Immunizations for Children

Vaccines provided through the Vaccines for Children (VFC) Program are supplied by the Missouri Department of Health and Senior Services and are purchased in part with federal funds. These vaccines are available at no charge for children through age 18 years, who meet the VFC eligibility guidelines. 

In addition, the Children's Immunization Program offers near-cost immunizations to those ineligible for the Vaccines For Children program.

Vaccines For Children - Eligibility Requirements 

  • Children (ages 18 and under) who are uninsured
  • Children who are enrolled in Medical Assistance (MA) or Prepaid Medical Assistance Programs (PMAP)
  • Children who are American Indian or Alaskan Natives
  • Children with health insurance that does not cover one or more vaccines
  • Children with health insurance that caps vaccine coverage at a certain amount; once that amount is reached the child is VFC eligible

For additional information on Missouri's VFC program, please visit the Department of Health and Senior Services' website.

School Requirements

To protect against vaccine-preventable diseases, the State of Missouri requires children to be immunized with specific vaccines before entering or continuing education in all public and some private schools. All immunization records must be up-to-date (with documentation for the month, day, and year of each vaccination) before a child is permitted to attend school. To help parents meet these requirements, the Immunization Clinic provides all recommended vaccines.

  • To schedule an appointment, please call 636-949-1857.
  • A complete list of Missouri’s vaccination requirements for school children is available online.

Preschool & Daycare Requirements

State statutes also require an up-to-date immunization record for children entering public and private daycare centers or preschools. An updated list of the immunizations required may be obtained online.

Vaccinations and Prices

DiseaseVFC ProgramVaccination Cost
Hepatitis AFree$48
Hepatitis BFree$36
Varicella (Chickenpox)Free$234
Haemophilus influenzae type B (Hib)Free Currently unavailable
MMR (Measles, Mumps and Rubella)Free$107
Meningococcal (MCV4)Free$166
Serogroup B Meningococcal (Men B)FreeCurrently unavailable
Polio (IPV)Free$55
Pneumococcal PCV23Free$150
RotavirusFreeCurrently unavailable
Pediatric DTaP (Diphtheria-Tetanus-Pertussis)Free$43
DTaP, IPV, and Hep B combination vaccineFreeCurrently unavailable
DTaP and Hib combination vaccineFree Currently unavailable
DTaP and IPV combination vaccineFreeCurrently unavailable
MMR and Varicella combination vaccineFreeCurrently unavailable
Tdap (Tetanus/Diphtheria/Pertussis)Free$60
Td (Tetanus and Diphtheria)Free$40
HPV (Human Papillomavirus)FreeCurrently unavailable
Flu vaccination (for those 6 months and older)Free$52
COVID vaccination

Adults & children age 12 and up, $122 per dose.

Children age 5 through 11, $91.

Babies age 6 months – kids 5 and under, $71 per dose.

Eligible uninsured or underinsured children, free or reduced cost.

Vaccine administration fee (per vaccine)Free$16

Pricing Effective 02.05.2024

Immunization Exemptions

Immunizations protect against several dangerous, and sometimes deadly, diseases.  Unimmunized individuals are at a greater risk for exposure to vaccine-preventable diseases and can spread these diseases to those that are too young to be fully immunized or to others who cannot be protected for medical reasons. Because of this, the State of Missouri requires children to be immunized with specific vaccinations before entering or continuing education in all public and some private schools.

To protect others within the community, unimmunized individuals could be excluded from school or other activities during outbreaks of vaccine-preventable diseases. This exposure can cause hardship for a child and their parents or guardians.