| Adult Immunization Clinic | ||
| Fee Schedule effective July 1, 2009 | ||
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Note: An Ohio Medicaid Card will pay for Hepatitis B, Tetanus and Tdap only. All other injections require payment at the time of administration. |
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| Vaccine | Doses | Fee/dose |
| Adacel (Tdap) | 1 | $50.00 |
| *Td or Tdap for 18 year olds | 1 | $10.00 |
| *Tetanus | 1 | $30.00 |
| Gardasil (HPV) | 3 |
$150.00 |
| Hepatitis A | 2 | $30.00 |
| Hepatitis B | 3 | $40.00 |
| *Hep B for 18 & 19 year olds | 3 | $10.00 |
| Imovax (Rabies) | 3 | $172.00 |
| Influenza | ||
| *Influenza (ODH High Risk Groups) | 1 | $20.00 |
| IPV (Polio) | 1 | $10.00 |
| Menactra (Meningitis) | 1 | $110.00 |
| MMR (Measles, Mumps & Rubella) | 1 | $65.00 |
| Pneumovax (Pneumonia) | 1 | $10.00 |
| TB skin Test | 1-2 | $20.00 |
| Varicella (Chicken pox) | 2 | $100.00 |
| Zostavax (Shingles) | 1 | $175.00 |