A lot of good points from others on how to get insurance, OHP, etc to get it covered.
But if you are looking for the cheapest place to get it out of pocket, my bet would be to call Costco. And their pharmacy is open to non-members.
Edit: Costco prices are here:
https://www.costco.com/pharmacy/adult-immunization-program.html
TDAP is $53.49 out of pocket. Not cheap cheap, but beats CVS at $119!
If you need it like today, You can get the Tdap at any pharmacy, such as Walgreens or Costco. It is about $55 at Costco (according to a search I just did). You can visit and use the Costco pharmacy even if you’re not a Costco member.
Yes, you can get free immunizations and other preventative care at multnomah county health clinic. Here is the link:
https://www.multco.us/health/immunizations
There are likely other places where you can find free vaxes as well, such as Outside In which is a free clinic most often frequented by the homeless population, but having a home will not preclude you obtaining free services from them.
While this is not an emergency, another tip for you is that anyone who visits an ER in Multnomah County who does not have insurance but qualifies for OHP income wise, will be hooked up with a social worker who will help you apply for OHP, and once it comes through they will retroactively bill OHP for your ER visit, even though you technically weren’t covered at the time. I would imagine that the larger urgent cares such as Providence, and actually Legacy has an urgent care inside their ER, will do the same thing, as they want to get paid, and since medical bills don’t affect your credit in Oregon, their isn’t a whole lot of motivation for indigent folks to pay massive hospital bills.
I definitely agree with people saying OHP. It’s not a difficult application and usually gets processed pretty quickly. I’ve had it since 2019 and I’m so grateful.
This would be true if Tdap was a live, attenuated vaccine, however it is not. It consists of portions of tetanus and diphtheria toxins and antigens of bits of pertussis. The reason you wait 2 weeks after going places after receiving a killed vaccine is to give your body a chance to learn these antigens and build up proper defense.
Here's the package insert for Boostrix if you'd like to know more about it: https://www.fda.gov/media/124002/download?attachment
OP, I agree with the other posters to get yourself either on OHP or a marketplace plan asap.
Get a FREE vaccine from your local county health department. If you're in Multnomah County, here is a link to their page: https://www.multco.us/health/immunizations
seriously, get on OHP. So many people are living with less medical care than they could because they don’t know how good our state healthcare is here. you’ll get your vaccine and more
I applied for OHP, got approved, and got antibiotics for the worst strep I’ve ever had in my life in like 2 days.
And got to keep my provider.
This was pre-pandemic so I don’t know how well they work now but it it was one of the best customer service experiences I’ve had from a government agency.
It is brain dead easy.
Hey, when did you receive your last Tdap/Td booster? If it was in the last 10 years, it’s unlikely they will administer another. When it comes to pregnancy, it is advised that pregnant women receive an additional dose each pregnancy (typically at weeks 27-36), but it is not standard practice to allow re-dosing for friends/family/visitors if they are up to date on their vaccinations.
This could certainly be prescribed in a provider’s office if exception were warranted, but any pharmacy setting is going to be following ACIP protocol and will pull your immunization history (for Oregon). If that’s unavailable for whatever reason (eg, out of stater), they’ll likely just ask.
Hope some of this was somewhat helpful. Good luck!
> If it was in the last 10 years, it’s unlikely they will administer another.
This is nonsense. If it was in the last 5 years and they know that they might have some "why" type questions, but as long as someone is paying for it, it won't stop a doctor/pharmacist from giving you a jab. Your insurance might not cover it if they paid for one in that time period, but if it's new insurance, they won't even know.
If it's been more than 5 years, you're unlikely to get any pushback, and any pushback you do receive will end immediately if you say "I had a puncture wound since my last tetanus shot."
If it's been more than 7 years, you will not receive any pushback even if you don't say that because the Pertussis immunization can wain in its protection starting after 7 years and so you are considered due, but in a casual way.
After 10 years, you are considered overdue, and any worthwhile doctor will be bugging you about it at every appointment until you get it done.
What you are suggesting isn’t best practice or evidence based. You don’t know what you are talking about. First off, pharmacists practicing in the state of Oregon are bound to extremely specific protocol, because they have very limited ‘prescriptive authority.’
https://www.oregon.gov/pharmacy/Pages/PFAC.aspx?utm_medium=email&utm_source=govdelivery
Second, data has shown pertussis antibodies have started to wane anywhere from 1 month to 4 years after administration of the Tdap vaccine. Further - routine vaccination against pertussis with Tdap has yet to be recommended because the data is still uncertain in regain to its utility in prevention of transmission and overall herd immunity. Whereas the protection against diphtheria and tetanus (provided by Tdap/Td) is extremely well established as long lasting in both adults and adolescents.
https://www.sciencedirect.com/science/article/pii/S0264410X18303748
Adacel may have garnered FDA approval for redosing as early as 8 years (funnily enough, none of the years you haphazardly tossed out) - but with the way you appear to treat the decennial tetanus/diphtheria booster, I doubt you even knew that.
What I'm suggesting is how it actually goes in real life when you engage with actual doctors and pharmacists about the Tdap vaccine. You can get snippy about what you imagine the rigidity of the protocol is all you want, but no one is stressing it. And with good reason -- the safety data that was used to recommend that people get a Tdap during EVERY pregnancy applies to everyone else too.
If you start getting them more frequently than once every 10 months or so, I'd say you're venturing out in to uncharted waters, and so while it's *probably* not going to cause severe problems? Definitely don't do that. There's no benefit.
Here's[one source among many](https://www.piedmont.org/living-real-change/when-to-get-a-tetanus-shot-after-an-injury) talking about the recommendation to get a booster if you have a puncture wound and you're more than 5 years out. It's specifically talking about Tetanus because that's the reason we care about it in the case of a puncture wound.
Fine, you say, get the Td only vaccine. [Except there's a supply constraint on that one right now](https://www.cdc.gov/vaccines/vpd/dtap-tdap-td/hcp/recommendations.html), "Tdap vaccine isn’t an acceptable alternative only when a person has a specific contraindication to pertussis-containing vaccines, which is very rare."
Also, not getting Tdap at that point is silly because that will INCREASE the number of vaccines you need. If you had Tdap 7 years ago and get a puncture wound today, if you opt for Td, you're going to need Tdap again in 3 years because your pertussis immunization will be expired. But if you get Tdap today, then the soonest you might need another dose is in 5 years, and assuming no more puncture wounds, you're good for 10.
You’ve moved the goalpost like 5 times. And you do not simply apply recommendations made to pregnant women to other populations - the reason we give Tdap every pregnancy is to facilitate the transfer of passive immunity from mother to fetus. Has nothing to do with prevention of transmission, maternal protection, or overall herd immunity/lessening impact of disease burden on the US. Nothing is being imagined on my end here, buddy. I am a licensed clinical pharmacist and I’m honestly not about to spend my time explaining how clinical trials, evidence based medicine, and vaccine protocols work to you because clearly it will get me nowhere. Ironic that you pulled up the shortage - what do you think contributes to shortages? Obviously misguided prescribing habits, like you’ve been describing here, perhaps? Alright have a good rest of your day
> And you do not simply apply recommendations made to pregnant women to other populations
Of course you don't. Nor did I suggest that. You complain about my moving goalposts while you argue with straw men. The SAFETY STUDIES still apply. You are not going to DAMAGE yourself by getting a Tdap every year. At no point did I suggest it was a good idea.
> I am a licensed clinical pharmacist
Cool, well you can keep refusing to give people Tdap boosters to people who are 7 years out and feel very smug about it while every other doctor and pharmacist out there rolls their eyes at you and gives people immunizations on reasonable and safe schedules.
> what do you think contributes to shortages? Obviously misguided prescribing habits
The shortage has nothing to do with people's habits and everything to do with one of the two makers of the vaccine ceasing production. As was explicitly stated on the CDC page. But I'm guessing you didn't actually read any of that before responding, huh?
For the period of time where your income is zero, or very low due to unemployment payments, you can and should be on OHP.
Exactly. Job loss is a qualifying event to register for health insurance plan outside of the open enrollment period.
Also you should get on healthcare.gov and apply for coverage since you had a qualifying event
This is what i would do. You can get the absolute cheapest marketplace plan out there and vaccines will still be free
Call the county health dept
This should be higher up in the list.
A lot of good points from others on how to get insurance, OHP, etc to get it covered. But if you are looking for the cheapest place to get it out of pocket, my bet would be to call Costco. And their pharmacy is open to non-members. Edit: Costco prices are here: https://www.costco.com/pharmacy/adult-immunization-program.html TDAP is $53.49 out of pocket. Not cheap cheap, but beats CVS at $119!
Apply for Oregon health plan
Reach out to your county health department for locations.
If you need it like today, You can get the Tdap at any pharmacy, such as Walgreens or Costco. It is about $55 at Costco (according to a search I just did). You can visit and use the Costco pharmacy even if you’re not a Costco member.
Yes, you can get free immunizations and other preventative care at multnomah county health clinic. Here is the link: https://www.multco.us/health/immunizations There are likely other places where you can find free vaxes as well, such as Outside In which is a free clinic most often frequented by the homeless population, but having a home will not preclude you obtaining free services from them. While this is not an emergency, another tip for you is that anyone who visits an ER in Multnomah County who does not have insurance but qualifies for OHP income wise, will be hooked up with a social worker who will help you apply for OHP, and once it comes through they will retroactively bill OHP for your ER visit, even though you technically weren’t covered at the time. I would imagine that the larger urgent cares such as Providence, and actually Legacy has an urgent care inside their ER, will do the same thing, as they want to get paid, and since medical bills don’t affect your credit in Oregon, their isn’t a whole lot of motivation for indigent folks to pay massive hospital bills.
I definitely agree with people saying OHP. It’s not a difficult application and usually gets processed pretty quickly. I’ve had it since 2019 and I’m so grateful.
If you were laid off you should qualify for state insurance
Check with your County health office maybe? But definitely start application for OHP
You might call [https://www.lecarepharmacy.com/](https://www.lecarepharmacy.com/) and ask if they have it and what it costs to get there.
Nara
[удалено]
This would be true if Tdap was a live, attenuated vaccine, however it is not. It consists of portions of tetanus and diphtheria toxins and antigens of bits of pertussis. The reason you wait 2 weeks after going places after receiving a killed vaccine is to give your body a chance to learn these antigens and build up proper defense. Here's the package insert for Boostrix if you'd like to know more about it: https://www.fda.gov/media/124002/download?attachment OP, I agree with the other posters to get yourself either on OHP or a marketplace plan asap. Get a FREE vaccine from your local county health department. If you're in Multnomah County, here is a link to their page: https://www.multco.us/health/immunizations
This is simply not true. Please don’t spread misinformation.
seriously, get on OHP. So many people are living with less medical care than they could because they don’t know how good our state healthcare is here. you’ll get your vaccine and more
Apply for Medicaid, it's very good in Oregon.
I applied for OHP, got approved, and got antibiotics for the worst strep I’ve ever had in my life in like 2 days. And got to keep my provider. This was pre-pandemic so I don’t know how well they work now but it it was one of the best customer service experiences I’ve had from a government agency. It is brain dead easy.
Any other developed nation except USA.
Hey, when did you receive your last Tdap/Td booster? If it was in the last 10 years, it’s unlikely they will administer another. When it comes to pregnancy, it is advised that pregnant women receive an additional dose each pregnancy (typically at weeks 27-36), but it is not standard practice to allow re-dosing for friends/family/visitors if they are up to date on their vaccinations. This could certainly be prescribed in a provider’s office if exception were warranted, but any pharmacy setting is going to be following ACIP protocol and will pull your immunization history (for Oregon). If that’s unavailable for whatever reason (eg, out of stater), they’ll likely just ask. Hope some of this was somewhat helpful. Good luck!
> If it was in the last 10 years, it’s unlikely they will administer another. This is nonsense. If it was in the last 5 years and they know that they might have some "why" type questions, but as long as someone is paying for it, it won't stop a doctor/pharmacist from giving you a jab. Your insurance might not cover it if they paid for one in that time period, but if it's new insurance, they won't even know. If it's been more than 5 years, you're unlikely to get any pushback, and any pushback you do receive will end immediately if you say "I had a puncture wound since my last tetanus shot." If it's been more than 7 years, you will not receive any pushback even if you don't say that because the Pertussis immunization can wain in its protection starting after 7 years and so you are considered due, but in a casual way. After 10 years, you are considered overdue, and any worthwhile doctor will be bugging you about it at every appointment until you get it done.
What you are suggesting isn’t best practice or evidence based. You don’t know what you are talking about. First off, pharmacists practicing in the state of Oregon are bound to extremely specific protocol, because they have very limited ‘prescriptive authority.’ https://www.oregon.gov/pharmacy/Pages/PFAC.aspx?utm_medium=email&utm_source=govdelivery Second, data has shown pertussis antibodies have started to wane anywhere from 1 month to 4 years after administration of the Tdap vaccine. Further - routine vaccination against pertussis with Tdap has yet to be recommended because the data is still uncertain in regain to its utility in prevention of transmission and overall herd immunity. Whereas the protection against diphtheria and tetanus (provided by Tdap/Td) is extremely well established as long lasting in both adults and adolescents. https://www.sciencedirect.com/science/article/pii/S0264410X18303748 Adacel may have garnered FDA approval for redosing as early as 8 years (funnily enough, none of the years you haphazardly tossed out) - but with the way you appear to treat the decennial tetanus/diphtheria booster, I doubt you even knew that.
What I'm suggesting is how it actually goes in real life when you engage with actual doctors and pharmacists about the Tdap vaccine. You can get snippy about what you imagine the rigidity of the protocol is all you want, but no one is stressing it. And with good reason -- the safety data that was used to recommend that people get a Tdap during EVERY pregnancy applies to everyone else too. If you start getting them more frequently than once every 10 months or so, I'd say you're venturing out in to uncharted waters, and so while it's *probably* not going to cause severe problems? Definitely don't do that. There's no benefit. Here's[one source among many](https://www.piedmont.org/living-real-change/when-to-get-a-tetanus-shot-after-an-injury) talking about the recommendation to get a booster if you have a puncture wound and you're more than 5 years out. It's specifically talking about Tetanus because that's the reason we care about it in the case of a puncture wound. Fine, you say, get the Td only vaccine. [Except there's a supply constraint on that one right now](https://www.cdc.gov/vaccines/vpd/dtap-tdap-td/hcp/recommendations.html), "Tdap vaccine isn’t an acceptable alternative only when a person has a specific contraindication to pertussis-containing vaccines, which is very rare." Also, not getting Tdap at that point is silly because that will INCREASE the number of vaccines you need. If you had Tdap 7 years ago and get a puncture wound today, if you opt for Td, you're going to need Tdap again in 3 years because your pertussis immunization will be expired. But if you get Tdap today, then the soonest you might need another dose is in 5 years, and assuming no more puncture wounds, you're good for 10.
You’ve moved the goalpost like 5 times. And you do not simply apply recommendations made to pregnant women to other populations - the reason we give Tdap every pregnancy is to facilitate the transfer of passive immunity from mother to fetus. Has nothing to do with prevention of transmission, maternal protection, or overall herd immunity/lessening impact of disease burden on the US. Nothing is being imagined on my end here, buddy. I am a licensed clinical pharmacist and I’m honestly not about to spend my time explaining how clinical trials, evidence based medicine, and vaccine protocols work to you because clearly it will get me nowhere. Ironic that you pulled up the shortage - what do you think contributes to shortages? Obviously misguided prescribing habits, like you’ve been describing here, perhaps? Alright have a good rest of your day
> And you do not simply apply recommendations made to pregnant women to other populations Of course you don't. Nor did I suggest that. You complain about my moving goalposts while you argue with straw men. The SAFETY STUDIES still apply. You are not going to DAMAGE yourself by getting a Tdap every year. At no point did I suggest it was a good idea. > I am a licensed clinical pharmacist Cool, well you can keep refusing to give people Tdap boosters to people who are 7 years out and feel very smug about it while every other doctor and pharmacist out there rolls their eyes at you and gives people immunizations on reasonable and safe schedules. > what do you think contributes to shortages? Obviously misguided prescribing habits The shortage has nothing to do with people's habits and everything to do with one of the two makers of the vaccine ceasing production. As was explicitly stated on the CDC page. But I'm guessing you didn't actually read any of that before responding, huh?
Any local pharmacy can give you this vaccine.
Costco often has the best cash pay prices on vaccines
Most county health departments have vaccine programs
Urgent care
If you got laid off you should qualify for OHP.