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| Product | Manufacture/NDC | Eligibility | Dose / Presentation / Type | CPT Code | CVX Code | Available |
|---|---|---|---|---|---|---|
| Flulaval | GSK, 19515-0810-52 | 6 mos – 18 years | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90656 | 140 | Yes |
| Flucelvax* | Sequirus, 704641-0654-03 | 6 mos – 18 years | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90661 | 153 | Yes |
| Fluzone | Sanofi, 49281-0641-15 | 6 mos – 18 years | 0.5 mL / 5.0 mL multi-dose vial / inactivated, trivalent | 90658 | 141 | Yes |
| FluMist | AstraZeneca, 66019-0311-10 | 2 – 18 years | 0.2 mL / intranasal spray | 90660 | 111 | Yes |
*A limited supply of Flucelvax is available to order for your VFC eligible patients who have egg allergies or request an egg-free flu vaccine.
| Product | Manufacture/NDC | Eligibility | Dose / Presentation / Type | CPT Code | CVX Code | Available |
|---|---|---|---|---|---|---|
| Fluarix | GSK, 58160-0884-52 | 19 years & older | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90656 | 140 | Yes |
| Flucelvax* | Sequirus, 704641-0654-03 | 19 years & older | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90661 | 153 | Yes |
*A limited supply of Flucelvax is available to order for your VFAAR eligible patients who have egg allergies or request an egg-free flu vaccine.