FormWeb • tetanus/diphtheria/pertussis, acel (Tdap)

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

Look Alike/Sound Alike: Do not confuse with other tetanus and diphtheria formulations. See policy.

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tetanus/diphtheria/pertussis, acel (Tdap)

tetanus/diphtheria/pertussis, acel (Tdap)

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Boostrix	INJECTION	5-2.5-8/0.5 mL

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Last updated: Jan. 20, 2016

Look Alike/Sound Alike: Do not confuse with other tetanus and diphtheria formulations. See policy.

Pharmacy Phone Numbers:

Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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Use by pharmaceutical/medical representatives or non-CHS personnel is strictly prohibited.