see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates
Flu vaccine, no preserv, 3 +, im, cell cultures
Added October 2017 see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates
microCurie 100% AWP = $151.630 microCurie 100% WAC = $126.360
New code effective July 1, 2007, corrected payment limit 06/21/07
New code for Albuterol and Levalbuterol; effective July 1, 2007
New code effective July 1, 2007, corrected payment limit 06/19/07