Orange County NC Website
Commissioner Approved Fee Schedule - FY 2020-21 Attachment 4 <br />* Any fee changes will be included in this column; <br />a blank beside each fee means there is no fee change in FY 2020-21 Commissioner Approved Fee Schedule <br />Department/Program Description Current Fee <br />Commissioner Approved <br />Fee Change for <br />FY 2020-21* <br />Last <br />Revision <br />90680 Rotavirus vaccine, pentavalent (RV5), 3 dose - <br />ROTATEQ $113.00 2019 <br />Medicaid only 90680SL Rotavirus vaccine, pentavalent (RV5), 3 dose - <br />ROTATEQ $0.00 2019 <br />90681 Rotavirus vaccine, human, attenuated (RV1), live, <br />oral, 2 dose - ROTARIX $138.00 2019 <br />Medicaid only 90681SL Rotavirus vaccine, human, attenuated (RV1), live, <br />oral, 2 dose - ROTARIX $0.00 2019 <br />65