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| Product | Manufacture/NDC | Eligibility | Dose / Presentation / Type | CPT Code | CVX Code | Available |
|---|---|---|---|---|---|---|
| FluLaval | GSK, 19515-0904-52 | 6 mos – 18 years | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90656 | 140 | Yes |
| Flucelvax | Seqirus, 70461-0655-03 | 6 mos – 18 years | 0.5 mL / Single-dose syringe / inactivated, trivalent | 90661 | 153 | Yes |
| Fluzone | Sanofi, 49281-0425-50 | 6 mos – 18 yrs | 0.5 mL/ single dose syringe/ inactivated, trivalent | 90656 | 140 | No |
| FluMist | AstraZeneca, 66019-0112-10 | 2 – 18 years | 0.2 mL / intranasal spray | 90660 | 111 | No |
| Product | Manufacture/NDC | Eligibility | Dose / Presentation / Type | CPT Code | CVX Code | Available |
|---|---|---|---|---|---|---|
| FluLaval | GSK, 19515-0904-52 | 19 years & older | 0.5 mL/ single dose syringe/ inactivated, trivalent | 90656 | 140 | Yes |