Influenza Vaccines --United States CHIRP Codes

Influenza Vaccines --United States CHIRP Codes

2018 ? 2019 Influenza Season

Updated August 2018 *includes CVX codes and NDC

numbers

Manufacturer Seqirus Seqirus

Trade Name Afluria? IIV4 Afluria? IIV4

Seqirus Pty Ltd

Afluria? IIV3

Seqirus Pty Ltd Seqirus, Inc. GlaxoSmithKline

Sanofi Pasteur

Afluria? IIV3 Fluad? IIV3 Fluarix? IIV4 quadrivalent

Flublok IIV4

Seqirus, Inc. Seqirus, Inc. GlaxoSmithKline GlaxoSmithKline Sanofi Pasteur Sanofi Pasteur

Sanofi Pasteur

Flucelvax IIV4 quadrivalent,

Flucelvax 11V4 quadrivalent,

Flulaval IIV4 quadrivalent Flulaval IIV4 quadrivalent

Fluzone? High Dose Fluzone? IIV4 Intradermal (ID) quadrivalent

Fluzone? IIV4 quadrivalent

NDC

Presentation

33332-0418-10 0.5 mL SDV

33332-0318-01 0.5 mL syringe

33332-0018-01 0.5 mL syringe

33332-0118-10 5.0 mL MDV 70461-0018-03 0.5 mL syringe

58160-0898-52 0.5 mL syringe

49281-0718-10 0.5 mL syringe

70461-318-03 0.5 mL syringe

70461-418-10 5.0 mL MDV

19515-0900-11 5.0 mL MDV

19515-0909-52 0.5 mL syringe

49281-0403-65 0.5 mL syringe

0.1 mL prefilled 49281-0712-40 microinjection

system

49281-0418-50 0.5 mL syringe

Age Indication 5 Years+ 5 Years+ 5 Years+ 5 Years+ 65 Years+ 6 months+ 18 Years+ 4 Years+ 4 Years+ 6 months+ 6 months+ 65 Years+

18-64 Years

3 Years+

CVX Code 158 150

140

141 168 150

185

171

186

158 150

135 166

150

CVX Description influenza, injectable, quadrivalent influenza, injectable, quadrivalent, preservative free Influenza, seasonal, injectable, preservative free Influenza, seasonal, injectable influenza, trivalent, adjuvanted influenza, injectable, quadrivalent, preservative free influenza, recombinant, quadrivalent,injectable, preservative free Influenza, injectable, MDCK, preservative free, quadrivalent Influenza, injectable, MDCK, quadrivalent, preservative influenza, injectable, quadrivalent

influenza, injectable, quadrivalent, preservative free Influenza, high dose seasonal

influenza, intradermal, quadrivalent, preservative free

influenza, injectable, quadrivalent, preservative free

8/31/18

Sanofi Pasteur Sanofi Pasteur Sanofi Pasteur MedImmune, LLC

Fluzone? IIV4 quadrivalent

Fluzone? IIV4 quadrivalent Fluzone? IIV4 quadrivalent

FluMist IIV4

Seqirus Inc.

Fluvirin

Seqirus Inc.

Fluvirin

161 49281-0518-25 0.25 mL syringe 6 - 35 months

49281-0629-15 5.0 mL MDV

6 months+

158

150

49281-0418-10 0.5 mL SDV

3 Years+

0.2 mL single- 2 -- 49 years

149

66019-0304-10 use nasal spray

70461-0120-02 0.5 mL syringe 4 Years & Older 140

70461-0120-10 5.0 mL MDV

4 Years & Older 141

2018 ? 2019 Influenza Season

Influenza, injectable,quadrivalent, preservative free, pediatric influenza, injectable, quadrivalent

influenza, injectable, quadrivalent, preservative free influenza, live, intranasal, quadrivalent

Influenza, seasonal, injectable, preservative free Influenza, seasonal, injectable

8/31/18

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