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Influenza Vaccine Administration Fee Billing Requirements

Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Oct 24, 2012
We identified it
Jun 20, 2026
Days to comply
—

Summary

This policy specifically targets pharmacies, not healthcare practices, regarding influenza vaccine administration fee billing requirements. Pharmacies must now bill the administration fee as a separate NCPDP D.0 S1 transaction starting with the 2012-2013 flu season.

Action Required

Action needed
No action required for healthcare practices - this policy applies only to participating pharmacies billing influenza vaccine administration fees through NCPDP transactions.

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