VARIVAX CPT Vaccine Code: 90716

Vaccine & Product Overview

HCPCS Descriptor Varicella virus vaccine (VAR), live, for subcutaneous use

Manufacturer Merck Sharp & Dohme Corp

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Suspension

About VARIVAX

Varivax is a medication aligned to the HCPCS CPT Drug Code: 90716 for billing, pricing, and reimbursement purposes in the United States. This Vaccine medication is administered via the subcutaneous route and manufactured by Merck Sharp & Dohme Corp.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to 90716. Package detail is available to logged-in subscribers.

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

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VARIVAX Pricing & Reimbursement

90716 Private Payer Reimbursement

$213.67 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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VARIVAX 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.

VARIVAX Medically Unlikely Edits (MUE)

The most billing units of 90716 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 →

VARIVAX 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.

Varicella (chickenpox)

Drug Class

Actively Acquired Immunity [PE]Chickenpox Vaccine [CS]Herpes Zoster Vaccine [CS]Live Attenuated Herpes Zoster Virus Vaccine [EPC]Live Attenuated Varicella Zoster Virus Vaccine [EPC]VaccinesAttenuated [CS]

Frequently Asked Questions

Is there an available Varivax billing and coding guide?

Billing and coding information for VARIVAX can be found through Merck. Visit Here →

Are there any available Varivax patient assistance programs?

VARIVAX patient assistance information can be found through Merck. Visit Here →

Where can I find Varivax prescribing information?

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

Where can I find Varivax side effect information?

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

Does billing VARIVAX require JZ/JW wastage modifiers?

CMS does not include VARIVAX (90716) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing 90716. For more information, visit the link below.

About BuyandBill.com:

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