MENACTRA CPT Vaccine Code: 90734

Vaccine & Product Overview

HCPCS Descriptor Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use

Manufacturer Glaxo Smithkline Pharmaceuticals

Route of Administration Intramuscular

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Solution

About MENACTRA

Menactra is a medication aligned to the HCPCS CPT Drug Code: 90734 for billing, pricing, and reimbursement purposes in the United States. This Vaccine medication is administered via the intramuscular route and manufactured by Glaxo Smithkline Pharmaceuticals.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to 90734. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	MENACTRA

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MENACTRA Pricing & Reimbursement

90734 Private Payer Reimbursement

$186.91 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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MENACTRA Vaccine Administration Codes

CPT Code	Description
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid)
90472	Immunization administration (each additional vaccine or toxoid), when performed in conjunction with primary procedure.

MENACTRA Medically Unlikely Edits (MUE)

The most billing units of 90734 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 dose.

Practitioner Office & Hospital Outpatient

1 unit / day

Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

MENACTRA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Invasive meningococcal disease (Neisseria meningitidis serogroups A, C, Y, W-135)

Drug Class

Actively Acquired Immunity [PE]Inactivated Meningococcal Vaccine [EPC]Meningococcal Vaccines [CS]VaccinesInactivated [CS]

Frequently Asked Questions

Is there an available Menactra billing and coding guide?

Billing and coding information for MENACTRA can be found through Sanofi. Visit Here →

Are there any available Menactra patient assistance programs?

MENACTRA patient assistance information can be found through Glaxo Smithkline Pharmaceuticals. Visit Here →

Where can I find Menactra prescribing information?

MENACTRA prescribing information can be found at the link below: Visit Here →

Where can I find Menactra side effect information?

Information regarding MENACTRA's side effects can be found at MedlinePlus Visit Here →

Does billing MENACTRA require JZ/JW wastage modifiers?

CMS does not include MENACTRA (90734) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90734. For more information, visit the link below.

About BuyandBill.com:

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