Price Guide

Vaccines

Price per dose:

  1. £75 during monthly clinic (check date here)
  2. £100 outside scheduled clinic

Number of doses for primary course: 1
Minimum dose intervals:
Age: Birth onwards
When a booster dose given (in years): None required


We use exactly the same BCG vaccine approved to be used by the NHS, supplied to us by the same supplier to the NHS. For more information see our BCG page.

Price per dose: £70

Number of doses for primary course: 1
Minimum dose intervals:
Age: Birth onwards
When a booster dose given (in years):

BCG should not be administered to an individual with a positive TB skin test – it is unnecessary and may cause a more severe local reaction.  BCG can be given up to three months following a negative tuberculin test.

A tuberculin skin test is necessary prior to BCG vaccination for:

  1. all individuals aged six years or over
  2. infants and children under six years of age with a history of residence or prolonged stay (more than three months) in a country with an annual TB incidence of 40/100,000 or greater
  3. those who have had close contact with a person with known TB
  4. those who have a family history of TB within the last five years.

Giving Tuberculin skin testing (Mantoux) and MMR vaccines:

If a tuberculin skin test has already been initiated, then MMR should be delayed until the skin test has been read unless protection against measles is required urgently. If a child has had a recent MMR, and requires a tuberculin test, then a four week interval should be observed.

Price per dose: £24

A certificate will be provided.
Number of doses for primary course:
Minimum dose intervals:
Age:
When a booster dose given (in years):

Price per dose: £70
Number of doses for primary course: 2
Minimum dose intervals: 3 month for 9-12 months of age & 1 year+ 6 weeks
Age: 9 month+
When a booster dose given (in years): None required


Giving Chickenpox (varicella) and MMR vaccines:

If these vaccines are not administered on the same day, then a four week minimum interval should be observed between vaccines.


Chickenpox vaccine parent communication checklist

Price per dose: £26
Number of doses for primary course: 2 for 6 years+ & 3 for 2-6 years
Minimum dose intervals: 1 week
Age: 2+
When a booster dose given (in years): 2 years for 6 years+ & 6 months for 2-6 years of age


Can this vaccine provide protection against travellers diarrhoea?

In clinical trials Dukoral has shown efficacy in protecting against infection by ETEC (Enterotoxigenic Escherichia coli), a common cause of travellers’ diarrhoea.
The vaccine is not licensed in the UK for use in protecting against either ETEC infection or travellers’ diarrhoea (only licensed for cholera); this vaccine may be considered for travellers’ diarrhoea for

  1. Travellers for whom even a brief episode of diarrhoea could be consequential (e.g. other underlying medical condition).
  2. Travellers prone to severe diarrhoea.

Price per dose: £32
Number of doses for primary course: 1
Minimum dose intervals:
Age: 6+
When a booster dose given (in years): 10


Why do we give tetanus boosters to travellers when only five doses of tetanus are needed for life in the UK with no additional boosters?

It is correct that only five doses of tetanus are needed for life in the UK, but this is on the assumption that if someone needed a tetanus booster or immunoglobulin (e.g. in the event of a tetanus prone wound) they would be able to access the appropriate treatment easily.

We give boosters to travellers if we cannot be sure they would be able to quickly access appropriate treatment easily. Particularly in countries where medical facilities and supplies are scarce, obtaining tetanus immunoglobulin might be difficult. Rather than take this chance, we would give them further vaccine before departure.

Price per dose: £48
Number of doses for primary course: 1
Minimum dose intervals:
Age: 16+
When a booster dose given (in years): 25 years after the 2nd dose

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I had one dose of hepatitis A vaccine many years ago but did not complete the course. Should I restart the whole course of vaccination now?

There is no need to restart the whole course of vaccination – one dose now will be sufficient to complete the course.


How long does it take for hepatitis A vaccine to give protection?

Approximately 14 days after the primary vaccination. The average incubation period for hepatitis A infection is 28 days (and can be 3 – 5 weeks) so it may still be worthwhile giving the vaccine at short notice prior to travel.

Price per dose: £44
Number of doses for primary course: 1
Minimum dose intervals:
Age: 1-15
When a booster dose given (in years): 25 years after the 2nd dose

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Price per dose: £85
Number of doses for primary course: 1
Minimum dose intervals:
Age: 15+
When a booster dose given (in years): See individual vaccines

Price per dose: £39
Number of doses for primary course: 3 or 4
Minimum dose intervals: 0, 1, 2 months (3 dose schedule – if there is not enough time, 2 doses provide reasonable protection before travel) or rapid schedules: 0, 7, 21 days & 12 months (4 dose schedule).

Age: 16+
When a booster dose given (in years): None required for travel


For travellers who have completed a primary course of vaccination, a single booster dose of vaccine at five years is not required, unless they are considered to be at continuing risk of infection e.g. regular traveller to areas with poor health care and high incidence of hepatitis B carrier rate. They would also be advised to have a booster if in an at risk situation e.g. needle stick injury. Any traveller with an underlying medical condition that may compromise their response to vaccine should consider a test.


When are rapid schedules used in preference to the standard schedule?

Suitable for travellers who require maximum protection but do not have time for the standard 3 dose schedule.


Why do the rapid schedules have a 4th dose of vaccine?

The additional 4th dose at 12 months is given because some initial protection from the 3 rapid doses may be lost. This only applies to infants who are at continued risk and those who receive the very rapid schedule on days 0, 7 and 21.

Price per dose: £35
Number of doses for primary course: 3
Minimum dose intervals: 0, 1, 2 months
Age: 0-15
When a booster dose given (in years): None required for travel


Now that hepatitis B vaccine is included in the UK national schedule, does this mean we no longer need to vaccinate children travellers?

Children born after August 1st 2017 will receive hepatitis B vaccine and will be protected after completion of the course of vaccination. Children born before 1st August 2017 will not have been given hepatitis B vaccine routinely and may therefore still need to be considered prior to travel or as routine immunisation given privately.

Price per dose: £88
Number of doses for primary course: 3 or 4
Minimum dose intervals: 0, 1, 6 months (3 dose schedule – if there is not enough time, 2 doses provide reasonable protection before travel) or rapid schedules: 0, 7, 21 days & 12 months (4 dose schedule).


Age: 16+
When a booster dose given (in years): See individual vaccines

Price per dose: £85
Number of doses for primary course: 2
Minimum dose intervals: 0 & 6-12 months 
Age: 1-15
When a booster dose given (in years): See individual vaccines

Price per dose: £135
Number of doses for primary course: 2 for 9-14 years & 3 for over 14
Minimum dose intervals: 0, 1, 4 months
Age: 9+
When a booster dose given (in years): Not required

Price per dose: £165
Number of doses for primary course: 2 for 9-14 years & 3 for over 14
Minimum dose intervals: 0, 1, 4 months
Age: 9+
When a booster dose given (in years): Not required


HPV and Men – Fact Sheet

Price per dose: £15
Number of doses for primary course: 1
Minimum dose intervals:
Age: 6 months+
When a booster dose given (in years): 1

Price per dose: £40
Number of doses for primary course: 1
Minimum dose intervals:
Age: 2-18
When a booster dose given (in years): 1

Price per dose: £95
Number of doses for primary course: 2
Minimum dose intervals: Standard schedule: 0 & 28 day – Rapid schedule: 0 & 7 day. 

Age: 2 month+
When a booster dose given (in years): 2 years for 1st booster and *10 years for 3rd booster


What are the benefits of the rapid schedule versus the normal day 0 and 28 day schedule?

The main benefit of the rapid schedule is that it can be used for those travellers leaving in less than one month. Ideally both doses should be given at least one week prior to exposure to Japanese encephalitis.


When do I need to give a booster following the rapid schedule?

The 1st booster (for the purpose of travel) is the same after standard or rapid primary schedule.

  • Children (from 2 months) and adults under 65 years: boost 12-24 months after primary immunisation and prior to potential re-exposure to Japanese encephalitis virus.
  • Adults 65 years of age and older: consider boost at 12 months for those at risk.

2nd booster (4th dose)

  • 10 years after 1st booster (3rd dose) should be offered to those that remain at risk *(the 10 year protection is only applied to adults 18-64 years of age – all other ages, if at risk, require a booster dose after 2 years).

Price per dose: £90
Number of doses for primary course: 2
Minimum dose intervals: 1-3 months
Age: 1+*
When a booster dose given (in years): Usually not required

*Infants from six months of age travelling to measles endemic areas or to an area where there is a current outbreak should receive MMR (Green Book, chapter 21). See this reminder for travellers to mainland Europe to check they are up to date with measles vaccine.


Giving Yellow Fever and MMR vaccines:

A four week minimum interval period should be observed between the administration of these two vaccines. Yellow Fever and MMR should not be administered on the same day.

Giving Chickenpox (varicella) and MMR vaccines:

If these vaccines are not administered on the same day, then a four week minimum interval should be observed between vaccines.

Giving Tuberculin skin testing (Mantoux) and MMR vaccines:

If a tuberculin skin test has already been initiated, then MMR should be delayed until the skin test has been read unless protection against measles is required urgently. If a child has had a recent MMR, and requires a tuberculin test, then a four week interval should be observed.

Price per dose: £115
Number of doses for primary course: 2
Minimum dose intervals: 1-2 months depends on the age
Age: 2 months+
When a booster dose given (in years): Not required

Price per dose: £60
Number of doses for primary course: 3 for under 1 year & 1 for 1 year+
Minimum dose intervals: 2 months for 6 to 12 weeks infants & 3rd dose at age 1
Age: 6 weeks+
When a booster dose given (in years): 5 years for travel

Price per dose: £37
Number of doses for primary course: 2
Minimum dose intervals: 4 weeks
Age: 1+*
When a booster dose given (in years): Not required


*Infants from six months of age travelling to measles endemic areas or to an area where there is a current outbreak should receive MMR (Green Book, chapter 21).

As of July 2018, measles outbreaks continue to occur in a number of EU/EEA countries, with a risk of spread and sustained transmission in areas with susceptible populations.  Travel may increase an individual’s risk of exposure to measles virus, and facilitate the spread of disease to unvaccinated and susceptible populations.

Vaccination should be considered for:

  • All travellers who have not previously had two doses of a measles containing vaccine or prior measles infection.
  • Particularly children and those who will be living or working closely with the local population at their destination, in countries with high endemnicity or recent outbreaks.

Giving Yellow Fever and MMR vaccines:

A four week minimum interval period should be observed between the administration of these two vaccines. Yellow Fever and MMR should not be administered on the same day.

Giving Chickenpox (varicella) and MMR vaccines:

If these vaccines are not administered on the same day, then a four week minimum interval should be observed between vaccines.

Giving Tuberculin skin testing (Mantoux) and MMR vaccines:

If a tuberculin skin test has already been initiated, then MMR should be delayed until the skin test has been read unless protection against measles is required urgently. If a child has had a recent MMR, and requires a tuberculin test, then a four week interval should be observed.

Price per dose: £50
Number of doses for primary course: 1
Minimum dose intervals:
Age: 2+
When a booster dose given (in years): Not required


This is the pneumococcal vaccine offered to adults 65 years of age and over on the NHS.

PCV13 is NOT offered to adults 65 years of age and over on the NHS.

Price per dose: £100
Number of doses for primary course: 1 for adults
Minimum dose intervals:
Age: 6 weeks+
When a booster dose given (in years): Not required


The vaccine helps protect against the 13 types of pneumococcal bacteria that most commonly cause serious infections in children and adults. It can also help prevent ear infections and pneumonia caused by those 13 types of pneumococcal bacteria. Pneumonia is the most common clinical presentation of pneumococcal disease in adults.

Pneumococcal disease is caused by bacteria that can spread from person to person through close contact. It can cause ear infections, and it can also lead to more serious infections of the:

  • Lungs (pneumonia),
  • Blood (bacteremia), and
  • Covering of the brain and spinal cord (meningitis).

This is the pneumococcal vaccine NOT offered to adults on the NHS.

Price per dose:

Intradermal (ID) injection: £50 – Available on certain days.  Currently the manufacturers of rabies vaccines do not have UK marketing authorisation for this use.  However, the ID injection is supported by World Health Organization (see page 10 & 13).

Intramuscular (IM) injection: £70 or £75 depends on stock availability
Number of doses for primary course: 3
Minimum dose intervals: Conventional regimen: 0, 7, 21 days – Rapid Regimen (adults only – if not able to complete the conventional regimen): 0, 3, 7 days.
Age: Birth onwards
When a booster dose given (in years): 10

In previously unvaccinated individuals three doses should be administered according to the conventional or rapid regimen as shown in below Table.

Conventional regimen Rapid Regimen*
1st dose Day 0 Day 0
2nd dose Day 7 Day 3
3rd dose Day 21 (or 28) Day 7

*The rapid regimen should be considered for adults aged 18-65 years not able to complete the conventional pre-exposure prophylaxis regimen within 21 or 28 days before protection is required.


Key in the risk assessment when deciding when to vaccinate is whether post exposure treatment, which is necessary following an animal bite, is readily available. Post exposure treatment in someone who has not been vaccinated entails immediate first aid, administration of Human Rabies Specific Immunoglobulin (HRIG) followed by a course of five rabies vaccinations over 28 days. The HRIG and first dose of vaccine should ideally be started within 24 hours of the bite being inflicted. HRIG is known to be very difficult or impossible to obtain in many countries, so unvaccinated travellers who receive an animal bite may need to travel to another country or even come home for treatment.


If you have rabies vaccine prior to travel does this mean that you don’t need any treatment if you get an animal bite while away?

No – they will still need treatment but this is much simpler and more as a precaution rather than an emergency. After the full course or pre-exposure rabies vaccine, a fully immunocompetent recipient should produce protective antibodies against rabies. Immediate first aid should be carried after any animal bite. In the event of an animal bite in a high or intermediate risk area, this should be followed up with two further doses of rabies vaccine on days 0 and 3, to be given as quickly as possible after the animal bite. HRIG is not needed.


If a traveller is bitten by an animal, how would they know if the animal has rabies or not?

You cannot tell by looking at an animal whether it has rabies or not as symptoms are not always apparent. Although it is possible to determine whether an animal has rabies through laboratory testing (usually on a dead animal), for most travellers this is impossible.

Rabies, once symptoms develop, is always fatal, so every animal bite in a high risk area should be treated as an emergency.

In countries where there is a low risk of animal rabies, travellers should still have any bite assessed quickly to ascertain if further action is required.

Remember, even in countries with no risk of animal rabies, bats may be infected.


How can I find out whether HRIG is available in the country my traveller is going to?

In most cases you can’t. HRIG is not in plentiful supply anywhere. Though it can be found when needed in most developed countries, in underdeveloped countries, including those with the highest risk of rabies, it will be very difficult or impossible to obtain HRIG.

It is worth noting that HRIG is produced from blood products, so even though this is essential for treatment for someone not previously vaccinated, it may pose a risk in itself in many countries.


What is the advice to travellers about monkey bites?

Travellers should be advised to never handle or feed monkeys. Should a traveller sustain a monkey bite or scratch then prompt first aid is important. Thorough irrigation is important and as with any infection, use of a chlorhexidine containing soap or detergent will reduce the transmission of infection.

Post exposure rabies treatment should be administered.

Tetanus vaccine +/- tetanus immunoglobulin should be given if the traveller is unvaccinated.

Antibiotic is usually advised.

Post-exposure prophylaxis for herpes B infection is unnecessary in travellers post- wild monkey bite, even from a rhesus macque monkey. Good patient education with advice to seek prompt medical attention if they develop a blistering eruption at the site of the bite or develop a ‘flu like’ illness within the 3 week post bite is important to facilitate early diagnosis and treatment of any infection.

Price per dose: £160
Number of doses for primary course: 1
Minimum dose intervals:
Age: 50+
When a booster dose given (in years): Not required

Currently, there is only one shingles vaccine available in the UK, used by the NHS and in our private clinic.  The new shingles vaccine (currently available in the US) will be most likely available in the UK towards the end of 2018.  If you would like to be notified as soon as the new vaccine is launched in the UK, email us at info@hhpharmacy.co.uk and we will notify you on the first day it becomes available in this country.

Price per dose: £65
Number of doses for primary course: 3
Minimum dose intervals: 0, 1, 6 months
Age: 1+
When a booster dose given (in years): 1st booster after 3 years then every 5 years

Conventional vaccination schedule:

Rapid vaccination schedule:

Providing sufficient protection after two vaccinations.


Recommended for people who live or work in, or travel to, TBE risk areas.

Price per dose: £34
Number of doses for primary course: 3
Minimum dose intervals:
Age: 2+*
When a booster dose given (in years): 3


Public Health England’s Green Book Typhoid Chapter 33 suggests that children between 12 months and 2 years may be offered the injectable polysaccharide vaccine if the risk of typhoid at their destination is high, e.g. those visiting friend and family in south east Asia for 4 weeks or more.

Price per dose: £34 (same price as typhoid injection vaccine)
Number of doses for primary course: 1
Minimum dose intervals:
Age: 6+
When a booster dose given (in years): 3


Price per dose: £80
Number of doses for primary course: 1
Minimum dose intervals:
Age: 3+
When a booster dose given (in years): Not required


There have been large outbreaks of pertussis, also known as whooping cough, affecting several countries in recent years. This includes the UK, Australia, Canada and USA. Duration of protection from pertussis vaccine, or from having had the disease, is relatively short-lived. It is unlikely to be more than 10 years and may be less.

The policy in the UK is to vaccinate the pregnant woman in late pregnancy. The antibodies against pertussis which she produces will cross the placenta to help protect the baby.

In some countries, an approach known as ‘cocooning’ is used. This involves vaccinating all those in close contact with the baby – for example partners, spouses, immediate family and grandparents.

Price per dose: £65
Number of doses for primary course: 1
Minimum dose intervals:
Age: 9 month+
When a booster dose given (in years): Not required


Do I need a certificate if my flight transits through a country with risk of yellow fever transmission?

Proof of vaccination is often required for travellers arriving from countries with risk of yellow fever transmission and sometimes for travellers in transit through such countries. For an under 12 hours of airport transit, the risk of yellow fever is almost non-existent and therefore that proof of vaccination should not be necessary. Check individual country recommendations for up to date advice. It should be noted that some countries require proof of vaccination from all travellers.

Price per dose: £24
Number of doses for primary course:
Minimum dose intervals:
Age:
When a booster dose given (in years):


Can a lost certificate be reissued?

Re-issuing a certificate is permissible if you have records of the dates and batch numbers from when the vaccine was administered. If not, then the only legally acceptable approach to satisfy immigration authorities is to repeat the vaccination.

Travel-related Treatments

Prices: Depends of type of medication

Notes: Full range available

Malaria prevention guidelines for travellers from the UK

Prices: £35

Notes: Stand-by antibiotics is only for those at high risk of severe illness, or visiting high risk areas. For more info visit: https://wwwnc.cdc.gov/travel/yellowbook/2018/the-pre-travel-consultation/travelers-diarrhea

  • The price quoted above is per vaccine dose and not for a full course.
  • We do not charge any consultation fees, however should you attend an appointment and not require any vaccines or medicines, a £20 consultation fee shall apply.

  • Prices are subject to change without prior notification.

  • We accept all debit and credit cards (also via mobile payments) for purchases over £5, except American Express.
  • Stocks of particular vaccines may not always be available.

  • Refunds Policy: We cannot offer refunds or accept returns on healthcare items supplied by the clinic. Your statutory rights are unaffected.

  • Vaccinations are only undertaken following a full consultation with the pharmacist, including details of travel plans, locations to be visited within countries and your medical history. 

  • Before departure, all travellers should ensure that they are up to date with the routine NHS (or equivalent) vaccinations schedule.

  • Children aged up to 15 years must have a parent/guardian present and able to complete the consultation on their behalf.
  • If any course of vaccination is interrupted, it should be resumed and completed as soon as possible. There is generally no need to start any course of vaccination again, as immunological memory from the priming dose(s) is likely to be maintained.

  • In the absence of documentation or reliable history you cannot assume that you have been vaccinated, therefore further vaccines for protection should be given. Generally, there is no harm in repeating a vaccine which might have been given previously.

  • In general, it is acceptable to lengthen the intervals between doses and repeating previous vaccine doses is not necessary unless this is explicitly stated in the package insert. On the other hand, significant shortening of the intervals is not recommended.

  • Only a few vaccines should be administered on the same day or at the 4 week interval period; for further details see here and seek advise. Otherwise, most vaccines can be given simultaneously with or at any time before or after each other.

To book an appointment please call 020 7435 7075.

For more information email: info@hhpharmacy.co.uk