NDC | PKG | Contract Number | PV | Vendor | Generic Name | Trade Name | FSS Price | NC Price | Big 4 Price |
---|---|---|---|---|---|---|---|---|---|
00069-0344-01 | 0.5ML | 36F79724D0130 | X | Pfizer, In | RSV VACCINE INJ,LYPHL,SYR,KIT | ABRYSVO | $258.29 | $0.00 | $203.58 |
00069-0344-05 | 5X0.5ML | 36F79724D0130 | X | Pfizer, In | RSV VACCINE INJ,LYPHL,SYR,KIT | ABRYSVO | $1,291.48 | $0.00 | $930.09 |
80777-0345-96 | 10X0.5ML | 36F79724D0048 | X | Moderna US | RSV VACCINE 50MCG/0.5ML INJ,SUSP,SYRINGE 0.5ML | MRESVIA (PF) | $2,040.20 | $0.00 | $0.00 |
58160-0848-11 | 10X0.5ML | 36F79722D0178 | X | GlaxoSmith | RSV VACCINE ADJUVANTED INJ,LYPHL | AREXVY | $2,629.75 | $0.00 | $1,582.90 |
00069-2465-10 | 10X0.5ML | 36F79724D0130 | X | Pfizer, In | RSV VACCINE INJ,LYPHL | ABRYSVO VACCINE INJ,LYPHL | $2,960.08 | $0.00 | $1,821.99 |