| Source HCPCS Code |
|
Target NDC Code |
91320
SARSCV2 VAC 30MCG TRS-SUC IM
|
⇄
|
00069-2403-10
COMIRNATY (2024-2025) 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 |
|
|
|
|
91320
SARSCV2 VAC 30MCG TRS-SUC IM
|
⇄
|
00069-2432-10
COMIRNATY (2024-2025) 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 |
|
|
|
|
91320
SARSCV2 VAC 30MCG TRS-SUC IM
|
⇄
|
00069-2528-10
COMIRNATY 2025-2026 AGE OVER 65 / HIGH RISK 12-64Y, 30 MCG/0.3 ML vial
|
| 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 |
|
|
|
|