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Updated: November 2012

Charges for medications and vaccines


Charges are per tablet or per shot unless otherwise indicated.

 Azithromycin 500mg (3 Tablets) 5.00
 Bactrim DS (#8) 5.00
 Blood Type & Rh  20.00
 Chloroquine 500mg
     (6 tablets)
     (12 tablets)

26.00
46.00
 Cipro #6 5.00
 Depo-Provera injection
     (Fee Paying)
     (Non-Fee Paying)

40.00
55.00
 Diamox (8 tablets) 8.00
 Doxycycline 100mg 5.00
 FAA Physical
     First Class
     Second and Third

155.00
140.00
 Hepatitis A Vaccine 69.00
 Hepatitis B Vaccine 60.00
 Hepatitis B Surface Antibody 15.00
 Hepatitis B Surface
 Antibody Quantitative
15.00
 HPV Test 120.00
 HPV Vaccine 135.00
 HSV Type 1 lgG 20.00
 HSV Type 2 lgG 20.00
 Imodium 2mg (#20) 5.00
 Influenza IM 30.00
 Malarone (6 tablets) 44.00
 MMR (under 19 years of age)
 MMR (19 and older)
9.00
55.00
 Measles titer 20.00
 Mefloquine 250 mg. (6 tablets) 31.00
 Menactra 115.00
 Menomune 115.00
 Mumps titer 20.00
  Peace Corps Physical
     Med Hx/Phy Exam
     Laboratory Tests
     Pap Smear

120.00
130.00
40.00
 Pneumococcal 60.00
 Polio 30.00
 Rabies IM 230.00
 Rabies Titer 52.00
 Rubella lgG 25.00
 Quantiferon Gold 30.00
 Tdap Vaccine 47.00
 Tetanus/diphtheria 25.00
 Tuberculin 0.1 ml 5.00
 Twinrix 95.00
 Typhoid Injection, Typhim-Vi 55.00
 Typhoid, Oral (#4) 47.00
 Varicella 92.00
 Varicella Titer 20.00
 Venipuncture 20.00
 Yellow Fever 95.00
 Yellow WHO Book Replacement 15.00
 Peak Flow Meter 30.00
 Travel Syringe Kit 7.00


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