As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members.
| National Drug Codes (NDC) | Vaccine Label Name |
| 80777011001 | SPIKEVAX 2024-25 (12Y UP) |
| 80777011093 | SPIKEVAX 2024-25 (12Y UP) |
| 80777011096 | SPIKEVAX 2024-25 (12Y UP) |
| 00069243201 | COMIRNATY 2024-25(12Y UP) |
| 00069243210 | COMIRNATY 2024-25(12Y UP) |
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6294. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter