Akorn Discontinued this, for suggested replacement,CLICK HERE TD Vaccine, 0.5 mL Single Dose Vial, 7 Years of Age and Older, 2 - 2 LF / 0.5 mL Intramuscular Injection, Tetanus and Diptheria Toxoids Adsorbed (10/Pk) by Akorn This Ships REFRIGERATED, NO REFUNDS ONCE ORDER IS SHIPPED.