Independent cost reference. Not a pharmacy, not an insurance carrier, not a clinic finder, not a medical practice. For an injury that may require a tetanus shot, contact a healthcare provider promptly.

Last verified: April 2026
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State-by-state guide

Tetanus shot cost by state: 2026 state vaccine programmes and Medicaid variation

Tetanus pricing at major pharmacy chains is roughly the same nationwide: national chains set Tdap and Td list prices nationally. State variation is in the named state vaccine-for-adults programmes, Medicaid expansion status, and county health department patterns. State pages cover programmatic differences, not invented per-state retail prices.
Cost data verified: April 2026

State snapshot table

StateAdult vaccine programmeMedicaid expanded
CaliforniaCal VFA (Vaccines for Adults)Yesview →
TexasTexas DSHS adult immunization programNoview →
FloridaFlorida Department of Health county clinicsNoview →
New YorkNew York State Department of Health adult immunizationYesview →
IllinoisIDPH adult immunizationYesview →
PennsylvaniaPennsylvania DOH adult vaccine programsYesview →
North CarolinaNC 317 Vaccines for Adults (VFA) ProgramYes (since Dec 2023)view →

Methodology callout

State pages do not invent state-level retail prices because national chains set price nationally. State pages cover programmatic differences: the named state vaccine-for-adults programme, Medicaid expansion status, supplemental city or county programmes, and pharmacy footprint notes (chains common in that state). Where state pharmacist-administered vaccine rules differ for adolescents, the state page flags it.

Why only seven states are covered

The seven covered states represent roughly 40% of the US population. Smaller states are not built as dedicated pages because the search volume does not justify it and because national pharmacy pricing does not vary at the state level. Users in uncovered states can rely on the national pharmacy comparison for pricing, the Medicaid coverage page for insurance detail, and the free pathway page for routing to local state and county programmes.

Adjacent reading

Primary sources

References cited on this page

  1. [1]California Vaccines for Adults (VFA) Program. California Department of Public Health (EZIZ). Accessed April 2026. https://eziz.org/vfa-317/
  2. [2]Texas DSHS adult immunization program. Texas DSHS. Accessed April 2026. https://www.dshs.texas.gov/immunizations/providers/overview
  3. [3]Florida DOH immunization program. Florida Department of Health. Accessed April 2026. https://www.floridahealth.gov/diseases-and-conditions/immunization/index.html
  4. [4]New York State DOH adult immunization. NYS DOH. Accessed April 2026. https://www.health.ny.gov/prevention/immunization/
  5. [5]Illinois DPH immunization. IDPH. Accessed April 2026. https://dph.illinois.gov/topics-services/prevention-wellness/immunization.html
  6. [6]Pennsylvania DOH immunization. PA DOH. Accessed April 2026. https://www.health.pa.gov/topics/disease/Immunization/Pages/Immunization.aspx
  7. [7]NC 317 Vaccines for Adults (VFA) Program. NC DPH Immunization Branch. Accessed April 2026. https://immunization.dph.ncdhhs.gov/providers/317-VFA.htm