S02 - SOLICITATION ATTACHMENT - D.34 MEDICATIONS.pdf
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36C24220R0146
D.34 MEDICATIONS HISTORY FOR PAST 12 MONTHS
Meds Total 12 month period
DIPHTH 2UNT/TETANUS TOX 5UNT/0.5ML INJ 40
HEPATITIS B VAC (ENGERIX-B) 20MCG/ML INJ 20
INFLUENZA VACC,TRI ADJUV(PF) SYR 0.5ML 60
INFLUENZA VACCINE HIGH DOSE 0.7ML SYR 160
INFLUENZA VACCINE,QUAD (PF) SYR 0.5ML 160
PNEUMOCOCCAL 23-VAL VACCINE 0.5ML VIAL 85
PREVNAR 13 VACCINE 10
TETANUS/DIPHTHERIA/PERTUSSIS VACCINE 95
TUBERCULIN,PPD 5UNT/0.1ML INJ 5
ZOSTER VACCINE,RECOMBINANT INJ 265
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