FormWeb • PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE (DIPHTHERIA CRM197 PROTEIN) (PCV13)

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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PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE (DIPHTHERIA CRM197 PROTEIN) (PCV13)

PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE (DIPHTHERIA CRM197 PROTEIN) (PCV13)

Brand names: PREVNAR 13

Form	Strength
INJECTION	0.5 mL single dose pre-filled syringe

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Comments:

Added for formulary May 2018 for management of asplenia/post-splenectomy.

Last updated: Jun. 24, 2018

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