| Source HCPCS Code |
|
Target NDC Code |
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
19515-0808-52
Flulaval Quadrivalent (2022/2023) (Preservative free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
19515-0814-52
Flulaval Quadrivalent (2023/2024) (Preservative free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
19515-0816-52
Flulaval Quadrivalent (20202021) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
19515-0906-52
Flulaval Quadrivalent (2019/2020) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
58160-0885-52
Fluarix Quadrivalent (2020/2021) (Pres free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
58160-0887-52
Fluarix Quadrivalent (2021/2022) (Pres free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
58160-0890-52
Fluarix Quadrivalent (2022/2023) (Preservative free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
58160-0896-52
Fluarix Quadrivalent (2019/2020) (Pres free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
58160-0909-52
Fluarix Quadrivalent (2023/2024) (Preservative free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
19515-0818-52
Flulaval Quadrivalent (20212022) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0419-10
Fluzone Quadrivalent (2019/2020) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0419-50
Fluzone Quadrivalent (2019/2020) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0420-10
Fluzone Quadrivalent (2020/2021) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0420-50
Fluzone Quadrivalent (2020/2021) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0421-10
Fluzone Quadrivalent (2021/2022) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0421-50
Fluzone Quadrivalent (2021/2022) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0422-10
Fluzone Quadrivalent (2022/2023) (Preservative Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0422-50
Fluzone Quadrivalent (2022/2023) (Preservative Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
49281-0423-50
Fluzone Quadrivalent (2023/2024) (Preservative Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
33332-0323-03
Afluria Quadrivalent (2023/2024) (Preservative Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
33332-0319-01
Afluria Quadrivalent (2019/2020) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
33332-0320-01
Afluria Quadrivalent (2020/2021) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
33332-0321-01
Afluria Quadrivalent (2021/2022) (Pres Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
90686
IIV4 VACC NO PRSV 0.5 ML IM
|
⇄
|
33332-0322-03
Afluria Quadrivalent (2022/2023) (Preservative Free)
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|