FormWeb • DIPHTHERIA/TETANUS/PERTUSSIS (DTAP) PEDIATRIC VACCINE

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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DIPHTHERIA/TETANUS/PERTUSSIS (DTAP) PEDIATRIC VACCINE

DIPHTHERIA/TETANUS/PERTUSSIS (DTAP) PEDIATRIC VACCINE

Drug Name	Form	Strength
Infanrix (DTaP) Preservative Free	SUSPENSION, INTRAMUSCULAR	25 units-10 units-58 mcg/0.5 mL

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For use in children 6 weeks through 6 years of age.

Last updated: Oct. 7, 2025

MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)
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