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Akorn Vaccination Order Form


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Final pricing for the 2008-2009 flu season will be confirmed before your order is shipped. By pre-booking now, we can confirm your supply of Influenza Virus Vaccine at a special discounted price.


Qty


Item Description


NDC#

    Tetanus and Diphtheria Toxoids Adsorbed 
  for Adult Use Single-Dose Vial 0.5 mL = 10 doses per box  
 17478-131-01 
    Tetanus and Diphtheria Toxoids Adsorbed 
  for Adult Use Multi-Dose Vial 7.5 mL = Fifteen (0.5 mL) Doses per vial  
 14362-0111-1 
    AFLURIA® (Influenza Virus Vaccine) 
 Adult use Single-Dose Pre-Filled syringe 0.5mL/10 per box  
 33332-008-01 
    AFLURIA® (Influenza Virus Vaccine) 
 Adult use Multi-Dose Vial, 5 mL = Ten (0.5mL) Doses per vial  
 33332-108-10 
    FLULAVAL® (Influenza Virus Vaccine) 
 Adult use Multi-Dose Vial, 5 mL = Ten (0.5mL) Doses per vial   
 19515-885-07 
    FLUVIRIN® (Influenza Virus Vaccine) 
 4 years and Over, Multi-Dose Vial, 5 mL = Ten (0.5mL) Doses per vial  
 66521-111-10 
    FLUVIRIN® (Influenza Virus Vaccine) 
 4 years and Over, Single-Dose Pre-Filled syringe 0.5mL/10 per box  
 66521-111-02 

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