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Updated: July 2009

Charges for medications and vaccines


Charges are per tablet or per shot unless otherwise indicated.

 Azithromycin 500mg (3 Tablets) 18.00
  Bactrim DS (#8) 5.00
 Blood Type & Rh  20.00
 Chloroquine 500mg (each) 5.00
 Cipro #6 5.00
 Cystic Fibrosis 95.00
 Depo-Provera injection
     (Fee Paying)
     (Non-Fee Paying

35.00
55.00
 Diamox 5.00
 Doxycycline 100mg 5.00
 FAA Physical
     First Class
     Second and Third

145.00
130.00
 Hepatitis A Vaccine 65.00
 Hepatitis B Vaccine 60.00
 Hepatitis B Surface Antibody 15.00
 Hepatitis B Surface
 Antibody Quantitative
15.00
 HPV Test 75.00
 HPV Vaccine 135.00
 HSV Type 1 lgG 30.00
 HSV Type 2 lgG 30.00
 Imodium 2mg (#20) 5.00
 Immune Globulin (per 2 ml) 30.00
 Influenza IM 25.00
 Lupus Panel 200.00
 Malarone (per tablet) 9.00
 MMR 9.00
 Measles titer 40.00
 Mefloquine 250 mg. (each) 8.00
 Menactra 110.00
 Menomune 110.00
 Mumps titer 30.00
Peace Corps Physical
     Med Hx/Phy Exam
     Laboratory Tests
     Pap Smear

120.00
130.00
40.00
 Pneumococcal 40.00
 Polio 28.00
 Rabies IM 180.00
 Rabies Titer 37.00
 Rubella lgG 20.00
 Tdap Vaccine 42.00
 Tetanus/diphtheria 22.00
 Tuberculin 0.1 ml 5.00
 Twinrix 90.00
 Typhoid Injection, Typhim-Vi 50.00
 Typhoid, Oral (#4) 45.00
 Varicella 85.00
 Varicella Titer 25.00
 Venipuncture 20.00
 Yellow Fever 78.00
 Yellow WHO Book Replacement 10.00
 Peak Flow Meter 30.00
 Travel Syringe Kit 7.00


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