| Azithromycin |
18.00 |
| Azithromycin 500mg (3 Tablets) |
18.00 |
| 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 |
22.00
70.00 |
| Diamox |
5.00 |
| Doxycycline
100mg |
5.00 |
FAA Physical
First Class
Second and Third |
145.00
130.00 |
| Hepatitis
A |
60.00 |
| Hepatitis
B |
60.00 |
| Hepatitis B Surface Antibody |
15.00 |
Hepatitis B Surface
Antibody Quantitative |
65.00 |
| HPV
Test |
75.00 |
| HPV Vaccine |
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 |
| 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 |
Peace Corps Physical
Med Hx/Phy Exam
Laboratory Tests
Pap Smear |
120.00
130.00
40.00 |
| 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 |
90.00 |
| Typhoid
Injection, Typhim-Vi |
50.00 |
| Typhoid,
Oral (#4) |
45.00 |
| Varicella |
80.00 |
| Varicella
Titer |
25.00 |
| Venipuncture |
15.00 |
| Yellow
Fever |
78.00 |
| Yellow WHO Book
Replacement |
10.00 |
| Peak
Flow Meter |
30.00 |
| Travel
Syringe Kit |
7.00 |
