Jan 2016
Norris Health Center
TRAVEL VACCINE AND MEDICATION PRICE LIST
Prices may vary depending on acquisition cost
ITEM DESCRIPTION
Atovaquone and proguanil 250mg/100mg (Malarone)
Bacitracin ointment 14gm (topical antibiotic)
Chloroquine 500mg tab (ea.)
Deet (30%) Insect Repellent Spray (non aerosol) 2oz.
Deet (34%) 12-hour Insect Repellent Ultrathon lotion 2oz.
Doxycycline monohydrate 100mg capsule
Hand Sanitizer (Purell) 2 oz
Hepatitis A Vaccine
Hepatitis B Vaccine SK Direct (20yr. & Older)*20mcg dose
*Engerix only
(19yr. Old)
*10mcg dose
State VFC (no insurance)
(18yr. Old)
*10mcg dose
Influenza Vaccine (2015-2016)
Japanese Encephalitis Vaccine (Ixiaro-2 doses IM)
Special order - allow extra time to obtain product ($287 per
dose) Rx required – Injection fee $6/dose additional
Loperamide 2mg (for diarrhea) (Imodium) #12
Meclizine (Bonine) ( for motion sickness) #8
Mefloquine 250mg tablet (ea.)
Meningococcal vaccine - Menveo
VFC (18 year old; no insurance)
MMR (Measles, Mumps, Rubella)
VFC (18 year old; no insurance)
Oral Rehydration Packet (ea.)
Polio Vaccine Inj. (IPOL)
PPD (Tuberculin Skin Test)
Rabies Pre-Exposure Vaccine (Rabavert-3 doses IM) Special
order ($217.40 per dose)
Rx required – Injection fee
$6/dose additional
Td (Tetanus, Diphtheria)
VFC (18 year old; no insurance)
Tdap (Adacel)
VFC (18 year old; no insurance)
Thermometer digital
Travel kit (acetaminophen, meclizine,loperamide,hydrocortisone cream,
Patient Price
$4.50 ea + $6
$4
$3.85 ea + $6
$4.50
$5.50
$.34 ea + $6
$2
$38
$38
$22
$6
$10 students
$20 staff
$580/2 doses
$4
$4
$4.50ea. + $6
$99
$6
$64
$6
$1
$34
$10
$651 / 3 doses
$30
$6
$39
$6
$4
$10
bacitracin ,thermometer strip, band aids, hand sanitizer, rehydration salts)
Typhoid Inj. (Typhim Vi-one dose)
Typhoid Oral Vaccine (total of 4 doses)
Varicella (Varivax) (chicken pox vaccine)
Yellow Fever Vaccine
Y: /Pharmacy/Vaccines
$90
$47
$104
$124