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Hepatology communications

Acura has now effectively demonstrated this for their Nexafed product

In such cases, no additional PPSV23 doses are recommended every 5 years, and the total number of PPSV23 doses should not exceed three, including one final dose after age 65, spaced at least 5 years from the second PPSV23 dose

Discard any opened vial after 28 days to ensure antimicrobial integrity