VACCINE / PROPHYLACTIC MEDICATION LIST

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VACCINE / PROPHYLACTIC MEDICATION LIST 2016 Primary Care Tokyo VACCINES APPROVED IN JAPAN Vaccine / Medication Name Dose / Schedule Fee per dose* DTP (diptheria-tetanus-pertussis) 3 doses every 4 weeks, booster in one year. 5,000 DTP IPV (diptheria-tetanus-pertussis-inactivated polio) 3 doses every 4 weeks, booster in one year. 9,000 DT (diptheria-tetanus) 1 dose at age 11 to 12 years 4,000 Inactivated Polio 3 doses every 4 weeks, booster in one year. 7,500 MR (measles-rubella) First dose at age 12 months, booster at 5 to 7 years of age. 9,000 Measles First dose at age 12 months, booster at 5 to 7 years of age. 5,000 Rubella First dose at age 12 months, booster at 5 to 7 years of age. 5,000 Mumps First dose at age 12 months, booster at 5 to 7 years of age. 5,000 Varicella First dose at age 12 months, booster after minimum three month interval 7,000 Japanese Encephallitis 2 doses at 1 to 4 week interval then booster in one year. 5,000 Hepatitis A (Aimmugen) 2 doses at 2 to 4 week interval then booster in 6 months. 6,000 Hepatitis B (Bimmugen, Hepatavax-II) 2 doses at 4 week interval then booster in 6 months. 5,000 Haemophilus influenza b (Hib) 3 doses at 4 week intervals then booster at 12 months of age 8,000 Pneumococcal Conjugate Vaccine 13 (Prevenar 13) 3 doses at 4 week intervals then booster at 12 months of age 10,000 Meningococcal Conjugate Vaccine [MCV4] (Menactra) 1 dose every 5 years 22,000 HPV 2-valent (Cervarix) [call to confirm stock] 2 doses at 4 week interval then booster in 6 months 15,000 HPV 4-valent (Gardasil) [call to confirm stock] 2 doses at 8 week interval then booster in 6 months 15,000 Rotavirus (oral) [Rotarix] 2 doses at 4 week interval (must be completed between 6 to 24 weeks of age) 12,000 Rotavirus (oral) [Rotateq] 3 doses at 4 week intervals (must be completed between 6 to 32 weeks of age) 8,250 *consumption tax will be added to the fees listed. Prices subject to change without notice.

Tetanus toxoid Every 10 years. 3,000 Rabies (Kaketsuken domestic) Preexposure: 3 doses at 0, 1, and 6 months (please call to confirm availability) 12,000 Pneumococcal 23 (adult) [Pneumovax] 1 dose every 5 years 8,000

IMPORTED VACCINES Vaccine / Medication Name Dose / Schedule Fee per dose* Hepatitis A (pediatric) (Havrix 720) 2 doses at 6 to 12 month interval 10,000 Hepatitis A (adult) (Havrix 1440) 2 doses at 6 to 12 month interval 11,000 Hepatitis A / Typhoid (Vivaxim/Hepatyrix) [call to confirm stock] 1 dose (Hepatitis A booster in 6 months, Typhoid booster in 3 years) 15,000 Hepatitis A & B (adult) (Twinrix 720/20) 3 doses at 0, 1, and 6 months 13,000 Hepatitis A & B (pediatric) (Twinrix Junior 360/10) 3 doses at 0, 1, and 6 months 11,000 Infanrix Hexa [DTP-Polio-Hib-Hepatitis B] 3 doses at 4 to 8 week intervals 15,000 Infanrix (5) [DTP-Polio-Hib] [call to confirm stock] 3 doses at 4 to 8 week intervals 12,000 MMR [measles-mumps-rubella] (Priorix) 1 dose at age 12 months, booster at age 4 to 6 years 10,000 Meningococcal Polysaccharide Vaccine [MPSV4] (Mencevax) 1 dose every 5 years 10,000 Meningococcal Conjugate Vaccine [MCV4] (Menveo) 1 dose every 5 years 18,000 Meningococcal-C Conjugate Vaccine (Neisvac-C) 1 to 3 doses 17,000 Meningococcal-B recombinant vaccine (Bexsero) 2 to 3 doses at 4 to 8 week intervals 34,000 Typhoid [injectable](typhim Vi, Typherix) 1 dose every 3 years 8,500 Typhoid [oral] (Vivotif) [currently not available] 1 capsule every other day for 3 doses. Booster every 3 to 5 years. 8,500 Rabies [imported] (Verorab) 3 doses at 0, 7, and 21 to 28 days. 9,000 Tdap (Boostrix) 1 dose at age 7 years or older. 8,000 Td [tetanus-diptheria] (Td-pur) 1 dose every 10 years after age 7 years. 6,000 Cholera [oral inactivated] (Dukoral) [call to confirm stock] 2 doses at 1 to 6 week interval for age > 2 years (3 doses for age 2 to 6 years). 6,000 Tick-borne encephalitis [adult] (Encepur N, FSME-Immun) 2 doses at 4 week interval then booster after 9 to 12 months 10,000

Tick-borne encephalitis [pediatric] (Encepur Junior) 2 doses at 4 week interval then booster after 9 to 12 months 10,000 Herpes zoster [shingles] (Zostavax) [ordered individually] 1 dose at age 60 years or older 35,000

MALARIA PROPHYLAXIS Doxycycline 100mg 1 tablet per day. Begin one day prior to arrival and continue for 4 weeks after leaving risk area. 60 / tablet Mefloquine 275mg 1 tablet once a week. Begin 1 week prior to arrival and continue for 4 weeks after leaving risk area. 1,200 / tablet Malarone (atovaquone 250mg / proguanil 100mg) 1 tablet per day. Begin one day prior to arrival and continue for 1 week after leaving risk area. 600 / tablet Malarone Junior (atovaquone 62.5mg / proguanil 25mg) Dose varies with age. Begin one day prior to arrival and continue for 1 week after leaving risk area. 800 / tablet HIGH-ALTITUDE SICKNESS PREVENTION Diamox 250mg (acetazolamide) 1/2 to 1 tablet twice a day. Begin 24 hours prior to ascent. Continue for 48 hours after reaching peak elevation. 60 / tablet