 | NOV | 2781 | |
46028-0208-01 | MEN | Menveo; SKB; SDV; 5-pack | 136 | NOV | 2789 | |
46028-0218-11 | MEN | MENVEO | 136 | NOV | 2789 | |
46028-0219-11 | MEN | MENVEO | 136 | NOV | 2789 | |
49281-0010-10 | FLU | Fluzone-Sanofi Vial | 140 | PMC | 1474 | |
49281-0010-25 | FLU | Fluzone-Sanofi .25 syr | 140 | PMC | 1474 | |
49281-0010-50 | FLU | Fluzone-Sanofi Syr | 140 | PMC | 1474 | |
49281-0011-10 | FLU | Fluzone-Sanofi Vial | 140 | PMC | 1474 | |
49281-0011-50 | FLU | Fluzone-Sanofi Syr | 140 | PMC | 1474 | |
49281-0012-10 | FLU | Fluzone-Sanofi 1 dose vial | 140 | PMC | 1474 | |
49281-0012-50 | FLU | Fluzone-Sanofi 1 dose syr | 140 | PMC | 1474 | |
49281-0013-10 | FLU | Fluzone-Sanofi 1 dose vial | 140 | PMC | 1474 | |
49281-0013-50 | FLU | Fluzone-Sanofi 1 dose syr | 140 | PMC | 1474 | |
49281-0013-58 | FLU | Fluzone > 3 yrs, Pfree | 140 | PMC | 1474 | |
49281-0013-88 | FLU | Fluzone > 3 yrs, Pfree | 140 | PMC | 1474 | |
49281-0014-50 | FLU | Fluzone > 3 yrs, Pfree; PMC; SYR; 10-pack | 140 | PMC | 1474 | |
49281-0014-88 | FLU | Fluzone > 3 yrs, Pfree | 140 | PMC | 1474 | |
49281-0111-25 | FLU | Fluzone-Sanofi .25 syr | 140 | PMC | 1474 | |
49281-0112-25 | FLU | Fluzone-Sanofi .25 syr | 140 | PMC | 1474 | |
49281-0113-00 | FLU | Fluzone > 3 yrs, Pfree | 140 | PMC | 1474 | |
49281-0113-25 | FLU | Fluzone-Sanofi .25 syr | 140 | PMC | 1474 | |
49281-0120-65 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0120-88 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0121-65 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0121-88 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0122-65 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0122-88 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0123-65 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0123-88 | FLU | FLUZONE High-Dose Quadrivalent | 197 | PMC | 2845 | |
49281-0124-65 | FLU | Fluzone-High Dose; PMC; SYR; 10-pack (Adult) | 135 | PMC | 1464 | |
49281-0124-88 | FLU | 135 | PMC | 1464 | ||
49281-0181-00 | FLU | FLUZONE Quadrivalent Southern Hemisphere, Pediatric | 200 | PMC | 2849 | |
49281-0181-25 | FLU | FLUZONE Quadrivalent Southern Hemisphere, Pediatric | 200 | PMC | 2849 | |
49281-0182-00 | FLU | FLUZONE Quadrivalent Southern Hemisphere, Pediatric | 200 | PMC | 2849 | |
49281-0182-25 | FLU | FLUZONE Quadrivalent Southern Hemisphere, Pediatric | 200 | PMC | 2849 | |
49281-0215-10 | Td | Tenivac; PMC; SDV; 10-pack | 113 | PMC | 90714 | 2020 |
49281-0215-15 | Td | Tenivac; PMC; SYR; 10-pack | 113 | PMC | 90714 | 2020 |
49281-0215-58 | Td | TENIVAC | 113 | PMC | 90714 | 2020 |
49281-0215-88 | Td | TENIVAC | 113 | PMC | 90714 | 2020 |
49281-0225-10 | DTP | DT(Generic) | 28 | PMC | 53 | |
49281-0225-58 | DTP | DT(Generic) | 28 | PMC | 53 | |
49281-0246-58 | Other | IMOVAX | 175 | PMC | 90675 | 2737 |
49281-0248-58 | Other | IMOVAX | 175 | PMC | 90675 | 2737 |
49281-0250-51 | Other | IMOVAX | 175 | PMC | 90675 | 2737 |
49281-0252-51 | Other | IMOVAX | 175 | PMC | 90675 | 2737 |
49281-0278-10 | DTP | DT(Generic) | 28 | PMC | 53 | |
49281-0286-01 | DTP | DAPTACEL | 106 | PMC | 90700 | 641 |
49281-0286-05 | DTP | DAPTACEL | 106 | PMC | 90700 | 641 |
49281-0286-10 | DTP | Daptacel; PMC; SDV; 10-pack | 106 | PMC | 90700 | 641 |
49281-0286-58 | DTP | DAPTACEL | 106 | PMC | 90700 | 641 |
49281-0291-10 | Td | Decavac-Sanofi Syr | 113 | PMC | 90714 | 2020 |
49281-0291-83 | Td | Decavac-Sanofi Vial | 113 | PMC | 90714 | 2020 |
49281-0298-10 | DTP | Tripedia-Sanofi | 20 | PMC | 90700 | 7 |
49281-0320-50 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0320-88 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0321-50 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0321-88 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0322-50 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0322-88 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0323-50 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0323-88 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0324-50 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0324-88 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 201 | PMC | 2847 | |
49281-0336-15 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0336-78 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0337-15 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0337-78 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0339-15 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0339-78 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0355-15 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0355-78 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0379-50 | FLU | FLUZONE High-Dose Quadrivalent Southern Hemisphere | 231 | PMC | 2949 | |
49281-0379-88 | FLU | FLUZONE High-Dose Quadrivalent Southern Hemisphere | 231 | PMC | 2949 | |
49281-0386-15 | FLU | Fluzone-Sanofi Vial | 141 | PMC | 1473 | |
49281-0387-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0388-15 | FLU | Fluzone-Sanofi Vial | 141 | PMC | 1473 | |
49281-0389-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0390-15 | FLU | Fluzone-Sanofi 10 dose vial | 141 | PMC | 1473 | |
49281-0391-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0392-15 | FLU | Fluzone-Sanofi 10 dose vial | 141 | PMC | 1473 | |
49281-0392-78 | FLU | Fluzone > 6 mnths | 141 | PMC | 1473 | |
49281-0393-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0393-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0394-15 | FLU | Fluzone > 6 mnths; PMC; MDV10; 1-pack | 141 | PMC | 1473 | |
49281-0394-78 | FLU | Fluzone > 6 mnths | 141 | PMC | 1473 | |
49281-0395-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0395-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0396-15 | FLU | Fluzone > 6 mnths; PMC; MDV10; 1-pack | 141 | PMC | 1473 | |
49281-0396-78 | FLU | Fluzone > 6 mnths | 141 | PMC | 1473 | |
49281-0397-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0397-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0398-15 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0398-78 | FLU | FLUZONE Quadrivalent Southern Hemisphere | 202 | PMC | 2848 | |
49281-0399-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0399-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0400-05 | Tdap | ADACEL | 115 | PMC | 90715 | 1324 |
49281-0400-10 | Tdap | Adacel; PMC; SDV; 10-pack | 115 | PMC | 90715 | 1324 |
49281-0400-15 | Tdap | Adacel; PMC; SYR; 5-pack | 115 | PMC | 90715 | 1324 |
49281-0400-20 | Tdap | Adacel; PMC; SYR; 5-pack | 115 | PMC | 90715 | 1324 |
49281-0400-58 | Tdap | ADACEL | 115 | PMC | 90715 | 1324 |
49281-0400-88 | Tdap | ADACEL | 115 | PMC | 90715 | 1324 |
49281-0400-89 | Tdap | ADACEL | 115 | PMC | 90715 | 1324 |
49281-0401-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0401-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0403-65 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0403-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0405-65 | FLU | Fluzone-High Dose; PMC; SYR; 10-pack (Adult) | 135 | PMC | 1464 | |
49281-0405-88 | FLU | Fluzone-High Dose | 135 | PMC | 1464 | |
49281-0413-10 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0413-50 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0413-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0413-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0414-10 | FLU | Fluzone Quadrivalent; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0414-50 | FLU | Fluzone Quadrivalent; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0414-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0414-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
49281-0414-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0415-10 | FLU | Fluzone Quadrivalent; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0415-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
49281-0415-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0415-88 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
49281-0416-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0416-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0416-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
49281-0416-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0416-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0417-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0417-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0417-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0417-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0418-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0418-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0418-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0418-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0419-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0419-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0419-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0419-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0420-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0420-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0420-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0420-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0421-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0421-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0421-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0421-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0422-10 | FLU | Fluzone Quadrivalent, p-free; PMC; SDV; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0422-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0422-58 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0422-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0423-50 | FLU | Fluzone Quadrivalent, p-free; PMC; SYR; 10-pack (Quad) | 150 | PMC | 90686 | 2364 |
49281-0423-88 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
49281-0424-50 | FLU | Fluzone Trivalent, p-free; PMC; SYR; 10-pack (TIV) | 140 | PMC | 3001 | |
49281-0424-88 | FLU | Fluzone Trivalent, Pfree | 140 | PMC | 3001 | |
49281-0487-58 | MEN | Menomune | 32 | PMC | 90733 | 602 |
49281-0488-78 | MEN | Menomune | 32 | PMC | 90733 | 602 |
49281-0489-01 | MEN | Menomune | 32 | PMC | 90733 | 602 |
49281-0489-91 | MEN | Menomune | 32 | PMC | 90733 | 602 |
49281-0510-05 | DTP,HIB,POL | Pentacel; PMC; SDV; 5-pack | 120 | PMC | 90698 | 1377 |
49281-0511-05 | DTP,HIB,POL | Pentacel; PMC; SDV; 5-pack | 120 | PMC | 90698 | 1377 |
49281-0513-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0513-25 | FLU | Fluzone-Sanofi .25 Syr Quadrivalent | 161 | PMC | 90685 | 2374 |
49281-0514-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0514-25 | FLU | Fluzone Quadrivalent, pediatric; PMC; SYR; 10-pack (Quad) | 161 | PMC | 90685 | 2374 |
49281-0516-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0516-25 | FLU | Fluzone Quadrivalent, pediatric; PMC; SYR; 10-pack (Quad) | 161 | PMC | 90685 | 2374 |
49281-0517-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0517-25 | FLU | Fluzone Quadrivalent, pediatric; PMC; SYR; 10-pack (Quad) | 161 | PMC | 90685 | 2374 |
49281-0518-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0518-25 | FLU | Fluzone Quadrivalent, pediatric; PMC; SYR; 10-pack | 161 | PMC | 90685 | 2374 |
49281-0519-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0519-25 | FLU | Fluzone Quadrivalent, pediatric; PMC; SYR; 10-pack (Quad) | 161 | PMC | 90685 | 2374 |
49281-0520-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0520-25 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0521-00 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0521-25 | FLU | Fluzone Quadrivalent, pediatric | 161 | PMC | 90685 | 2374 |
49281-0544-58 | DTP,HIB,POL | Pentacel | 120 | PMC | 90698 | 1377 |
49281-0545-03 | HIB | ActHib; PMC; SDV; 5-pack | 48 | PMC | 90648 | 39 |
49281-0545-05 | HIB | ActHib; PMC; SDV; 5-pack | 48 | PMC | 90648 | 39 |
49281-0545-15 | DTP,HIB,POL | Pentacel | 120 | PMC | 90698 | 1377 |
49281-0547-58 | HIB | ActHib | 48 | PMC | 90648 | 39 |
49281-0548-58 | DTP,HIB,POL | Pentacel | 120 | PMC | 90698 | 1377 |
49281-0560-05 | DTP,HIB,POL | Pentacel | 120 | PMC | 90698 | 1377 |
49281-0561-01 | DTP,HIB,POL | Pentacel | 120 | PMC | 90698 | 1377 |
49281-0562-10 | DTP,POL | Quadracel; PMC; SDV; 10-pack | 130 | PMC | 90696 | 2620 |
49281-0562-58 | DTP,POL | Quadracel | 130 | PMC | 90696 | 2620 |
49281-0564-10 | DTP,POL | Quadracel; PMC; SDV; 10-pack | 130 | PMC | 90696 | 2620 |
49281-0564-15 | DTP,POL | Quadracel; PMC; SYR; 10-pack | 130 | PMC | 90696 | 2620 |
49281-0564-58 | DTP,POL | Quadracel | 130 | PMC | 90696 | 2620 |
49281-0564-88 | DTP,POL | Quadracel | 130 | PMC | 90696 | 2620 |
49281-0574-15 | RSV | Beyfortus 100mg RSV; PMC; SYR; 5-pack | 307 | PMC | 2957 | |
49281-0574-88 | RSV | BEYFORTUS | 307 | PMC | 2957 | |
49281-0575-00 | RSV | BEYFORTUS | 306 | PMC | 2958 | |
49281-0575-15 | RSV | Beyfortus 50mg RSV; PMC; SYR; 5-pack | 306 | PMC | 2958 | |
49281-0589-05 | MEN | Menactra; PMC; SDV; 5-pack | 114 | PMC | 1322 | |
49281-0589-58 | MEN | Menactra | 114 | PMC | 1322 | |
49281-0590-01 | MEN | MenQuadfi | 203 | PMC | 2857 | |
49281-0590-05 | MEN | MenQuadfi; PMC; SDV; 5-pack | 203 | PMC | 2857 | |
49281-0590-10 | MEN | MenQuadfi; PMC; SDV; 10-pack | 203 | PMC | 2857 | |
49281-0590-58 | MEN | MenQuadfi | 203 | PMC | 2857 | |
49281-0605-01 | DENGUE | DENGVAXIA; PMC; SDV; 1-pack | 56 | PMC | 2844 | |
49281-0606-58 | DENGUE | DENGVAXIA | 56 | PMC | 2844 | |
49281-0618-20 | COVID-19 | Sanofi COVID-19 | 225 | PMC | 2909 | |
49281-0618-78 | COVID-19 | Sanofi COVID-19 | 225 | PMC | 2909 | |
49281-0621-15 | FLU | Fluzone Quadrivalent; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0621-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0625-15 | FLU | Fluzone Quadrivalent, p-free; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0625-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0627-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack | 158 | PMC | 90688 | 2694 |
49281-0627-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0629-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack | 158 | PMC | 90688 | 2694 |
49281-0629-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0631-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0631-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0633-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0633-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0635-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0635-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0637-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0637-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0639-15 | FLU | Fluzone Quadrivalent, with preservative; PMC; MDV10; 1-pack (Quad) | 158 | PMC | 90688 | 2694 |
49281-0639-78 | FLU | Fluzone, quadrivalent, with preservative | 158 | PMC | 90688 | 2694 |
49281-0640-15 | H1N1 | H1N1san | 127 | PMC | 90668 | 1452 |
49281-0641-15 | FLU | 141 | PMC | 3002 | ||
49281-0641-78 | FLU | 141 | PMC | 3002 | ||
49281-0650-10 | H1N1 | H1N1Pfreesan 0.5 | 126 | PMC | 90666 | 1451 |
49281-0650-25 | H1N1 | H1N1Pfreesan 0.5 | 126 | PMC | 90666 | 1451 |
49281-0650-50 | H1N1 | H1N1Pfreesan 0.5 | 126 | PMC | 90666 | 1451 |
49281-0650-70 | H1N1 | H1N1Pfreesan 0.5 | 126 | PMC | 90666 | 1451 |
49281-0650-90 | H1N1 | H1N1Pfreesan 0.5 | 126 | PMC | 90666 | 1451 |
49281-0703-55 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0705-55 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0707-48 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0707-55 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0708-40 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0708-48 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0709-48 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0709-55 | FLU | Fluzone, intradermal | 144 | PMC | 1660 | |
49281-0710-40 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0710-48 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0712-40 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0712-48 | FLU | Fluzone Quad Intradermal | 166 | PMC | 2683 | |
49281-0718-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0718-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0719-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0719-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0720-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0720-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0721-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0721-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0722-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0722-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0723-10 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0723-88 | FLU | Flublok quadrivalent | 185 | PMC | 2796 | |
49281-0724-10 | FLU | Flublok trivalent, preservative free | 155 | PMC | 2981 | |
49281-0724-88 | FLU | Flublok trivalent, preservative free | 155 | PMC | 2981 | |
49281-0790-20 | Other | Typhim Vi | 101 | PMC | 90691 | 33 |
49281-0790-38 | Other | Typhim Vi | 101 | PMC | 90691 | 33 |
49281-0790-51 | Other | Typhim Vi | 101 | PMC | 90691 | 33 |
49281-0790-88 | Other | Typhim Vi | 101 | PMC | 90691 | 33 |
49281-0800-83 | Td | TETANUS TOXOID (GENERIC) | 35 | PMC | 2794 | |
49281-0820-10 | Td | TETANUS TOXOID (GENERIC) | 35 | PMC | 2794 | |
49281-0860-10 | POL | IPOL; PMC; MDV10; 1-pack | 10 | PMC | 90713 | 781 |
49281-0860-55 | POL | e-IPV | 10 | PMC | 90713 | 781 |
49281-0860-78 | POL | e-IPV | 10 | PMC | 90713 | 781 |
49281-0860-88 | POL | e-IPV | 10 | PMC | 90713 | 781 |
49281-0913-01 | Other | Stamaril | 183 | PMC | 2745 | |
49281-0915-01 | Other | YF-VAX | 37 | PMC | 90717 | 36 |
49281-0915-05 | Other | YF-VAX | 37 | PMC | 90717 | 36 |
49281-0915-58 | Other | YF-VAX | 37 | PMC | 90717 | 36 |
49281-0915-68 | Other | YF-VAX | 37 | PMC | 90717 | 36 |
49281-0933-50 | FLU | FLUZONE High-Dose Quadrivalent Southern Hemisphere | 231 | PMC | 2949 | |
49281-0933-88 | FLU | FLUZONE High-Dose Quadrivalent Southern Hemisphere | 231 | PMC | 2949 | |
50090-1502-00 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
50090-1502-09 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
50090-1693-00 | POL | e-IPV | 10 | PMC | 90713 | 781 |
50090-1693-09 | POL | e-IPV | 10 | PMC | 90713 | 781 |
50090-2062-00 | Td | 113 | PMC | 90714 | 1327 | |
50090-2062-01 | Td | 113 | PMC | 90714 | 1327 | |
50090-2883-00 | DTP | INFANRIX | 20 | SKB | 90700 | 13 |
50090-2883-09 | DTP | INFANRIX | 20 | SKB | 90700 | 13 |
50090-3096-00 | Other | RABAVERT | 176 | SKB | 2741 | |
50090-3469-00 | HBV | HEPLISAV-B | 189 | DVX | 90739 | 2771 |
50090-3469-09 | HBV | HEPLISAV-B | 189 | DVX | 90739 | 2771 |
50090-3781-00 | HAV | HAVRIX-Peds | 83 | SKB | 90633 | 1419 |
50090-3781-01 | HAV | HAVRIX-Peds | 83 | SKB | 90633 | 1419 |
50090-4958-00 | HPV | 165 | MSD | 90651 | 2580 | |
50090-4958-01 | HPV | 165 | MSD | 90651 | 2580 | |
50090-5147-00 | ZOS | SHINGRIX | 187 | SKB | 90750 | 2765 |
50090-6026-00 | PNE | PREVNAR 20 | 216 | PFR | 2891 | |
50090-6026-01 | PNE | PREVNAR 20 | 216 | PFR | 2891 | |
50090-6180-00 | MEN | MenQuadfi | 203 | PMC | 2857 | |
50090-6180-01 | MEN | MenQuadfi | 203 | PMC | 2857 | |
50090-7036-00 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
50090-7036-01 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
50632-0001-01 | ORTHOPOX | JYNNEOS | 206 | BN | 2856 | |
50632-0001-02 | ORTHOPOX | Jynneos; BN; MDV5; 20-pack | 206 | BN | 2856 | |
50632-0001-03 | ORTHOPOX | Jynneos; BN; SDV; 10-pack | 206 | BN | 2856 | |
50632-0010-01 | Other | RABAVERT | 176 | BN | 2993 | |
50632-0010-01 | Other | RABAVERT | 176 | SKB | 2741 | |
50632-0013-01 | Other | RABAVERT | 176 | BN | 2993 | |
50632-0013-01 | Other | RABAVERT | 176 | SKB | 2741 | |
50632-0015-02 | Other | Vaxchora | 174 | BN | 2990 | |
50632-0016-02 | Other | Vivotif- BN | 25 | BN | 2994 | |
50632-0016-04 | Other | Vivotif- BN | 25 | BN | 2994 | |
51285-0138-50 | Other | Adenovirus types 4 and 7 | 143 | BRR | 2777 | |
51285-0138-50 | Other | Adenovirus types 4 and 7 | 143 | TVA | 2841 | |
51285-0174-02 | Other | Adenovirus types 4 and 7 | 143 | BRR | 2777 | |
51285-0174-02 | Other | Adenovirus types 4 and 7 | 143 | TVA | 2841 | |
51285-0175-02 | Other | Adenovirus types 4 and 7 | 143 | BRR | 2777 | |
51285-0175-02 | Other | Adenovirus types 4 and 7 | 143 | TVA | 2841 | |
54868-0734-00 | HBV | Engerix-B-Adult | 43 | SKB | 90746 | 25 |
54868-0980-00 | MMR | M-M-R II | 03 | MSD | 90707 | 1213 |
54868-2219-00 | HBV | Recombivax-Adult | 43 | MSD | 90746 | 27 |
54868-2219-01 | HBV | Recombivax-Adult | 43 | MSD | 90746 | 27 |
54868-3339-01 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
54868-3339-09 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
54868-4320-00 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
54868-4320-09 | PNE | PNEUMOVAX 23 | 33 | MSD | 90732 | 622 |
54868-6177-00 | FLU | Fluzone > 6 mnths | 141 | PMC | 1473 | |
54868-6180-00 | FLU | Fluzone > 3 yrs, Pfree | 140 | PMC | 1474 | |
55045-3841-01 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
58160-0723-03 | RSV | Arexvy | 303 | SKB | 2952 | |
58160-0726-15 | HIB | Hiberix; SKB; SDV; 10-pack | 48 | SKB | 90648 | 1458 |
58160-0740-02 | ROT | Rotarix | 119 | SKB | 90681 | 1379 |
58160-0740-21 | ROT | Rotarix; SKB; ORAL DOSE; 10-pack | 119 | SKB | 90681 | 1379 |
58160-0801-11 | HIB,MEN | Menhibrix; SKB; SDV; 10-pack | 148 | SKB | 90644 | 2372 |
58160-0802-02 | Other | Influenza A monovalent (H5N1), ADJUVANTED-2013 | 160 | SKB | 2786 | |
58160-0804-01 | Other | Influenza A monovalent (H5N1), ADJUVANTED-2013 | 160 | SKB | 2786 | |
58160-0806-01 | HIB | OmniHib | 48 | SKB | 90648 | 1458 |
58160-0806-05 | HIB | Hiberix | 48 | SKB | 90648 | 1458 |
58160-0808-15 | Other | Influenza A monovalent (H5N1), ADJUVANTED-2013 | 160 | SKB | 2786 | |
58160-0809-01 | HIB,MEN | MENHIBRIX | 148 | SKB | 90644 | 2372 |
58160-0809-05 | HIB,MEN | MENHIBRIX | 148 | SKB | 90644 | 2372 |
58160-0810-01 | DTP | INFANRIX | 20 | SKB | 90700 | 13 |
58160-0810-11 | DTP | Infanrix; SKB; SDV; 10-pack | 20 | SKB | 90700 | 13 |
58160-0810-43 | DTP | INFANRIX | 20 | SKB | 90700 | 13 |
58160-0810-52 | DTP | Infanrix; SKB; SYR; 10-pack | 20 | SKB | 90700 | 13 |
58160-0811-41 | DTP,HBV,POL | Pediarix | 110 | SKB | 90723 | 721 |
58160-0811-43 | DTP,HBV,POL | Pediarix | 110 | SKB | 90723 | 721 |
58160-0811-51 | DTP,HBV,POL | Pediarix | 110 | SKB | 90723 | 721 |
58160-0811-52 | DTP,HBV,POL | Pediarix; SKB; SYR; 10-pack | 110 | SKB | 90723 | 721 |
58160-0812-01 | DTP,POL | Kinrix | 130 | SKB | 90696 | 1378 |
58160-0812-11 | DTP,POL | Kinrix; SKB; SDV; 10-pack | 130 | SKB | 90696 | 1378 |
58160-0812-43 | DTP,POL | Kinrix | 130 | SKB | 90696 | 1378 |
58160-0812-52 | DTP,POL | Kinrix; SKB; SYR; 10-pack | 130 | SKB | 90696 | 1378 |
58160-0815-01 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-05 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-11 | HAV,HBV | Twinrix; SKB; SDV; 10-pack | 104 | SKB | 90636 | 661 |
58160-0815-34 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-41 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-43 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-46 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-48 | HAV,HBV | Twinrix | 104 | SKB | 90636 | 661 |
58160-0815-52 | HAV,HBV | Twinrix; SKB; SYR; 10-pack | 104 | SKB | 90636 | 661 |
58160-0816-01 | HIB | OmniHib | 48 | PMC | 90648 | 39 |
58160-0816-01 | HIB | OmniHib | 48 | SKB | 90648 | 1458 |
58160-0816-03 | HIB | OmniHib | 48 | SKB | 90648 | 1458 |
58160-0816-05 | HIB | OmniHib | 48 | PMC | 90648 | 39 |
58160-0816-05 | HIB | OmniHib | 48 | SKB | 90648 | 1458 |
58160-0818-11 | HIB | Hiberix; SKB; SDV; 10-pack | 48 | SKB | 90648 | 1458 |
58160-0819-12 | ZOS | SHINGRIX; SKB; SDV; 1-pack | 187 | SKB | 90750 | 2765 |
58160-0820-01 | HBV | Engerix B-Peds | 08 | SKB | 90744 | 1411 |
58160-0820-11 | HBV | Engerix B-Peds; SKB; SDV; 10-pack | 08 | SKB | 90744 | 1411 |
58160-0820-43 | HBV | Engerix B-Peds | 08 | SKB | 90744 | 1411 |
58160-0820-52 | HBV | Engerix B-Peds; SKB; SYR; 10-pack | 08 | SKB | 90744 | 1411 |
58160-0821-01 | HBV | Engerix-B-Adult | 43 | SKB | 90746 | 25 |
58160-0821-05 | HBV | Engerix-B-Adult | 43 | SKB | 90746 | 25 |
58160-0821-11 | HBV | Engerix-B-Adult; SKB; SDV; 10-pack | 43 | SKB | 90746 | 25 |
58160-0821-34 | HBV | Engerix-B-Adult | 43 | SKB | 90746 | 25 |
58160-0821-43 | HBV | Engerix-B-Adult | 43 | SKB | 90746 | 25 |
58160-0821-52 | HBV | Engerix-B-Adult; SKB; SYR; 10-pack | 43 | SKB | 90746 | 25 |
58160-0823-11 | ZOS | SHINGRIX; SKB; SDV; 10-pack | 187 | SKB | 90750 | 2765 |
58160-0824-15 | MMR | Priorix; SKB; SDV; 10-pack | 03 | SKB | 2931 | |
58160-0825-01 | HAV | HAVRIX-Peds | 83 | SKB | 90633 | 1419 |
58160-0825-11 | HAV | Havrix-Peds; SKB; SDV; 10-pack | 83 | SKB | 90633 | 1419 |
58160-0825-43 | HAV | HAVRIX-Peds | 83 | SKB | 90633 | 1419 |
58160-0825-52 | HAV | Havrix-Peds; SKB; SYR; 10-pack | 83 | SKB | 90633 | 1419 |
58160-0826-01 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
58160-0826-05 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
58160-0826-11 | HAV | Havrix-Adult; SKB; SDV; 10-pack | 52 | SKB | 90632 | 23 |
58160-0826-34 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
58160-0826-43 | HAV | HAVRIX-Adult | 52 | SKB | 90632 | 23 |
58160-0826-52 | HAV | Havrix-Adult; SKB; SYR; 10-pack | 52 | SKB | 90632 | 23 |
58160-0827-03 | MEN | Menveo | 136 | SKB | 90734 | 1460 |
58160-0827-30 | MEN | Menveo; SKB; SDV; 10-Pack | 136 | SKB | 90734 | 1460 |
58160-0828-01 | ZOS | SHINGRIX | 187 | SKB | 90750 | 2765 |
58160-0828-03 | ZOS | SHINGRIX | 187 | SKB | 90750 | 2765 |
58160-0830-05 | HPV | Cervarix | 118 | SKB | 1459 | |
58160-0830-34 | HPV | Cervarix | 118 | SKB | 1459 | |
58160-0830-43 | HPV | Cervarix | 118 | SKB | 1459 | |
58160-0830-52 | HPV | Cervarix; SKB; SYR; 10-pack | 118 | SKB | 1459 | |
58160-0831-03 | MMR | Priorix | 03 | SKB | 2931 | |
58160-0842-01 | Tdap | BOOSTRIX | 115 | SKB | 90715 | 1326 |
58160-0842-05 | Tdap | BOOSTRIX | 115 | SKB | 90715 | 1326 |
58160-0842-11 | Tdap | Boostrix; SKB; SDV; 10-pack | 115 | SKB | 90715 | 1326 |
58160-0842-34 | Tdap | BOOSTRIX | 115 | SKB | 90715 | 1326 |
58160-0842-41 | Tdap | BOOSTRIX | 115 | SKB | 90715 | 1326 |
58160-0842-43 | Tdap | BOOSTRIX | 115 | SKB | 90715 | 1326 |
58160-0842-51 | Tdap | Boostrix-GSK Syringe | 115 | SKB | 90715 | 1326 |
58160-0842-52 | Tdap | Boostrix; SKB; SYR; 10-pack | 115 | SKB | 90715 | 1326 |
58160-0848-11 | RSV | Arexvy RSV; SKB; SDV; 10-pack | 303 | SKB | 2952 | |
58160-0851-01 | ROT | Rotarix | 119 | SKB | 90681 | 1379 |
58160-0854-52 | ROT | Rotarix; SKB; SDV; 10-pack | 119 | SKB | 90681 | 1379 |
58160-0855-01 | AS03 adjuvant | 801 | SKB | 2780 | ||
58160-0855-19 | AS03 adjuvant | 801 | SKB | 2780 | ||
58160-0879-41 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0879-52 | FLU | Fluarix-GSK | 140 | SKB | 1317 | |
58160-0880-41 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0880-52 | FLU | Fluarix-GSK | 140 | SKB | 1317 | |
58160-0881-41 | FLU | Fluarix | 140 | CSL | 2779 | |
58160-0881-41 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0881-52 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0883-41 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0883-52 | FLU | Fluarix | 140 | SKB | 1317 | |
58160-0884-41 | FLU | 140 | SKB | 1317 | ||
58160-0884-52 | FLU | Fluarix Trivalent, p-free; SKB; SYR; 10-pack (TIV) | 140 | SKB | 1317 | |
58160-0885-41 | FLU | FLUARIX QUADRIVALENT | 150 | SKB | 90686 | 2341 |
58160-0885-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0887-41 | FLU | FLUARIX QUADRIVALENT | 150 | SKB | 90686 | 2341 |
58160-0887-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0890-41 | FLU | FLUARIX QUADRIVALENT | 150 | SKB | 90686 | 2341 |
58160-0890-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0896-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0896-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0898-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0898-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0900-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0900-52 | FLU | Fluarix-GSK Quadrivalent | 150 | SKB | 90686 | 2341 |
58160-0901-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0901-52 | FLU | Fluarix Quadrivalent; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0903-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0903-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
58160-0903-52 | FLU | Fluarix Quadrivalent; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0905-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0905-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0907-41 | FLU | Fluarix, quadrivalent, preservative free | 150 | SKB | 90686 | 2341 |
58160-0907-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0909-41 | FLU | 150 | SKB | 90686 | 2341 | |
58160-0909-52 | FLU | Fluarix Quadrivalent, p-free; SKB; SYR; 10-pack (Quad) | 150 | SKB | 90686 | 2341 |
58160-0955-09 | MEN | Menveo; SKB; SDV; 5-pack | 136 | SKB | 90734 | 1460 |
58160-0958-01 | MEN | Menveo | 136 | SKB | 90734 | 1460 |
58160-0959-01 | MEN | Menveo | 136 | SKB | 90734 | 1460 |
58160-0964-12 | Other | RABAVERT | 176 | SKB | 2741 | |
58160-0966-01 | Other | RABAVERT | 176 | SKB | 2741 | |
58160-0966-12 | Other | RABAVERT | 176 | SKB | 2741 | |
58160-0976-02 | MEN-B | Bexsero | 163 | SKB | 90620 | 2640 |
58160-0976-06 | MEN-B | Bexsero; SKB; SYR; 1-pack | 163 | SKB | 90620 | 2640 |
58160-0976-20 | MEN-B | Bexsero; SKB; SYR; 10-pack | 163 | SKB | 90620 | 2640 |
59267-0078-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 219 | PFR | 2896 | |
59267-0078-02 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 219 | PFR | 2896 | |
59267-0078-04 | COVID-19 | COVID-19 (Pfizer Comirnaty pediatric ages 6m-4y); PFR; MDV10; 10-pack | 219 | PFR | 2896 | |
59267-0304-01 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent) | 300 | PFR | 2933 | |
59267-0304-02 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent booster 12+ years); PFR; MDV6; 10-pack | 300 | PFR | 2933 | |
59267-0565-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 301 | PFR | 2934 | |
59267-0565-02 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent booster 5-11 years); PFR; MDV10; 10-pack | 301 | PFR | 2934 | |
59267-0609-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 302 | PFR | 2940 | |
59267-0609-02 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent 6m-4y); PFR; MDV10; 10-pack | 302 | PFR | 2940 | |
59267-1000-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine | 208 | PFR | 2862 | |
59267-1000-02 | COVID-19 | COVID-19 (Pfizer); PFR; MDV6; 195-pack | 208 | PFR | 2862 | |
59267-1000-03 | COVID-19 | COVID-19 (Pfizer); PFR; MDV6; 75-pack | 208 | PFR | 2862 | |
59267-1025-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 217 | PFR | 2895 | |
59267-1025-02 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 217 | PFR | 2895 | |
59267-1025-03 | COVID-19 | COVID-19 (Pfizer Comirnaty TRIS); PFR; MDV6; 25-pack | 217 | PFR | 2895 | |
59267-1025-04 | COVID-19 | COVID-19 (Pfizer Comirnaty TRIS primary series only 12+ years); PFR; MDV6; 10-pack | 217 | PFR | 2895 | |
59267-1055-01 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 218 | PFR | 2897 | |
59267-1055-02 | COVID-19 | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled) | 218 | PFR | 2897 | |
59267-1055-04 | COVID-19 | COVID-19 (Pfizer Comirnaty primary series only pediatric ages 5-11 years); PFR; MDV10; 10-pack | 218 | PFR | 2897 | |
59267-1404-01 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent) | 300 | PFR | 2933 | |
59267-1404-02 | COVID-19 | Pfizer COVID-19 Vaccine (Comirnaty bivalent booster 12+ years); PFR; SDV; 10-pack | 300 | PFR | 2933 | |
59267-4315-01 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 6m-4y) | 308 | PFR | 2998 | |
59267-4315-02 | COVID-19 | Pfizer-BioNTech COVID-19 (2023-2024 6m-4y); PFR; MDV3; 10-pack | 308 | PFR | 91318 | 2959 |
59267-4331-01 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 5-11 years) | 310 | PFR | 2996 | |
59267-4331-02 | COVID-19 | Pfizer-BioNTech COVID-19 (2023-2024 5-11 years); PFR; SDV; 10-pack | 310 | PFR | 91319 | 2961 |
59267-4426-01 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 6m-4y) | 308 | PFR | 2998 | |
59267-4426-02 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 6m-4y); PFR; MDV3; 10-pack | 308 | PFR | 2998 | |
59267-4438-01 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 5-11 years) | 310 | PFR | 2996 | |
59267-4438-02 | COVID-19 | Pfizer-BioNTech COVID-19 (2024-2025 5-11 years); PFR; SDV; 10-pack | 310 | PFR | 2996 | |
59676-0580-05 | COVID-19 | Janssen (J&J) COVID-19 Vaccine | 212 | JSN | 2868 | |
59676-0580-15 | COVID-19 | Janssen (J&J) COVID-19 Vaccine; JSN; MDV5; 10-pack | 212 | JSN | 2868 | |
62195-0051-01 | Other | Ixiaro | 134 | VAL | 90378 | 1640 |
62195-0051-10 | Other | Ixiaro | 134 | VAL | 90378 | 1640 |
62577-0613-01 | FLU | Flucelvax; NOV; SYR; 10-pack | 153 | NOV | 2365 | |
62577-0613-11 | FLU | Flucelvax | 153 | NOV | 2365 | |
62577-0614-01 | FLU | Flucelvax; NOV; SYR; 10-pack | 153 | NOV | 2365 | |
62577-0614-11 | FLU | Flucelvax | 153 | NOV | 2365 | |
63361-0243-10 | DTP,HIB,POL,HBV | VAXELIS; PMC; SDV; 10-pack | 146 | MSP | 2878 | |
63361-0243-15 | DTP,HIB,POL,HBV | VAXELIS; PMC; SYR; 10-pack | 146 | MSP | 2878 | |
63361-0243-58 | DTP,HIB,POL,HBV | VAXELIS | 146 | MSP | 2878 | |
63361-0243-88 | DTP,HIB,POL,HBV | VAXELIS | 146 | MSP | 2878 | |
63361-0245-10 | DTP,HIB,POL,HBV | VAXELIS | 146 | MSP | 2878 | |
63361-0245-10 | DTP,HIB,POL,HBV | VAXELIS | 146 | PMC | 2797 | |
63361-0245-58 | DTP,HIB,POL,HBV | VAXELIS | 146 | MSP | 2878 | |
63361-0245-58 | DTP,HIB,POL,HBV | VAXELIS | 146 | PMC | 2797 | |
63851-0501-01 | Other | RABAVERT | 176 | NOV | 2791 | |
63851-0501-02 | Other | RABAVERT | 176 | NOV | 2791 | |
63851-0511-11 | Other | RABAVERT | 176 | NOV | 2791 | |
63851-0612-01 | FLU | Flucelvax | 153 | NOV | 2365 | |
63851-0612-11 | FLU | Flucelvax | 153 | NOV | 2365 | |
63851-0613-01 | FLU | Flucelvax | 153 | NOV | 2365 | |
63851-0613-11 | FLU | Flucelvax | 153 | NOV | 2365 | |
64678-0211-01 | Other | Biothrax | 24 | MIP | 90581 | 1405 |
64678-0211-05 | Other | Biothrax | 24 | MIP | 90581 | 1405 |
66019-0107-01 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0108-01 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0108-10 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0109-01 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0109-10 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0110-01 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0110-10 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0200-01 | H1N1 | H1N1mednasal | 125 | MED | 90664 | 1457 |
66019-0200-10 | H1N1 | H1N1mednasal | 125 | MED | 90664 | 1457 |
66019-0300-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0300-10 | FLU | Flumist Quadrivalent | 149 | MED | 2060 | |
66019-0301-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0301-10 | FLU | Flumist Quadrivalent; MED; SPRAYER;10-pack (Quad) | 149 | MED | 2060 | |
66019-0302-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0302-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0303-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0303-10 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0304-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0304-10 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0305-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0305-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0306-01 | FLU | Flumist quadrivalent | 149 | MED | 2060 | |
66019-0306-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0307-01 | FLU | FluMist Quadrivalent | 149 | MED | 2060 | |
66019-0307-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0308-01 | FLU | FluMist Quadrivalent | 149 | MED | 2060 | |
66019-0308-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0309-01 | FLU | FluMist Quadrivalent | 149 | MED | 2060 | |
66019-0309-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0310-01 | FLU | 149 | MED | 2060 | ||
66019-0310-10 | FLU | Flumist Quadrivalent; MED; SPRAYER; 10-pack (Quad) | 149 | MED | 2060 | |
66019-0311-00 | FLU | Flumist | 111 | MED | 90660 | 1323 |
66019-0311-10 | FLU | Flumist Trivalent; MED; SPRAYER; 10-pack (TIV) | 111 | MED | 90660 | 1323 |
66521-0000-01 | FLU | Fluad | 168 | NOV | 2782 | |
66521-0000-11 | FLU | Fluad | 168 | NOV | 2782 | |
66521-0112-02 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0112-10 | FLU | FLUVIRIN | 141 | NOV | 2783 | |
66521-0113-02 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0113-10 | FLU | Fluvirin - Novartis Vial | 141 | NOV | 2783 | |
66521-0114-02 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0114-10 | FLU | Fluvirin - Novartis Vial | 141 | NOV | 2783 | |
66521-0115-02 | FLU | Fluvirin - Novartis Syr | 140 | NOV | 90656 | 1463 |
66521-0115-10 | FLU | Fluvirin - Novartis Vial | 141 | NOV | 2783 | |
66521-0116-02 | FLU | Fluvirin - Novartis Syr | 140 | NOV | 90656 | 1463 |
66521-0116-10 | FLU | Fluvirin - Novartis Vial | 141 | NOV | 2783 | |
66521-0116-11 | FLU | FLUVIRIN | 141 | NOV | 2783 | |
66521-0116-11 | FLU | FLUVIRIN | 141 | PMC | 1473 | |
66521-0116-12 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0117-02 | FLU | Fluvirin Pfree; NOV; SYR; 10-pack | 140 | NOV | 90656 | 1463 |
66521-0117-10 | FLU | Fluvirin Pfree; NOV; MDV10; 1-pack | 141 | NOV | 2783 | |
66521-0117-11 | FLU | FLUVIRIN | 141 | NOV | 2783 | |
66521-0117-12 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0118-02 | FLU | Fluvirin Pfree; NOV; SYR; 10-pack | 140 | NOV | 90656 | 1463 |
66521-0118-10 | FLU | Fluvirin; NOV; MDV10; 1-pack | 141 | NOV | 2783 | |
66521-0118-11 | FLU | FLUVIRIN | 141 | NOV | 2783 | |
66521-0118-12 | FLU | Agriflu | 140 | NOV | 90656 | 1463 |
66521-0118-12 | FLU | Agriflu | 140 | PMC | 1474 | |
66521-0200-02 | H1N1 | H1N1nov | 127 | NOV | 90668 | 1454 |
66521-0200-10 | H1N1 | H1N1pfreenov 0.5 | 126 | NOV | 90666 | 1453 |
69401-0000-01 | Other | Vivotif | 25 | PAX | 2701 | |
69401-0000-02 | Other | Vivotif | 25 | PAX | 2701 | |
70460-0001-01 | Other | VAXCHORA | 174 | PAX | 2733 | |
70460-0002-02 | Other | VAXCHORA | 174 | PAX | 2733 | |
70460-0004-01 | Other | VAXCHORA | 174 | PAX | 2733 | |
70461-0001-01 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0001-11 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0002-01 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0002-11 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0018-03 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0018-04 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0019-03 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0019-04 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0020-03 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0020-04 | FLU | Fluad | 168 | NOV | 2782 | |
70461-0020-04 | FLU | Fluad | 168 | SEQ | 2716 | |
70461-0024-03 | FLU | 168 | SEQ | 2716 | ||
70461-0024-04 | FLU | 168 | SEQ | 2716 | ||
70461-0119-02 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
70461-0119-10 | FLU | Fluvirin; NOV; MDV10; 1-pack | 141 | SEQ | 1472 | |
70461-0119-11 | FLU | Fluvirin | 141 | SEQ | 1472 | |
70461-0119-12 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
70461-0120-02 | FLU | Fluvirin-Preservative Free; SEQ; SYR; 10-pack | 140 | SEQ | 1466 | |
70461-0120-03 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0120-04 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0120-10 | FLU | Fluvirin; SEQ; MDV10; 1-pack | 141 | SEQ | 1472 | |
70461-0120-11 | FLU | Fluvirin | 141 | SEQ | 1472 | |
70461-0120-12 | FLU | Fluvirin-Preservative Free | 140 | NOV | 90656 | 1463 |
70461-0120-12 | FLU | Fluvirin-Preservative Free | 140 | SEQ | 1466 | |
70461-0121-03 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0121-04 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0122-03 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0122-04 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0123-03 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0123-04 | FLU | FLUAD Quadrivalent | 205 | SEQ | 2855 | |
70461-0200-01 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack | 171 | SEQ | 90674 | 2703 |
70461-0200-11 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0201-01 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0201-11 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0301-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pac | 186 | SEQ | 2757 | |
70461-0301-12 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0318-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0318-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0319-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0319-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0320-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0320-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0321-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0321-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0322-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0322-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0323-03 | FLU | Flucelvax Quadrivalent; SEQ; SYR; 10-pack (Quad) | 171 | SEQ | 90674 | 2703 |
70461-0323-04 | FLU | Flucelvax, quadrivalent | 171 | SEQ | 90674 | 2703 |
70461-0418-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pac | 186 | SEQ | 2757 | |
70461-0418-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0419-10 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0419-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0420-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pack (Quad) | 186 | SEQ | 2757 | |
70461-0420-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0421-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pack (Quad) | 186 | SEQ | 2757 | |
70461-0421-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0422-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pack (Quad) | 186 | SEQ | 2757 | |
70461-0422-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0423-10 | FLU | Flucelvax Quadrivalent, with preservative; SEQ; MDV10; 1-pack (Quad) | 186 | SEQ | 2757 | |
70461-0423-11 | FLU | Flucelvax, quadrivalent, with preservative | 186 | SEQ | 2757 | |
70461-0554-10 | FLU | Flucelvax trivalent, with preservative | 320 | SEQ | 2983 | |
70461-0554-11 | FLU | Flucelvax trivalent, with preservative | 320 | SEQ | 2983 | |
70461-0654-03 | FLU | Flucelvax Trivalent, p-free; SEQ; SYR; 10-pack (TIV) | 153 | SEQ | 2982 | |
70461-0654-04 | FLU | Flucelvax trivalent, preservative free | 153 | SEQ | 2982 | |
71665-0001-01 | Other | Biothrax | 24 | MIP | 90581 | 1405 |
71665-0001-01 | Other | Biothrax | 318 | MIP | 2978 | |
71665-0001-02 | Other | Biothrax | 24 | MIP | 90581 | 1405 |
71665-0001-02 | Other | Biothrax | 318 | MIP | 2978 | |
71665-0330-01 | ORTHOPOX | ACAM2000 | 75 | MIP | 2929 | |
71665-0330-02 | ORTHOPOX | ACAM2000 | 75 | MIP | 2929 | |
75052-0001-01 | HBV | PREHEVBRIO Hepatitis B Vaccine (Recombinant) | 220 | VBI | 2905 | |
75052-0001-10 | HBV | PREHEVBRIO Hep B Recombinant (Adult); VBI; SDV; 10-pack | 220 | VBI | 2905 | |
76420-0482-01 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
76420-0483-01 | FLU | Fluzone, quadrivalent, preservative free | 150 | PMC | 90686 | 2364 |
80631-0100-01 | COVID-19 | Novavax COVID-19 Vaccine | 211 | NVX | 2871 | |
80631-0100-10 | COVID-19 | COVID-19 (Novavax); NVX; MDV10; 10-pack | 211 | NVX | 2871 | |
80631-0102-01 | COVID-19 | Novavax COVID-19 Vaccine | 211 | NVX | 2871 | |
80631-0102-10 | COVID-19 | Novavax COVID-19 Vaccine | 211 | NVX | 2871 | |
80631-0105-01 | COVID-19 | Novavax COVID-19 (2024-2025 12+ years) | 313 | NVX | 3000 | |
80631-0105-02 | COVID-19 | Novavax COVID-19 (2023-2024 12+ years); NVX; MDV5; 2-pack | 313 | NVX | 91304 | 2964 |
80631-0107-01 | COVID-19 | Novavax COVID-19 (2024-2025 12+ years) | 313 | NVX | 3000 | |
80631-0107-10 | COVID-19 | COVID-19 (Novavax 2024-2025 12+ years); NVX; SYR; 10-pack | 313 | NVX | 3000 | |
80777-0100-11 | COVID-19 | Moderna COVID-19 Vaccine | 207 | MOD | 2861 | |
80777-0100-99 | COVID-19 | COVID-19 (Moderna Spikevax); MOD; MDV10; 10-pack | 207 | MOD | 2861 | |
80777-0102-01 | COVID-19 | Spikevax COVID-19 (2024-2025 12+ years) | 312 | MOD | 2999 | |
80777-0102-04 | COVID-19 | Spikevax COVID-19 (2024-2025 12+ years) | 312 | MOD | 2999 | |
80777-0102-93 | COVID-19 | Spikevax COVID-19 (2023-2024 12+ years); MOD; Blister SYR; 10-pack | 312 | MOD | 91322 | 2963 |
80777-0102-95 | COVID-19 | Spikevax COVID-19 (2023-2024 12+ years); MOD; SDV; 10-pack | 312 | MOD | 91322 | 2963 |
80777-0102-96 | COVID-19 | Spikevax COVID-19 (2023-2024 12+ years); MOD; SYR; 10-pack | 312 | MOD | 91322 | 2963 |
80777-0110-01 | COVID-19 | Spikevax COVID-19 (2024-2025 12+ years) | 312 | MOD | 2999 | |
80777-0110-93 | COVID-19 | Spikevax COVID-19 (2024-2025 12+ years); MOD; SYR;10-pk | 312 | MOD | 2999 | |
80777-0110-96 | COVID-19 | Spikevax COVID-19 (2024-2025 12+ years) | 312 | MOD | 2999 | |
80777-0273-10 | COVID-19 | Moderna COVID-19 Vaccine | 207 | MOD | 2861 | |
80777-0273-15 | COVID-19 | Moderna COVID-19 Vaccine | 207 | MOD | 2861 | |
80777-0273-98 | COVID-19 | COVID-19 (Moderna); MOD; MDV14; 10-pack | 207 | MOD | 2861 | |
80777-0273-99 | COVID-19 | COVID-19 (Moderna primary series only); MOD; MDV10; 10-pack | 207 | MOD | 2861 | |
80777-0275-05 | COVID-19 | Moderna COVID-19 Vaccine (non-US Spikevax) | 221 | MOD | 2907 | |
80777-0275-99 | COVID-19 | COVID-19 (Moderna Spikevax primary series only pediatric ages 6y-11y); MOD; MDV5; 10-pack | 221 | MOD | 2907 | |
80777-0277-05 | COVID-19 | Moderna COVID-19 Vaccine (non-US Spikevax) | 227 | MOD | 2919 | |
80777-0277-99 | COVID-19 | Moderna COVID-19 Vaccine (non-US Spikevax) | 227 | MOD | 2919 | |
80777-0279-05 | COVID-19 | Moderna COVID-19 Vaccine (non-US Spikevax) | 228 | MOD | 2920 | |
80777-0279-99 | COVID-19 | COVID-19 (Moderna Spikevax pediatric ages 6m-5y); MOD; MDV10; 10-pack | 228 | MOD | 2920 | |
80777-0282-05 | COVID-19 | Moderna COVID-19 Vaccine (Spikevax bivalent) | 229 | MOD | 2930 | |
80777-0282-99 | COVID-19 | Moderna COVID-19 Vaccine (Spikevax bivalent Dark Blue Cap); MOD; MDV5; 10-pack | 229 | MOD | 2930 | |
80777-0283-02 | COVID-19 | Moderna COVID-19 Vaccine (non-US Spikevax) | 230 | MOD | 2939 | |
80777-0283-99 | COVID-19 | Moderna COVID-19 Vaccine (Spikevax bivalent Dark Pink Cap); MOD; MDV2; 10-pack | 230 | MOD | 2939 | |
80777-0287-07 | COVID-19 | Moderna COVID-19 (2023-2024 6m-11y) | 311 | MOD | 91321 | 2962 |
80777-0287-92 | COVID-19 | Moderna COVID-19 (2023-2024 6m-11y); MOD; SDV; 10-pack | 311 | MOD | 91321 | 2962 |
80777-0291-09 | COVID-19 | Moderna COVID-19 (2024-2025 6m-11y) | 311 | MOD | 2997 | |
80777-0291-80 | COVID-19 | Moderna COVID-19 (2024-2025 6m-11y); MOD; SYR;10-pk | 311 | MOD | 2997 | |
80777-0291-81 | COVID-19 | Moderna COVID-19 (2024-2025 6m-11y) | 311 | MOD | 2997 | |
80777-0345-01 | RSV | mRESVIA | 326 | MOD | 2989 | |
80777-0345-89 | RSV | mRESVIA | 326 | MOD | 2989 | |
80777-0345-90 | RSV | mRESVIA | 326 | MOD | 2989 | |
80777-0345-96 | RSV | mRESVIA | 326 | MOD | 2989 | |
88888-1000-02 | COVID-19 | E2E Test Pfizer Vaccine | 208 | PFR | 2862 |
Vaccine CVX/MVX Codes
CVX Code | MVX Code | Vaccine Name | CPT Code | Vaccine ID |
---|---|---|---|---|
01 | MSD | Trinivac | 90707 | 1435 |
01 | WAL | Tri-Immunol | 90701 | 18 |
01 | UNK | DTP | 90701 | 50 |
02 | WAL | Orimune | 90712 | 37 |
02 | UNK | OPV | 90712 | 59 |
03 | MSD | M-M-R II | 90707 | 1213 |
03 | SKB | Priorix | 2931 | |
03 | UNK | MMR | 90707 | 44 |
04 | UNK | M/R | 90708 | 1212 |
05 | MSD | Attenuvax | 90705 | 1401 |
05 | UNK | Measles | 90705 | 1121 |
06 | MSD | MeruVax II | 90706 | 1424 |
06 | UNK | Rubella | 90706 | 1123 |
07 | MSD | Mumpsvax | 90704 | 1693 |
07 | UNK | Mumps | 90704 | 1122 |
08 | MSD | Recombivax-Peds | 90744 | 28 |
08 | SKB | Engerix B-Peds | 90744 | 1411 |
08 | UNK | Hep B, adolescent or pediatric | 90744 | 1214 |
09 | AKR | Td, adsorbed | 90718 | 61 |
09 | GRF | TDVAX | 2728 | |
09 | MBL | Td, adsorbed | 2793 | |
09 | MSD | Td-MSD | 90718 | 2040 |
09 | UNK | Td (adult), 2 Lf tetanus toxoid, p-free, adsorbed | 90718 | 9 |
09 | UNK | Td, adsorbed | 90718 | 61 |
10 | PMC | IPOL | 90713 | 781 |
10 | UNK | IPV | 90713 | 57 |
11 | UNK | Pertussis | 1240 | |
12 | UNK | Diphtheria antitoxin | 90296 | 1215 |
13 | UNK | TIG | 90389 | 1216 |
14 | UNK | IG, unspecified formulation | 90741 | 1217 |
15 | SKB | Fluarix 0.25 | 1318 | |
15 | UNK | influenza, split (incl. purified surface antigen) | 1417 | |
16 | UNK | influenza, whole | 90659 | 58 |
17 | UNK | Hib, unspecified formulation | 90737 | 56 |
18 | CHI | RabAvert | 2792 | |
18 | MIP | BioRab | 90675 | 1404 |
18 | NOV | RabAvert | 90675 | 1427 |
18 | PMC | IMOVAX | 90675 | 1422 |
18 | UNK | rabies, intramuscular injection | 90675 | 681 |
19 | MSD | TICE BCG | 2877 | |
19 | OTC | TICE BCG | 90585 | 1441 |
19 | PMC | Mycobax | 90585 | 1425 |
19 | UNK | BCG | 90585 | 11 |
20 | BAH | Certiva | 90700 | 14 |
20 | PMC | Tripedia | 90700 | 7 |
20 | SKB | INFANRIX | 90700 | 13 |
20 | WAL | Acel-Imune | 90700 | 1400 |
20 | UNK | DTaP | 90700 | 49 |
21 | MSD | Varivax | 90716 | 45 |
21 | UNK | Varicella | 90716 | 63 |
22 | WAL | TETRAMUNE | 90720 | 8 |
22 | UNK | DTP-HIB | 90720 | 51 |
23 | UNK | Plague | 90727 | 1218 |
24 | MIP | Biothrax | 90581 | 1405 |
24 | USA | AVAC-1 | 90581 | 1325 |
24 | UNK | Anthrax | 90581 | 1219 |
25 | BN | Vivotif- BN | 2994 | |
25 | BPC | Vivotif Berna | 90690 | 34 |
25 | CRU | VIVOTIF BERNA | 2795 | |
25 | PAX | Vivotif | 2701 | |
25 | UNK | Typhoid, ORAL | 90690 | 62 |
26 | UNK | cholera, unspecified formulation | 90725 | 12 |
27 | UNK | Botulinum antitoxin | 90287 | 1220 |
28 | PMC | DT(Generic) | 53 | |
28 | UNK | DT - P free | 90702 | 761 |
29 | UNK | CMVIG | 90291 | 1221 |
30 | UNK | HBIG | 90371 | 67 |
31 | UNK | Hep A, pediatric, unspecified formulation | 1241 | |
32 | PMC | Menomune | 90733 | 602 |
32 | UNK | meningococcal MPSV4 | 90733 | 1222 |
33 | MSD | PNEUMOVAX 23 | 90732 | 622 |
33 | WAL | Pnu-Imune 23 | 90732 | 621 |
33 | UNK | pneumococcal polysaccharide PPV23 | 90732 | 1223 |
34 | PMC | Imogam Rabies HT | 90376 | 1421 |
34 | TAL | RIG | 90375 | 1224 |
34 | UNK | RIG - HT | 90376 | 1429 |
35 | PMC | TETANUS TOXOID (GENERIC) | 2794 | |
35 | UNK | Tetanus Toxoid (Generic) | 90703 | 1125 |
36 | UNK | VZIG | 90396 | 1225 |
37 | PMC | YF-VAX | 90717 | 36 |
37 | UNK | Yellow Fever | 90717 | 64 |
38 | MSD | Biavax II | 1402 | |
38 | UNK | Rubella/Mumps | 1242 | |
39 | JPN | JE-VAX | 90735 | 663 |
39 | JPN | Varicella | 90716 | 63 |
39 | UNK | Japanese Encephalitis SC | 90735 | 664 |
40 | CHI | RabAvert | 90675 | 1427 |
40 | PMC | IMOVAX ID | 2784 | |
40 | UNK | rabies, intradermal injection | 90676 | 1226 |
41 | UNK | Typhoid, Parenteral | 90692 | 1444 |
42 | UNK | Hep B, adolescent/high risk infant | 29 | |
43 | SKB | Engerix-B-Adult | 90746 | 25 |
43 | UNK | Hep B, adult | 90746 | 1274 |
44 | MSD | Recombivax-Dialysis | 90747 | 1428 |
44 | SKB | Engerix-B Dialysis 4 dose | 1410 | |
44 | UNK | Hep B, dialysis | 90747 | 1228 |
45 | UNK | Hep B, unspecified formulation | 90731 | 1229 |
46 | PMC | ProHIBit | 90646 | 40 |
46 | UNK | Hib (PRP-D) | 90646 | 1230 |
47 | WAL | HibTITER | 90645 | 41 |
47 | UNK | Hib (HbOC) | 90645 | 1231 |
48 | PMC | ActHib | 90648 | 39 |
48 | UNK | Hib (PRP-T) | 90648 | 1232 |
49 | MSD | PedvaxHIB | 90647 | 42 |
49 | UNK | Hib (PRP-OMP) | 90647 | 1233 |
50 | PMC | TriHIBit | 90721 | 35 |
50 | UNK | DTaP-HIB | 90721 | 52 |
51 | MSD | Comvax | 90748 | 66 |
51 | UNK | Hib-Hep B | 90748 | 1234 |
52 | MSD | VAQTA-Adult | 90632 | 24 |
52 | SKB | HAVRIX-Adult | 90632 | 23 |
52 | UNK | Hep A, adult | 90632 | 54 |
53 | UNK | typhoid-AKD | 90693 | 1235 |
54 | UNK | Adenovirus, TYPE 4 | 90476 | 1236 |
55 | UNK | Adenovirus, TYPE 7 | 90477 | 1237 |
56 | PMC | DENGVAXIA | 2844 | |
56 | UNK | Dengue fever | 1243 | |
57 | UNK | Hantavirus | 1273 | |
58 | UNK | Hep C | 2798 | |
59 | UNK | Hep E | 2799 | |
60 | UNK | herpes simplex 2 | 2800 | |
61 | UNK | HIV | 2801 | |
62 | MSD | GARDASIL | 90649 | 1418 |
62 | UNK | HPV, quadrivalent | 90649 | 1249 |
63 | UNK | Junin Virus | 1250 | |
64 | UNK | Leishmaniasis | 1251 | |
65 | UNK | Leprosy | 1252 | |
66 | SKB | LymeRix | 90665 | 1423 |
66 | UNK | Lyme Disease | 90665 | 1238 |
67 | UNK | Malaria | 1253 | |
68 | UNK | Melanoma | 1254 | |
69 | UNK | Parainfluenza-3 | 1255 | |
70 | UNK | Q fever | 1256 | |
71 | MED | Respigam | 90379 | 1443 |
71 | UNK | RSV-IgIV | 90379 | 1239 |
72 | UNK | Rheumatic Fever | 1257 | |
73 | UNK | Rift Valley Fever | 1258 | |
74 | WAL | RotaShield | 46 | |
74 | UNK | rotavirus, tetravalent | 1432 | |
75 | ACA | ACAM2000 | 2775 | |
75 | MIP | ACAM2000 | 2929 | |
75 | PMC | ACAM2000 | 2776 | |
75 | WAL | Dryvax | 1406 | |
75 | UNK | vaccinia (smallpox) | 1289 | |
76 | UNK | Staphylococcus bacterio lysate | 1259 | |
77 | PFR | TICOVAC | 2902 | |
77 | UNK | tick-borne encephalitis | 1260 | |
78 | UNK | Tularemia vaccine | 1261 | |
79 | UNK | vaccinia immune globulin | 90393 | 1292 |
80 | UNK | VEE, live | 1262 | |
81 | UNK | VEE, inactivated | 1263 | |
82 | UNK | Adenovirus, unspecified formulation | 1264 | |
83 | MSD | VAQTA-Peds | 90633 | 1436 |
83 | SKB | HAVRIX-Peds | 90633 | 1419 |
83 | UNK | Hep A, ped/adol, 2 dose | 90633 | 1296 |
84 | UNK | Hep A, ped/adol, 3 dose | 90634 | 1306 |
85 | UNK | Hep A, unspecified formulation | 90730 | 803 |
86 | TAL | IG-Gamastan | 90281 | 1128 |
86 | UNK | IG | 90281 | 1129 |
87 | ZLB | IG-Gammar | 90283 | 1127 |
87 | UNK | IGIV | 90283 | 1301 |
88 | UNK | Influenza unspecified formulation | 90724 | 1295 |
89 | UNK | Polio, unspecified formulation | 1265 | |
90 | UNK | Rabies, unspecified formulation | 90726 | 1266 |
91 | UNK | Typhoid, unspecified formulation | 90714 | 1267 |
92 | UNK | VEE, unspecified formulation | 1305 | |
93 | MED | Synagis | 90378 | 1433 |
93 | UNK | RSV-MAb | 90378 | 1124 |
94 | MSD | ProQuad | 90710 | 1321 |
94 | UNK | MMRV | 90710 | 1302 |
95 | UNK | TST-OT tine test | 2804 | |
96 | UNK | TST-PPD intradermal | 2805 | |
97 | UNK | TST-PPD tine test | 2806 | |
98 | UNK | TST, unspecified formulation | 2807 | |
100 | WAL | Prevnar 7 | 90669 | 82 |
100 | UNK | pneumococcal conjugate PCV 7 | 90669 | 81 |
101 | PMC | Typhim Vi | 90691 | 33 |
101 | UNK | Typhoid, ViCPs | 90691 | 1304 |
102 | UNK | DTP-Hib-Hep B | 1408 | |
103 | UNK | Meningococcal C conjugate | 1268 | |
104 | SKB | Twinrix | 90636 | 661 |
104 | UNK | Hep A-Hep B | 90636 | 662 |
105 | WAL | Dryvax, Diluted | 1407 | |
105 | UNK | Dryvax, Diluted | 1407 | |
105 | UNK | vaccinia (smallpox) diluted | 2808 | |
106 | PMC | DAPTACEL | 90700 | 641 |
106 | UNK | DTaP, 5 pertussis antigens | 90700 | 642 |
107 | UNK | DTaP, unspecified formulation | 90700 | 1442 |
108 | UNK | meningococcal ACWY, unspecified formulation | 601 | |
109 | UNK | Pneumococcal, unspecified formulation | 1440 | |
110 | SKB | Pediarix | 90723 | 721 |
110 | UNK | DTaP-Hep B-IPV | 90723 | 801 |
111 | MED | Flumist | 90660 | 1323 |
111 | UNK | Influenza LIVE | 90660 | 1337 |
112 | UNK | Tetanus toxoid, unspecified formulation | 1434 | |
113 | UNK | Td (adult), 5 Lf tetanus toxoid, p-free, adsorbed | 90714 | 10 |
114 | PMC | Menactra | 1322 | |
114 | UNK | Meningococcal MCV4P | 90734 | 1691 |
115 | PMC | ADACEL | 90715 | 1324 |
115 | SKB | BOOSTRIX | 90715 | 1326 |
115 | UNK | Tdap | 90715 | 1439 |
116 | MSD | ROTATEQ | 90680 | 1430 |
116 | UNK | ROTATEQ | 90680 | 1430 |
116 | UNK | rotavirus, pentavalent | 2803 | |
117 | UNK | VZIG (IND) | 1437 | |
118 | SKB | Cervarix | 1459 | |
118 | UNK | HPV, bivalent | 90650 | 1420 |
119 | SKB | Rotarix | 90681 | 1379 |
119 | UNK | Rotarix | 90681 | 1379 |
119 | UNK | rotavirus, monovalent | 2802 | |
120 | PMC | Pentacel | 90698 | 1377 |
120 | UNK | DTaP-HIB-IPV | 90698 | 1409 |
121 | MSD | Zostavax | 1438 | |
121 | UNK | Zostavax | 1438 | |
121 | UNK | zoster live | 2809 | |
122 | UNK | Rotavirus, unspecified formulation | 1398 | |
123 | UNK | Influenza, H5N1-1203 | 1471 | |
125 | MED | H1N1mednasal | 90664 | 1457 |
125 | UNK | Novel Influenza-H1N1-09, nasal | 90664 | 1446 |
126 | CSL | H1N1pfreecsl 0.5 | 90666 | 1455 |
126 | NOV | H1N1pfreenov 0.5 | 90666 | 1453 |
126 | UNK | Novel influenza-H1N1-09, preservative-free | 90666 | 1447 |
127 | CSL | H1N1csl | 90668 | 1456 |
127 | NOV | H1N1nov | 90668 | 1454 |
127 | PMC | H1N1san | 90668 | 1452 |
127 | UNK | Novel influenza-H1N1-09 | 90668 | 1448 |
128 | UNK | Novel Influenza-H1N1-09, all formulations | 90470 | 1449 |
129 | UNK | Japanese Encephalitis, unspecified formulation | 1682 | |
130 | PMC | Quadracel | 90696 | 2620 |
130 | SKB | Kinrix | 90696 | 1378 |
130 | UNK | DTaP-IPV | 90696 | 2660 |
131 | UNK | Typhus, historical | 1686 | |
132 | UNK | DTaP-IPV-HIB-HEP B, historical | 1687 | |
133 | PFR | Prevnar 13 | 90670 | 1461 |
133 | WAL | PREVNAR 13 | 2790 | |
133 | WAL | Prevnar 13 | 90670 | 1461 |
133 | UNK | Pneumococcal conjugate PCV 13 | 90670 | 1462 |
134 | INT | IXIARO | 2787 | |
134 | NOV | Ixiaro | 90378 | 1640 |
134 | VAL | Ixiaro | 90378 | 1640 |
134 | VET | IXIARO | 2788 | |
134 | UNK | Japanese Encephalitis IM | 90378 | 1692 |
135 | PMC | Fluzone-High Dose | 1464 | |
135 | UNK | Influenza, high dose seasonal | 2810 | |
136 | NOV | MENVEO | 2789 | |
136 | NOV | Menveo | 90734 | 1460 |
136 | SKB | Menveo | 90734 | 1460 |
136 | UNK | Meningococcal MCV4O | 90734 | 1689 |
137 | UNK | HPV, unspecified formulation | 1683 | |
138 | UNK | Td (adult) | 1684 | |
139 | UNK | Td (adult) unspecified formulation | 90714 | 1681 |
140 | CSL | Afluria, preservative free | 1465 | |
140 | CSL | Afluria, preservative free | 2779 | |
140 | IDB | Flulaval, preservative free | 2755 | |
140 | SEQ | Afluria, preservative free | 1465 | |
140 | SKB | Fluarix | 1317 | |
140 | UNK | Influenza, seasonal, Injectable, preservative free | 90657 | 1470 |
141 | CSL | AFLURIA | 2778 | |
141 | CSL | Afluria | 1445 | |
141 | IDB | FluLaval | 1415 | |
141 | NOV | FLUVIRIN | 2783 | |
141 | PMC | Fluzone Trivalent | 3002 | |
141 | SEQ | Afluria | 1445 | |
141 | SKB | FluLaval | 1415 | |
141 | UNK | Influenza, seasonal, Injectable | 90658 | 1469 |
142 | UNK | Tetanus toxoid, not adsorbed | 1685 | |
143 | BRR | Adenovirus types 4 and 7 | 2777 | |
143 | TVA | Adenovirus types 4 and 7 | 2841 | |
143 | UNK | Adenovirus types 4 and 7 | 1690 | |
144 | PMC | Fluzone, intradermal | 1660 | |
144 | UNK | influenza, seasonal, intradermal, preservative fre | 90654 | 2000 |
145 | UNK | RSV-MAb (new) | 2811 | |
146 | MSP | VAXELIS | 2878 | |
146 | PMC | VAXELIS | 2797 | |
146 | UNK | DTaP,IPV,Hib,HepB | 2812 | |
147 | UNK | meningococcal MCV4, unspecified formulation | 90734 | 1960 |
148 | SKB | MENHIBRIX | 90644 | 2372 |
148 | UNK | Meningococcal C/Y-HIB PRP | 90644 | 2362 |
149 | MED | Flumist quadrivalent | 2060 | |
149 | UNK | Flumist quadrivalent | 2060 | |
149 | UNK | influenza, live, intranasal, quadrivalent | 2813 | |
150 | IDB | Flulaval, quadrivalent, preservative free | 90686 | 2707 |
150 | PMC | Fluzone, quadrivalent, preservative free | 90686 | 2364 |
150 | SEQ | Afluria quadrivalent preservative free | 90686 | 2714 |
150 | SKB | Fluarix, quadrivalent, preservative free | 90686 | 2341 |
150 | UNK | Flu > 3yrs, Pfree, IM, quadrivalent | 90686 | 2340 |
151 | UNK | influenza nasal, unspecified formulation | 2361 | |
152 | UNK | Pneumococcal Conjugate, unspecified formulation | 2360 | |
153 | NOV | Flucelvax | 2365 | |
153 | SEQ | Flucelvax trivalent, preservative free | 2982 | |
153 | UNK | Influenza, injectable, MDCK, preservative free | 90661 | 2366 |
154 | UNK | Hep A, IG | 2814 | |
155 | PMC | Flublok trivalent, preservative free | 2981 | |
155 | PSC | Flublok | 2363 | |
155 | UNK | influenza, recombinant, injectable, pfree | 90673 | 2367 |
156 | UNK | RHO(D)-IG | 2368 | |
157 | UNK | RHO(D)-IG IM | 2369 | |
158 | IDB | Flulaval quadrivalent | 2371 | |
158 | PMC | Fluzone, quadrivalent, with preservative | 90688 | 2694 |
158 | SEQ | Afluria, quadrivalent | 90687 | 2712 |
158 | SKB | Flulaval quadrivalent | 2371 | |
158 | UNK | influenza, injectable, quadrivalent | 90688 | 2370 |
159 | IDB | Flulaval quadrivalent | 2371 | |
159 | UNK | Rho(D) - Unspecified formulation | 2373 | |
160 | IDB | Influenza A (H5N1) -2013 | 2785 | |
160 | SKB | Influenza A monovalent (H5N1), ADJUVANTED-2013 | 2786 | |
160 | UNK | Influenza A monovalent (H5N1), ADJUVANTED-2013 | 2815 | |
161 | PMC | Fluzone Quadrivalent, pediatric | 90685 | 2374 |
161 | SEQ | Afluria quadrivalent, preservative free, pediatric | 2843 | |
161 | UNK | Influenza, injectable,quadrivalent, preservative free, pediatric | 90685 | 2375 |
162 | PFR | Trumenba | 90621 | 2643 |
162 | UNK | meningococcal B, recombinant | 90621 | 2645 |
163 | NOV | Bexsero | 90620 | 2640 |
163 | NOV | Bexsero | 2781 | |
163 | SKB | Bexsero | 90620 | 2640 |
163 | UNK | meningococcal B, OMV | 90620 | 2642 |
164 | UNK | meningococcal B, unspecified | 2698 | |
165 | MSD | Gardasil 9 | 90651 | 2580 |
165 | UNK | Gardasil 9 | 90651 | 2580 |
165 | UNK | HPV9 | 2816 | |
166 | PMC | Fluzone Quad Intradermal | 2683 | |
166 | UNK | influenza, intradermal, quadrivalent, preservative | 90630 | 2687 |
167 | UNK | meningococcal, unknown serogroups | 2696 | |
168 | NOV | Fluad | 2782 | |
168 | SEQ | Fluad | 2716 | |
168 | UNK | influenza, trivalent, adjuvanted | 90634 | 2718 |
169 | UNK | Hep A, live attenuated | 2817 | |
170 | UNK | DTAP/IPV/HIB - non-US | 2818 | |
171 | SEQ | Flucelvax, quadrivalent | 90674 | 2703 |
171 | UNK | Influenza, injectable, MDCK, preservative free, qu | 90674 | 2705 |
172 | UNK | cholera, WC-rBS | 2819 | |
173 | UNK | cholera, BivWC | 2820 | |
174 | BN | Vaxchora | 2990 | |
174 | PAX | VAXCHORA | 2733 | |
174 | UNK | cholera, live attenuated | 90625 | 2735 |
175 | PMC | IMOVAX | 90675 | 2737 |
175 | UNK | Rabies - IM Diploid cell culture | 90675 | 2739 |
176 | BN | RABAVERT | 2993 | |
176 | NOV | RABAVERT | 2791 | |
176 | SKB | RABAVERT | 2741 | |
176 | UNK | Rabies - IM fibroblast culture | 90675 | 2743 |
177 | UNK | PCV10 | 2821 | |
178 | UNK | OPV bivalent | 2822 | |
179 | UNK | OPV ,monovalent, unspecified | 2823 | |
180 | UNK | tetanus immune globulin | 2824 | |
181 | UNK | anthrax immune globulin | 00000 | 2769 |
182 | UNK | OPV, Unspecified | 2825 | |
183 | PMC | Stamaril | 2745 | |
183 | UNK | Yellow fever vaccine - alt | 2747 | |
184 | UNK | Yellow fever, unspecified formulation | 90717 | 2749 |
185 | PMC | Flublok quadrivalent | 2796 | |
185 | PSC | Flublok quadrivalent | 2751 | |
185 | UNK | influenza, recombinant, quad, injectable, p-free | 2753 | |
186 | SEQ | Flucelvax, quadrivalent, with preservative | 2757 | |
186 | UNK | Influenza, injectable, MDCK, quad, preservative | 2759 | |
187 | SKB | SHINGRIX | 90750 | 2765 |
187 | UNK | zoster subunit | 90750 | 2767 |
188 | UNK | zoster, unspecified formulation | 2763 | |
189 | DVX | HEPLISAV-B | 90739 | 2771 |
189 | UNK | HepB-CpG | 90739 | 2773 |
190 | UNK | Typhoid conjugate vaccine (TCV) | 2826 | |
191 | UNK | meningococcal A polysaccharide (non-US) | 2827 | |
192 | UNK | meningococcal AC polysaccharide (non-US) | 2828 | |
193 | UNK | Hep A-Hep B, pediatric/adolescent | 2829 | |
194 | UNK | Influenza, Southern Hemisphere | 2830 | |
195 | UNK | DT, IPV adsorbed | 2840 | |
196 | UNK | Td, adsorbed, preservative free, adult use, Lf unspecified | 2842 | |
197 | PMC | FLUZONE High-Dose Quadrivalent | 2845 | |
197 | UNK | influenza, high-dose, quadrivalent | 2846 | |
198 | UNK | DTP-hepB-Hib Pentavalent Non-US | 2853 | |
200 | PMC | FLUZONE Quadrivalent Southern Hemisphere, Pediatric | 2849 | |
200 | UNK | influenza, Southern Hemisphere, pediatric, preservative free | 2850 | |
201 | PMC | FLUZONE Quadrivalent Southern Hemisphere | 2847 | |
201 | UNK | influenza, Southern Hemisphere, preservative free | 2851 | |
202 | PMC | FLUZONE Quadrivalent Southern Hemisphere | 2848 | |
202 | UNK | influenza, Southern Hemisphere, quadrivalent, with preservative | 2852 | |
203 | PMC | MenQuadfi | 2857 | |
203 | UNK | meningococcal polysaccharide (groups A, C, Y, W-135) TT conjugate | 2858 | |
204 | MSD | ERVEBO (Ebola Zaire Vaccine, Live) | 2870 | |
204 | UNK | Ebola Zaire vaccine, live, recombinant, 1mL dose | 2872 | |
205 | SEQ | FLUAD Quadrivalent | 2855 | |
205 | UNK | Influenza vaccine, quadrivalent, adjuvanted | 2859 | |
206 | BN | JYNNEOS | 2856 | |
206 | UNK | Smallpox monkeypox vaccine (National Stockpile) | 2860 | |
207 | MOD | Moderna COVID-19 Vaccine | 2861 | |
207 | UNK | Moderna COVID-19 Vaccine | 2863 | |
208 | PFR | Pfizer-BioNTech COVID-19 Vaccine | 2862 | |
208 | UNK | Pfizer-BioNTech COVID-19 Vaccine | 2864 | |
210 | ASZ | AstraZeneca COVID-19 Vaccine | 2866 | |
210 | UNK | COVID-19 vaccine, vector-nr, rS-ChAdOx1, PF, 0.5 mL | 2867 | |
211 | NVX | Novavax COVID-19 Vaccine | 2871 | |
211 | UNK | COVID-19 vaccine, Subunit, rS-nanoparticle+Matrix-M1 Adjuvant, PF, 0.5 mL | 2874 | |
212 | JSN | Janssen (J&J) COVID-19 Vaccine | 2868 | |
212 | UNK | COVID-19 vaccine, vector-nr, rS-Ad26, PF, 0.5 mL | 2869 | |
213 | UNK | SARS-COV-2 (COVID-19) vaccine, UNSPECIFIED | 2865 | |
214 | UNK | Ebola, unspecified | 2873 | |
215 | MSD | VAXNEUVANCE | 2892 | |
215 | UNK | Pneumococcal conjugate PCV15, polysaccharide CRM197 conjugate, adjuvant, PF | 2893 | |
216 | PFR | PREVNAR 20 | 2891 | |
216 | UNK | Pneumococcal conjugate PCV20, polysaccharide CRM197 conjugate, adjuvant, PF | 2894 | |
217 | PFR | COVID-19 (Pfizer Comirnaty TRIS primary series only 12+ years) | 2895 | |
217 | UNK | COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose, tris-sucrose | 2899 | |
218 | PFR | COVID-19 (Pfizer Comirnaty primary series only pediatric ages 5-11 years) | 2897 | |
218 | UNK | COVID-19, mRNA, LNP-S, PF, 10 mcg/0.2 mL dose, tris-sucrose | 2900 | |
219 | PFR | Pfizer-BioNTech COVID-19 Vaccine (EUA labeled) COMIRNATY (BLA labeled), pediatric ages 6m-4y | 2896 | |
219 | UNK | COVID-19, mRNA, LNP-S, PF, 3 mcg/0.2 mL dose, tris-sucrose | 2898 | |
220 | VBI | PREHEVBRIO Hepatitis B Vaccine (Recombinant) | 2905 | |
220 | UNK | HepB recombinant, Al(OH)3 | 2906 | |
221 | MOD | COVID-19 (Moderna Spikevax primary series only pediatric ages 6y-11y) | 2907 | |
221 | UNK | COVID-19, mRNA, LNP-S, PF, 50 mcg/0.5 mL dose | 2908 | |
222 | UNK | Tick-borne encephalitis, unspecified | 2913 | |
223 | PFR | TICOVAC | 2912 | |
223 | UNK | Tick-borne encephalitis, inactivated, PF, 0.25mL | 2914 | |
224 | PFR | TICOVAC | 2911 | |
224 | UNK | Tick-borne encephalitis, inactivated, PF, 0.5mL | 2915 | |
225 | PMC | Sanofi COVID-19 | 2909 | |
225 | UNK | COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 5mcg/0.5mL | 2916 | |
226 | PMC | Sanofi COVID-19 | 2910 | |
226 | UNK | COVID-19, D614, recomb, preS dTM, AS03 adjuvant add, PF, 10mcg/0.5mL | 2917 | |
227 | MOD | Moderna COVID-19 Vaccine (non-US Spikevax) | 2919 | |
227 | UNK | COVID-19, mRNA, LNP-S, PF, pediatric 50 mcg/0.5 mL dose | 2927 | |
228 | MOD | Moderna COVID-19 Vaccine (Spikevax pediatric 6m-5y) | 2920 | |
228 | UNK | COVID-19, mRNA, LNP-S, PF, pediatric 25 mcg/0.25 mL dose | 2928 | |
229 | MOD | Moderna COVID-19 Vaccine (Spikevax bivalent Dark Blue Cap) | 2930 | |
229 | UNK | COVID-19, mRNA, LNP-S, bivalent, PF, 50 mcg/0.5 mL dose | 2932 | |
230 | MOD | Moderna COVID-19 Vaccine (Spikevax bivalent Dark Pink Cap) | 2939 | |
230 | UNK | COVID-19, mRNA, LNP-S, bivalent booster, PF, 10 mcg/0.2 mL | 2937 | |
231 | PMC | FLUZONE High-Dose Quadrivalent Southern Hemisphere | 2949 | |
231 | UNK | influenza, Southern Hemisphere, high-dose, quadrivalent | 2948 | |
300 | PFR | Pfizer COVID-19 Vaccine (Comirnaty bivalent 12+ years) | 2933 | |
300 | UNK | COVID-19, mRNA, LNP-S, bivalent booster, PF, 30 mcg/0.3 mL dose | 2936 | |
301 | PFR | Pfizer COVID-19 Vaccine (Comirnaty bivalent 5-11 years) | 2934 | |
301 | UNK | COVID-19, mRNA, LNP-S, bivalent booster, PF, 10 mcg/0.2 mL dose | 2935 | |
302 | PFR | Pfizer COVID-19 Vaccine (Comirnaty bivalent 6m-4y) | 2940 | |
302 | UNK | COVID-19, mRNA, LNP-S, bivalent, PF, 3 mcg/0.2 mL dose | 2938 | |
303 | SKB | Arexvy | 2952 | |
303 | UNK | RSV, recombinant, protein subunit RSVpreF, adjuvant reconstituted, 0.5 mL, PF | 2950 | |
304 | UNK | Respiratory syncytial virus (RSV), unspecified | 2951 | |
305 | PFR | ABRYSVO | 2956 | |
305 | UNK | RSV, bivalent, protein subunit RSVpreF, diluent reconstituted, 0.5 mL, PF | 2953 | |
306 | PMC | Beyfortus (0.5 mL) RSV nirsevimab-alip | 2958 | |
306 | UNK | RSV, mAb, nirsevimab-alip, 0.5 mL, neonate to 24 months | 2954 | |
307 | PMC | Beyfortus (1.0 mL) RSV nirsevimab-alip | 2957 | |
307 | UNK | RSV, mAb, nirsevimab-alip, 1.0 mL, neonate to 24 months | 2955 | |
308 | UNK | COVID-19, mRNA, LNP-S, PF, tris-sucrose, 3 mcg/0.3 mL | 2966 | |
309 | UNK | COVID-19, mRNA, LNP-S, PF, tris-sucrose, 30 mcg/0.3 mL | 2967 | |
310 | UNK | COVID-19, mRNA, LNP-S, PF, tris-sucrose, 10 mcg/0.3 mL | 2968 | |
311 | UNK | COVID-19, mRNA, LNP-S, PF, 25 mcg/0.25 mL | 2970 | |
312 | UNK | COVID-19, mRNA, LNP-S, PF, 50 mcg/0.5 mL | 2969 | |
313 | UNK | COVID-19, subunit, rS-nanoparticle, adjuvanted, PF, 5 mcg/0.5 mL | 2965 | |
314 | UNK | Respiratory syncytial virus (RSV) vaccine, unspecified | 2972 | |
315 | UNK | Respiratory syncytial virus (RSV) MAB, unspecified | 2971 | |
316 | PFR | PENBRAYA | 2974 | |
316 | UNK | meningococcal polysaccharide (MenACWY-TT conjugate), (MenB), PF | 2973 | |
317 | VAL | IXCHIQ | 2976 | |
317 | UNK | Chikungunya live attenuated vaccine, 0.5 mL, PF | 2975 | |
318 | MIP | CYFENDUS | 2978 | |
318 | UNK | Anthrax, post-exposure prophylaxis | 2977 | |
319 | UNK | Anthrax vaccine, unspecified | 2979 | |
320 | SEQ | Flucelvax trivalent, with preservative | 2983 | |
320 | UNK | Influenza, MDCK, trivalent, preservative | 2980 | |
321 | UNK | Influenza-avian, H5N8, monovalent, PF | 2984 | |
322 | UNK | Influenza-avian, H5N8, monovalent, preservative | 2985 | |
323 | UNK | Influenza-avian, H5, unspecified formulation | 2988 | |
324 | UNK | Poliovirus, inactivated, fractional-dose (fIPV) | 2986 | |
326 | MOD | mRESVIA | 2989 | |
326 | UNK | RSV, mRNA, injectable, PF | 2987 | |
327 | MSD | CAPVAXIVE | 2992 | |
327 | UNK | Pneumococcal conjugate PCV21, polysaccharide CRM197 conjugate, PF | 2991 | |
500 | UNK | COVID-19 Non-US Vaccine, Product Unknown | 2879 | |
501 | UNK | COVID-19 IV Non-US Vaccine (QAZCOVID-IN) | 2880 | |
502 | BBI | COVAXIN (Bharat) COVID-19 Vaccine | 2901 | |
502 | UNK | COVID-19 IV Non-US Vaccine (COVAXIN) | 2881 | |
503 | UNK | COVID-19 LAV Non-US Vaccine (COVIVAC) | 2882 | |
504 | UNK | COVID-19 VVnr Non-US Vaccine (Sputnik Light) | 2883 | |
505 | UNK | COVID-19 VVnr Non-US Vaccine (Sputnik V) | 2884 | |
506 | CAN | CONVIDECIA (CanSino Biologics) COVID-19 Vaccine | 2944 | |
506 | UNK | COVID-19 VVnr Non-US Vaccine (CanSino Biological Inc./Beijing Institute of Biotechnology) | 2885 | |
507 | UNK | COVID-19 PS Non-US Vaccine (Anhui Zhifei Longcom Biopharmaceutical + Institute of Microbiology, Chin | 2886 | |
508 | UNK | COVID-19 PS Non-US Vaccine (Jiangsu Province Centers for Disease Control and Prevention) | 2887 | |
509 | UNK | COVID-19 PS Non-US Vaccine (EpiVacCorona) | 2888 | |
510 | SPH | Sinopharm (BIBP) COVID-19 Vaccine | 2876 | |
510 | UNK | COVID-19 IV Non-US Vaccine (BIBP, Sinopharm) | 2889 | |
511 | SNV | Coronavac (Sinovac) COVID-19 Vaccine | 2875 | |
511 | UNK | COVID-19 IV Non-US Vaccine (CoronaVac, Sinovac) | 2890 | |
512 | MDO | Covifenz | 2918 | |
512 | UNK | SARS-COV-2 COVID-19 VLP Non-US Vaccine (Medicago, Covifenz) | 2921 | |
513 | UNK | SARS-COV-2 COVID-19 PS Non-US Vaccine (Anhui Zhifei Longcom, Zifivax) | 2922 | |
514 | UNK | SARS-COV-2 COVID-19 DNA Non-US Vaccine (Zydus Cadila, ZyCoV-D) | 2923 | |
515 | UNK | SARS-COV-2 COVID-19 PS Non-US Vaccine (Medigen, MVC-COV1901) | 2924 | |
516 | UNK | COV-2 COVID-19 Inactivated Non-US Vaccine Product (Minhai Biotechnology Co, KCONVAC) | 2925 | |
517 | UNK | SARS-COV-2 COVID-19 PS Non-US Vaccine (Biological E Limited, Corbevax) | 2926 | |
518 | UNK | COVID-19 Inactivated, Non-US Vaccine (VLA2001, Valneva) | 2941 | |
519 | MOD | Moderna COVID-19 Bivalent, Original + BA.1 (Non-US Tradename Spikevax Bivalent) | 2945 | |
519 | UNK | COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine (Spikevax Bivalent), Moderna | 2942 | |
520 | PFR | Pfizer COVID-19 Bivalent, Original + BA.1 (Non-US Tradename COMIRNATY Bivalent) | 2946 | |
520 | UNK | COVID-19 mRNA, bivalent, original/Omicron BA.1, Non-US Vaccine Product (Comirnaty Bivalent), Pfizer- | 2943 | |
521 | UNK | COVID-19 SP, protein-based, adjuvanted (VidPrevtyn Beta), Sanofi-GSK | 2947 | |
801 | SKB | AS03 adjuvant | 2780 |
Vaccine CVX/MVX Codes by Shot Date and Age
CVX Code | MVX Code | Vaccine Name | CPT Code | Vaccine ID | Active Date From | Active Date To | Active Age From | Active Age To |
---|---|---|---|---|---|---|---|---|
15 | NOV | Fluvirin 0.25 | 90724 | 1120 | 3 | |||
15 | NOV | Fluvirin 0.5 | 1416 | 3 | ||||
15 | PMC | Fluzone 0.25 | 1320 | 3 | ||||
15 | PMC | Fluzone 0.5 | 90658 | 31 | 3 | |||
43 | MSD | Recombivax-Adol 2 Dose | 90743 | 26 | 19 | |||
43 | MSD | Recombivax-Adult | 90746 | 27 | 15 | |||
48 | SKB | OmniHib | 90648 | 1426 | 08/18/2009 | |||
48 | SKB | Hiberix | 90648 | 1458 | 08/19/2009 | |||
113 | PMC | DECAVAC | 90714 | 1327 | 03/31/2012 | |||
113 | PMC | TENIVAC | 90714 | 2020 | 04/01/2012 | |||
126 | PMC | H1N1Pfreesan 0.25 | 90666 | 1450 | 3 | |||
126 | PMC | H1N1Pfreesan 0.5 | 90666 | 1451 | 3 | |||
140 | NOV | Agriflu | 90656 | 1463 | 18 | |||
140 | NOV | Fluvirin-Preservative Free | 1466 | 06/11/2017 | 18 | |||
140 | PMC | Fluzone 6-35, Pfree | 1474 | 06/30/2024 | 3 | |||
140 | PMC | Fluzone > 3 yrs, Pfree | 1467 | 06/30/2024 | 3 | |||
140 | PMC | Fluzone Trivalent, Pfree | 3001 | 07/01/2024 | ||||
140 | SEQ | Fluvirin-Preservative Free | 1466 | 06/12/2017 | ||||
141 | NOV | Fluvirin | 1472 | 06/11/2017 | ||||
141 | PMC | Fluzone > 6 mnths | 1473 | 06/30/2024 | 3 | |||
141 | PMC | Fluzone > 3 yrs | 1468 | 06/30/2024 | 3 | |||
141 | SEQ | Fluvirin | 1472 | 06/12/2017 | ||||
308 | PFR | Pfizer-BioNTech COVID-19 (2023-2024 6m-4y) | 91318 | 2959 | 08/22/2024 | |||
308 | PFR | Pfizer-BioNTech COVID-19 (2024-2025 6m-4y) | 2998 | 08/23/2024 | ||||
309 | PFR | Comirnaty COVID-19 (2023-2024 12+ years) | 91320 | 2960 | 08/22/2024 | |||
309 | PFR | Comirnaty COVID-19 (2024-2025 12+ years) | 2995 | 08/23/2024 | ||||
310 | PFR | Pfizer-BioNTech COVID-19 (2023-2024 5-11 years) | 91319 | 2961 | 08/22/2024 | |||
310 | PFR | Pfizer-BioNTech COVID-19 (2024-2025 5-11 years) | 2996 | 08/23/2024 | ||||
311 | MOD | Moderna COVID-19 (2023-2024 6m-11y) | 91321 | 2962 | 08/22/2024 | |||
311 | MOD | Moderna COVID-19 (2024-2025 6m-11y) | 2997 | 08/23/2024 | ||||
312 | MOD | Spikevax COVID-19 (2023-2024 12+ years) | 91322 | 2963 | 08/22/2024 | |||
312 | MOD | Spikevax COVID-19 (2024-2025 12+ years) | 2999 | 08/23/2024 | ||||
313 | NVX | Novavax COVID-19 (2023-2024 12+ years) | 91304 | 2964 | 08/22/2024 | |||
313 | NVX | Novavax COVID-19 (2024-2025 12+ years) | 3000 | 08/23/2024 |