| Txhua Alliance kab ntawm kev lag luam
(Hnub Pib Pib Lub Cuaj Hli 1, 2020 txog Lub Rau Hli 30, 2021) |
|||
|---|---|---|---|
| Rau cov tswv cuab txuas nrog koj qhov kev coj ua, lwm tus PCP (tsis xav tau xa mus), lossis cov tswv cuab tswj hwm: | |||
| Lub npe tshuaj tiv thaiv | Kev noj tshuaj | Hnub nyoog Group | CPT Code |
| Afluria® (IIV4) | 0.5 mL PFS 10-bx * | 3 Xyoo & Laus | 90686 |
| 5ml wb
24.5 mcg / dos |
6 hli & laus dua | 90688 | |
| 5ml wb
.25 mL / dos |
6 rau 35 muaj | 90687 | |
| Afluria® Pediatric (IIV4) | 0.25 mL PFS 10-bx * | 6 rau 35 muaj | 90685 |
| Fluad® (IV) | 0.5 mL PFS 10-bx * | 65 xyoo & laus dua | 90653 |
| Fluad® (allV4) | 0.5 mL PFS 10-bx * | 65 xyoo & laus dua | 90694 |
| Fluarix® (IIV4) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| Flublok® (RIV4) | 0.5 mL PFS 10-bx * | 18 xyoo & laus dua | 90682 |
| Flucelvax® (CCIIV4) | 0.5 mL PFS 10-bx * | 4 xyoos & laus dua | 90674 |
| 5ml wb
25 mcg / dos |
4 xyoos & laus dua | 90756 | |
| FluLaval® (IIV4) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| FluMist® (LAIV4) | 0.2 mL tshuaj tsuag 10-bx * | 2a49 xya | 90672 |
| Fluzone® (IIV4) | 0.5 mL PFS 10-bx * | 6 hli & laus dua | 90686 |
| 0.5 mL SDV 10-bx* | 6 hli & laus dua | 90686 | |
| 5ml wb
25 mcg / dos |
6 hli & laus dua | 90688 | |
| 5ml wb
.25 mL / dos |
6 rau 35 muaj | 90687 | |
| Fluzone® High-Dose (IV) | 0.7 mL PFS 10-bx * | 65 xyoo & laus dua | 90662 |
* Preservative dawb
| Cov npe txhaj tshuaj tiv thaiv kab mob | |
|---|---|
| Lub npe tshuaj tiv thaiv | Kev Tiv Thaiv Lub Npe nrog CVX* |
| Afluria® (IIV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| Influenza, txhaj, quadrivalent (158) | |
| Afluria® Pediatric (IIV4) | Influenza, injectable, quadrivalent, pres free, ped (161) |
| Fluad® (IV) | Influenza, trivalent, adjuvanted (168) |
| Fluad® (allV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| Fluarix® (IIV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| Flublok® (RIV4) | Influenza, recombinant, quad, txhaj, pres dawb (185) |
| Flucelvax® (CCIIV4) | Influenza, injectable, MDCK, pres free, quadrivalent (171) |
| Influenza, txhaj, MDCK, quadrivalent (186) | |
| FluLaval® (IIV4) | Influenza, txhaj, quadrivalent, pres dawb (150) |
| FluMist® (LAIV4) | Influenza, nyob, intranasal, quadrivalent (149) |
|
Fluzone® (IIV4) |
Influenza, txhaj, quadrivalent, pres dawb (150) |
| Influenza, txhaj, quadrivalent, pres dawb (150) | |
| Influenza, txhaj, quadrivalent, (158) | |
| Fluzone® High-Dose (IV) | Influenza, koob tshuaj raws caij nyoog (135) |
* Kho CVX code rau npe txhaj tshuaj tiv thaiv yog xav tau rau Care Based Incentives (CBI).
