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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    Sarah Kliff‏Verified account @sarahkliff Jan 3

    Here’s a weird question that maybe someone out there knows the answer to: I’m trying to better understand the pricing and availability of rabies vaccines for humans. Bueller? Anyone? Drop me a note if this is your area of expertise! sarah@vox.com

    8:15 AM - 3 Jan 2018
    • 14 Retweets
    • 33 Likes
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    17 replies 14 retweets 33 likes
      1. New conversation
      2. Thomas Goetz‏ @tgoetz Jan 3
        Replying to @sarahkliff

        Try @billwasik - he wrote the book on subject

        1 reply 0 retweets 1 like
      3. Sarah Kliff‏Verified account @sarahkliff Jan 3
        Replying to @tgoetz @billwasik

        Thanks!! Will do. Bill, let me know if there is a good way to contact you on this.

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. New conversation
      2. Zachary Crockett‏Verified account @zzcrockett Jan 3
        Replying to @sarahkliff

        Try Deborah Briggs, who is Chair of the Board of Directors at the Global Alliance for Rabies Control. She was an incredible resource when I got bit by a rabid dog in South America: djbriggs2004[at]yahoo[dot]com

        1 reply 0 retweets 0 likes
      3. Sarah Kliff‏Verified account @sarahkliff Jan 4
        Replying to @zzcrockett

        Thanks!

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. New conversation
      2. Humanity is a group effort.‏ @Saturnist Jan 3
        Replying to @sarahkliff

        To start, rabies vaccines have two separate iterations - one for pre-exposure and one for post-exposure. Human rabies immune globulin is similar to an adrenaline shot for severe allergic reactions - it provides a sudden burst of large volumes of antibodies for immune sys to copy.

        1 reply 0 retweets 1 like
      3. Humanity is a group effort.‏ @Saturnist Jan 3
        Replying to @Saturnist @sarahkliff

        There's different manufacturers for the rabies vaccine and HRIG - Novartis makes the RabAvert product ($345) Sanofi Pasteur makes Imovax ($340) - rabies vaccines, which require 4 doses - these prices are by the dose.

        1 reply 0 retweets 1 like
      4. Humanity is a group effort.‏ @Saturnist Jan 3
        Replying to @Saturnist @sarahkliff

        As for HIRG, Sanofi also has the Imogam product, which has a wildly varying cost due to supply restrictions and patents (to the tune of $700 -$11,000), and Grifols' HyperRAB product - despite lack of restrictions from CDC, similarly priced at $620-10,500)

        1 reply 0 retweets 1 like
      5. Unreasonably early Christmas name.‏ @Amanda_Kerri Jan 3
        Replying to @Saturnist @sarahkliff

        And they're like snake anti-venom. The need is low so it's not manufactured in large volumes and most places carry either no stock or have very little on hand.

        1 reply 0 retweets 1 like
      6. Humanity is a group effort.‏ @Saturnist Jan 3
        Replying to @Amanda_Kerri @sarahkliff

        Sorry, thanks for reminding me to finish the thread, got a call at work. HIRG is indeed very similar to antivenom from a marketing/distribution perspective - Imogam, being reactive, is supposed to be ordered as-needed, creating ebb/flow in price relative to manufacturing.

        0 replies 0 retweets 0 likes
      7. End of conversation
      1. New conversation
      2. Katherine Hempstead‏ @khemp64 Jan 3
        Replying to @sarahkliff

        I went to a “travel clinic” that offered it, but it wasn’t recommended for where I was going so I didn’t get it or find out how much it cost.

        1 reply 0 retweets 1 like
      3. 1 more reply
      1. Michael Miller, MD‏ @HealthPolCom Jan 4
        Replying to @sarahkliff

        Hope this isn’t for personal interest/need.

        0 replies 0 retweets 0 likes
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      1.  🌊 🌊Cliff Stockton 🌊 🌊‏ @cliff_stockton Jan 3
        Replying to @sarahkliff @anamariecox

        Are you talking about the prophylaxis treatment for rabies, or the vaccine.

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Jason Hockenberry‏ @jmhockenberry Jan 3
        Replying to @sarahkliff

        Go look at walgreens walk in clinic price list if you want the retail price to consumers. Pretty sure its a service they provide.

        2 replies 0 retweets 0 likes
      3. Steve Pitts‏ @chowkydar Jan 3
        Replying to @jmhockenberry @sarahkliff

        The go-to website for pricing, but maybe not for economists:https://www.goodrx.com/rabies-vaccine?drug-name=rabies+vaccine …

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. Kody Carmody‏ @kkcarmody Jan 3
        Replying to @sarahkliff

        This is a really good book about the scientists and (unethical) methods behind rabies vaccines. Not at all what you asked for, but still interesting!https://www.amazon.com/Vaccine-Race-Science-Politics-Defeating/dp/0525427538 …

        0 replies 0 retweets 0 likes
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      1. zkady‏ @zkady Jan 3
        Replying to @sarahkliff

        Easy. Costs $75 and the guts to push your dog out of the way at just the right moment. Plus you get a nifty collar tag in the mail!

        0 replies 0 retweets 0 likes
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      1. Matthew Taber‏ @matthewtaber Jan 3
        Replying to @sarahkliff

        $300 per dose is typical. Rabies is a 3 dose series. Sent you e-mail.

        0 replies 0 retweets 0 likes
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      1. AReyburn‏ @drewburn1 Jan 3
        Replying to @sarahkliff

        Veterinarian staff, zoos, animal shelters often require vaccination. Look there?

        0 replies 0 retweets 0 likes
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