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FY 12 -13 Proposed Vaccine Fees <br />Support Staff <br />Vaccine Cost Supply Cost Time Nursing Time Admin Time Total Price of <br />Item Description Per dose Per Item per 15 min per 15 min per 15 min Vaccine <br />Infarix <br />25x1 Safety Glide Needlew / Syringe <br />Jr. Bandaid <br />Alcohol Pad <br />2x2 gauze ( non - sterile) <br />Copy of Shot Record <br />Staff Time <br />Ipol Polio <br />25x5/8 Integra Needle w /syringe <br />Jr. Bandaid <br />Alcohol Pad <br />Copy of Shot Record <br />2x2 gauze ( non - sterile) <br />Staff Time <br />Havrix Hep A Ped <br />25x1 Safety Glide Needle <br />Jr. Bandaid <br />Alcohol Pad <br />Copy of Shot Record <br />2x2 gauze ( non - sterile) <br />Staff Time <br />Engerix B Hep B <br />25x1 Safety Glide Needle <br />Jr. Bandaid <br />Alcohol Pad <br />2x2 gauze ( non - sterile) <br />Copy of Shot Record <br />Staff Time <br />Pedvaxhib Hib Ped <br />25x1 Integra Needle w /syringe <br />Jr. Bandaid <br />Alcohol Pad <br />2x2 gauze ( non - sterile) <br />Copy of Shot Record <br />Staff Time <br />Gardasil <br />25x1 Integra Needle w /syringe <br />Jr. Bandaid <br />Alcohol Pad <br />2x2 gauze ( non - sterile) <br />Copy of Shot Record <br />Staff Time <br />21.44 <br />- --- - 0.19 -- t <br />0.02 <br />0.01 <br />0.01 <br />0 <br />-- - -- -- . 43.00 <br />5.13 8.45 7.61 42.87 <br />26.66 <br />0.61 <br />0.02 <br />0.01 <br />0.01 <br />{ . 0.01 - <br />5.13 8.45 7.61 <br />^ 15.06 - <br />0.19 I <br />0.02 1.., <br />0.01 <br />0.01 � <br />- - -0.01 �i_ - - --- -- <br />5.13 8.45 7.61 <br />10.93 f( - <br />- -_. - -- - -._.0.19 <br />002 i <br />0.01 <br />0.01 <br />0_.0 _ i�t. - - --- - 33.00 <br />5.13 8.45 7.61 32:36 <br />22.75 <br />0.56 <br />0.02 <br />0.01 <br />0.01 <br />- 0.01 - <br />_. 5.13 <br />8.45 7.61 <br />page 1 of 2 <br />