Fluzone ndc code
[DOC File]Sample Letter for Proactive Request for Coverage of CPT 90715
https://info.5y1.org/fluzone-ndc-code_1_40df25.html
[Payer City, State, ZIP code] [Salutation]: Please regard this letter as a formal request to add NDC 49281-705-55 (CPT®a 90654) as a payable code for Fluzone® Intradermal, Influenza Virus Vaccine in your agreement with [insert name]. As a reference, average wholesale price (AWP) for Fluzone …
[DOC File]Seasonal Flu Vaccine Return Form
https://info.5y1.org/fluzone-ndc-code_1_52fbdc.html
Fluzone, Pediatric dose, preservative free, 0.25mL single dose syringe (6-35 months), sanofi pasteur 49281-0113-25 Fluzone. 5.0mL multi dose vial (age 3 years & up), sanofi Pasteur *Opened MDV cannot be returned, treat as wasted (reason code …
[DOCX File]www.vendorportal.ecms.va.gov
https://info.5y1.org/fluzone-ndc-code_1_bf931a.html
PAGE 1 OF1. REQUISITION NO.2. CONTRACT NO.3. AWARD/EFFECTIVE DATE4. ORDER NO.5. SOLICITATION NUMBER6. SOLICITATION ISSUE DATEa. NAMEb. TELEPHONE NO. (No Collect …
[DOC File]Nevada
https://info.5y1.org/fluzone-ndc-code_1_82947b.html
Code NDC NO # of Doses VACCINE Exp. Date
Seasonal Flu Vaccine Return Form
Fluzone. 5.0mL multi dose vial (age 3 years & up), Sanofi Pasteur *Opened MDV cannot be returned, treat as wasted (reason code 3) 49281-0623-15 FluMist . single dose sprayer, (age 2 years & up), MedImmune 66019-0302-10 Fluzone
[DOC File]Seasonal Flu Vaccine Return Form
https://info.5y1.org/fluzone-ndc-code_1_295516.html
Fluzone, Pediatric dose, preservative free, 0.25mL single dose syringe (6-35 months), Sanofi Pasteur 49281-0518-25 Fluzone . 5.0mL multi dose vial (age 3 years & up), Sanofi Pasteur *Opened MDV cannot be returned, treat as wasted (reason code 3)
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