| Source HCPCS Code |
|
Target NDC Code |
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
19515-0897-11
Flulaval Quadrivalent (2019/2020)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
49281-0631-15
Fluzone Quadrivalent (2019/2020)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
49281-0633-15
Fluzone Quadrivalent (2020/2021)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
49281-0635-15
Fluzone Quadrivalent (2021/2022)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
49281-0637-15
Fluzone Quadrivalent (2022/2023)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
49281-0639-15
Fluzone Quadrivalent (2023/2024)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
33332-0423-10
Afluria Quadrivalent (2023/2024)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
33332-0419-10
Afluria Quadrivalent (2019/2020)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
33332-0420-10
Afluria Quadrivalent (2020/2021)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
33332-0421-10
Afluria Quadrivalent (2021/2022)
|
| 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 |
|
|
|
|
90688
IIV4 VACCINE SPLT 0.5 ML IM
|
⇄
|
33332-0422-10
Afluria Quadrivalent (2022/2023)
|
| 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 |
|
|
|
|