Transcription of Vaccine Fact Sheet
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Vaccine Fact Sheet
Brand Name and ManufacturerProtects AgainstRoutine ScheduleMinimum IntervalsApproved for use inAdministrationPackagingStorageFull ACIP RecommendationsVFC LetterBilling CodesComments Adacel Sanofi PasteurTetanus, diphtheria, and pertussisOne (1) booster dose: 11-12 yearsNo minimum interval since prior TdPersons aged 10 through 64 yearsIntramuscular (IM) injectionVaccine is packaged as 10 single-dose vials or 5 single-dose prefilled Luer-Lok syringesRefrigerate between 36 F and 46 F (2 C to 8 C)DO NOT Recommendations in Pregnant Women available on EZIZCHDP code: 72 CPT code for Vaccine : 90715 CPT code for administration: 90460 or 90461 Medi-Cal Fee-For-Service (FFS) administration: 90715 with modifiers SK (high-risk) and SL (VFC) I
Brand Name and Manufacturer Protects Against Routine Schedule Minimum Intervals Approved for use in Administration Packaging Storage Full ACIP Recommendations
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