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Immunization Fee Schedules

Immunization Fee Schedules Current
Schedule
Effective Date
Previous
Schedule
Effective Date
Archives
Children/Adolescents: (Birth through age 18) 01/01/25
PDF
08/01/24
PDF
  • (effective 01/01/24)
  • (effective 05/12/23)
  • (effective 01/01/23)
  • (effective 12/01/22)
  • (effective 06/01/21)
  • (effective 04/01/21)
  • (effective 01/01/19)
  • (effective 01/01/18)
  • (effective 01/01/17)
  • (effective 05/01/16)
  • (effective 01/01/16)
  • (effective 05/01/15)
  • (effective 01/01/13)
  • (effective 07/01/12)
  • (effective 01/01/11)
  • (effective 08/06/08)
Young Adult: (Ages 19 and 20) 01/01/25
PDF
08/01/24
PDF
  • (effective 01/01/24)
  • (effective 05/12/23)
  • (effective 01/01/23)
  • (effective 07/26/22)
  • (effective 01/01/22)
  • (effective 01/01/21)
  • (effective 01/01/20)
  • (effective 01/01/19)
  • (effective 07/01/18)
  • (effective 01/01/18)
  • (effective 01/01/17)
  • (effective 07/01/16)
  • (effective 05/01/16)
  • (effective 01/01/16)
  • (effective 05/01/15)
  • (effective 07/01/14)
  • (effective 01/01/13)
  • (effective 07/01/12)
  • (effective 08/06/08)
Adult: (Age 21 years and Older) 01/01/25
PDF
08/01/24
PDF
  • (effective 01/01/24)
  • (effective 05/12/23)
  • (effective 01/01/23)
  • (effective 07/26/22)
  • (effective 01/01/22)
  • (effective 01/01/21)
  • (effective 01/01/20)
  • (effective 07/01/19)
  • (effective 07/01/18)
  • (effective 01/01/18)
  • (effective 01/01/17)
  • (effective 07/01/16)
  • (effective 01/01/16)
  • (effective 05/01/15)
  • (effective 07/01/14)
  • (effective 01/01/13)
  • (effective 07/01/12)
  • (effective 08/06/08)
  • prior to 08/05/08
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For Gainwell Technologies Technical Support, call toll-free 1-877-598-8753
Mailing: Louisiana Department of Health | P.O. Box 629 | Baton Rouge, LA 70821-0629
Physical: 628 N. 4th Street | Baton Rouge, LA 70802 | Phone: 225.342.9500 | Fax: 225.342.5568
Medicaid Customer Service: 1.888.342.6207 | Healthy Louisiana: 1.855.229.6848