Fluzone Trivalent Northern Hemisphere NDC 83703-087

NDC codes

FDA NDC Directory

Product NDC (as listed)83703-087Labeler and product segments. Claims need a package NDC.

Product NDC at billing width83703-0087Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
83703-087-50	83703008750	10 SYRINGE, GLASS in 1 PACKAGE (83703-087-50) / .5 mL in 1 SYRINGE, GLASS (83703-087-88)Marketed from Jul 1, 2026

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Fluzone Trivalent Northern Hemisphere
Generic name (nonproprietary): influenza a virus a/victoria/4897/2022 ivr-238 (h1n1) antigen (formaldehyde inactivated), influenza a virus a/croatia/10136/rv/2023 (h3n2) antigen (formaldehyde inactivated), and influenza b virus b/michigan/01/2021 antigen (formaldehyde inactivated)
Active ingredients: Influenza a virus a/victoria/4897/2022 ivr-238 (H1n1) antigen (Formaldehyde inactivated) — 15 ug/.5mLInfluenza a virus a/croatia/10136rv/2023 x-425a (H3n2) antigen (Formaldehyde inactivated) — 15 ug/.5mLInfluenza b virus b/michigan/01/2021 antigen (Formaldehyde inactivated) — 15 ug/.5mL
Dosage form: Injection, Suspension
Route: Intramuscular
Labeler: Bamboo US BidCo LLC
Product type: Vaccine
Marketing category: BLA — Biologics License ApplicationApplication BLA 103914
Marketing start: Jul 1, 2026
Listing expires: Dec 31, 2027
Identifiers: Product ID 83703-087_53ea9247-b6ce-ba85-e063-6294a90a915bSPL ID 53ea9247-b6ce-ba85-e063-6294a90a915b

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Immunization administration (CPT 90460–90474)

Giving a vaccine is reported separately from the vaccine product code, with an immunization administration code. Which code applies depends on the patient's age, the route and whether counselling was provided.

How CPT relates to drug billing

NDC on a medical claim

N483703008750 followed by a unit qualifier and the quantity

Package 83703-0087-50. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

The FDA listing for this product does not reference a label (SPL) set.