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View mRESVIA FAQmRESVIA - Medicaid - Pharmacy benefit
How are you billing?Medicaid pharmacies billing with the NCPDP format should use the appropriate NDC and units for the vaccine administered.Check with your state Medicaid agency or Medicaid managed care entity for specific coverage and billing requirements unique to your state.For more details, visit our Frequently Asked Questions.
NDC Codes
mRESVIA® (Respiratory Syncytial Virus Vaccine) 50 mcg/0.5 mL prefilled syringe
SINGLE DOSE PREFILLED SYRINGE:
80777-345-01
NOTES:The Billing Unit (BU) is a milliliter (mL) for the individual vaccine product with the quantity of the number of units dispensed. mRESVIA® (Respiratory Syncytial Virus Vaccine) is billed with 0.5 mL. Remember to bill for the administration service if performed.
Additional Codes
CVX
CVX CODE:
326
CVX DESCRIPTOR:RSV, mRNA, injectable, Respiratory syncytial virus (RSV), mRNA, injectable, preservative free. Used for registries as required.
Please see the mRESVIA® Full Prescribing Information for more information.
For more details, visit our mRESVIA Frequently Asked Questions page. The coding and billing information contained in this digital tool is provided as a resource and every effort is made to ensure the accuracy of this information. Appropriate coding and billing for healthcare services are the provider's responsibility and should always be based on the patient's clinical condition, services provided, and current payer guidelines.