|
|
Charges for medications and vaccines
as of 1/15/08
| Bactrim
DS (#8) |
5.00 |
| Chloroquine
500mg (each) |
5.00 |
| Cipro
#6 |
5.00 |
| Cystic
Fibrosis |
95.00 |
Depo-Provera
injection
(Fee Paying)
(Non-Fee Paying |
20.00
70.00 |
| Diamox |
5.00 |
| Doxycycline
100mg |
5.00 |
| Fansidar
(each) |
5.00 |
| Hepatitis
A |
55.00 |
| Hepatitis
B |
45.00 |
| Hepatitis
B titer |
15.00 |
| HBIG
(per 5 ml vial) |
525.00 |
HPV
Test
HPV Vaccine |
75.00
120.00 |
| 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 |
| Influenza,
Intranasal |
32.00 |
| Lupus
Panel |
200.00 |
| Malarone
(per tablet) |
7.00 |
| MMR |
5.00 |
| Measles
titer |
40.00 |
| Mefloquine
250 mg. (each) |
11.00 |
| Menactra
(Fee Paying) |
45.00 |
| Menactra
(Non-Fee Paying) |
105.00 |
| Menomune
(Fee Paying) |
45.00 |
| Menomune
(Non-Fee Paying) |
105.00 |
| Mumps
titer |
30.00 |
| Pneumococcal |
30.00 |
| Polio |
25.00 |
| Rabies
IM |
150.00 |
| Rabies
Titer |
35.00 |
| Rubella lgG |
15.00 |
| Tdap Vaccine |
40.00 |
| Tetanus/diphtheria |
20.00 |
| Tuberculin
0.1 ml |
5.00 |
| Twinrix |
75.00 |
| Typhoid
Injection, Typhim-Vi |
50.00 |
| Typhoid,
Oral (#4) |
45.00 |
| Varicella |
75.00 |
| Varicella
Titer |
25.00 |
| Yellow
Fever |
140.00 |
| |
|
| Zithromax |
50.00 |
| Zithromax
Tri-Pak |
50.00 |
| Peak
Flow Meter |
20.00 |
| Travel
Syringe Kit |
6.00 |
<< back to to
the immunization and travel clinic
|
