Vaccine prices in Belgium: the full 2026 table

20 September 2026 · updated 11 October 2026 · 10 min read

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In Belgium a vaccine costs either zero euro or its public pharmacy price, sometimes reduced to a copayment of a few euros. It all depends on the circuit: the Communities’ vaccination programme hands out the basic-schedule vaccines free of charge, everything else is bought at the pharmacy, with or without an INAMI/RIZIV contribution.

This guide places both circuits side by side and gives, vaccine by vaccine, the public price listed in the CBIP/BCFI directory, the reimbursement category and what is left for you to pay. The amounts were verified on 20 September 2026, and several were corrected on 10 October 2026.

Key takeaways

The vaccines in the children’s basic schedule are handed out free of charge by the Communities, with rotavirus as the only exception.
A category b vaccine is reimbursed by INAMI/RIZIV: you only pay the copayment, for example 6,56 € for the dTpa booster Boostrix.
Travel-medicine vaccines are not reimbursed by INAMI/RIZIV, except the rabies vaccine.
Your health fund can add a contribution through its supplementary insurance, often a few dozen euro a year, varying from one fund to another.
The prices below were taken from the CBIP/BCFI directory on 20 September 2026 and are indexed: your pharmacy confirms the amount at the counter.

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How is the price of a vaccine set in Belgium?

0 €

Vaccines in the children’s basic schedule

25,11 €

Public price of the dTpa booster Boostrix

Category b

Reimbursed: you only pay the copayment

20 Sept. 2026

Date the CBIP/BCFI prices were collected

Every vaccine has a public price, the one listed in the CBIP/BCFI commented drug directory. That is the starting point. What you actually pay then depends on its reimbursement category in the INAMI/RIZIV nomenclature.

A category b vaccine is reimbursed: INAMI/RIZIV pays its share straight to the pharmacist, under the third-party payer scheme, and you settle only the copayment. A vaccine with no category is not reimbursed and costs you the full public price.

Several reimbursed vaccines also fall under chapter IV of the nomenclature. That means a check beforehand: your doctor fills in a request form for your health fund’s advisory physician before reimbursement is granted. Boostrix is one of them, under paragraph 5050000.

Vaccines are dispensed at the pharmacy on prescription. For the flu vaccine, the pharmacist may prescribe it directly and record it in the Shared Pharmaceutical Record, without going through a doctor.

Step	What it means for you
Public price	The amount listed in the CBIP/BCFI directory for the reference pack.
Category b	Reimbursed by INAMI/RIZIV under conditions: you only pay the copayment.
No category	No INAMI/RIZIV reimbursement: the full public price is yours to pay.
Chapter IV	Check beforehand: a doctor’s form goes to the advisory physician before reimbursement.
Third-party payer	INAMI/RIZIV pays its share straight to the pharmacist, you do not front that sum.
Increased reimbursement	A status that lowers the copayment further, hence the two amounts per row.
Free circuit	The Communities’ vaccination programme: the vaccine never reaches the till.

The Communities’ vaccination programme and INAMI/RIZIV reimbursement are two separate circuits. A vaccine can be free without being reimbursable, and reimbursable without ever being free: that is the case for rotavirus.

Source : CBIP/BCFI: chapter 12.1, vaccines and reimbursement ↗CBIP/BCFI: Boostrix reimbursement page ↗Tetanus booster in Belgium: the guide ↗

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What does each vaccine cost?

Here is the breakdown, vaccine by vaccine, of the public price in the CBIP/BCFI directory, the reimbursement category and what is left for you to pay. This first table covers the schedule and adult boosters. Travel vaccines follow right after.

Vaccine	Products	Public price	Category	What you pay
dTpa (diphtheria-tetanus-pertussis booster)	Boostrix (GSK) 0,5 ml	25,11 €	Category b, chapter IV § 5050000	6,56 €, or 3,91 € with increased reimbursement, where the conditions are met
dTpa	Triaxis (Sanofi Belgium) 0,5 ml	33,77 €	No category b mention seen on the CBIP/BCFI page	To be confirmed case by case; otherwise the public price
Hepatitis B (child)	Engerix-B Junior (GSK) 10 µg/0,5 ml	18,58 €	Category b, chapter IV	4,35 €, or 2,61 € with increased reimbursement
Hepatitis B (adult)	Engerix-B (GSK) 20 µg/1 ml	28,17 €	Category b, chapter IV	7,28 €, or 4,34 € with increased reimbursement, if you meet the chapter IV conditions (advisory physician’s agreement); otherwise the public price
Hepatitis B	HBvaxpro (MSD) 10 µg/1 ml	23,49 €	Category b, chapter IV	6,03 €, or 3,62 € with increased reimbursement, if you meet the chapter IV conditions (advisory physician’s agreement); otherwise the public price
Hepatitis B (severe kidney failure)	HBvaxpro (MSD) 40 µg/1 ml	63,58 €	Category b, chapter IV	12,80 €, or 8,50 € with increased reimbursement, if you meet the chapter IV conditions (advisory physician’s agreement); otherwise the public price; 0-1-6 month schedule according to CBIP/BCFI
Hepatitis B (specific population)	Fendrix (GSK) 20 µg/0,5 ml, adjuvanted	56,16 €	Category b, chapter IV	12,80 €, or 8,23 € with increased reimbursement, under restricted conditions, for example dialysis
Seasonal flu, standard dose	Alpharix, Influvac, Vaxigrip, Flucelvax 0,5 ml	17,74 €	Category b	4,08 €, or 2,45 € in a risk group; 17,74 € outside a risk group
Seasonal flu, stronger	Fluad (adjuvanted), Efluelda (high dose) 0,5 ml	30,87 €	Category b	7,92 €, or 4,71 € for eligible people aged 65 and over; otherwise 30,87 €
HPV	Gardasil 9 (MSD) 0,5 ml	120,59 €	Category b	12,80 €, or 8,50 € per dose for catch-up at 19 to 30; free at 11-13 through the Communities
Shingles	Shingrix (GSK), 1 dose in 2 vials	163,34 €	Category b, chapter IV	12,80 €, or 8,50 € with increased reimbursement, per dose, in three medical situations only; no age-based reimbursement; otherwise the public price
Rotavirus	Rotarix (GSK) 1 tube 1,5 ml	72,95 €	Category b	12,80 €, or 8,50 € with increased reimbursement
Rotavirus	Rotateq (MSD) 1 dose 2 ml	53,22 €	Category b	12,80 €, or 7,82 € with increased reimbursement
Meningococcus ACWY	Menveo (GSK), Nimenrix (Pfizer)	52,60 €	Not reimbursed by INAMI/RIZIV for the general public	Free at 13-15 months through the Communities; the public price for the 15-16 booster

Prices collected from the CBIP/BCFI commented drug directory on 20 September 2026, for the reference pack, in the public pharmacy circuit. They are indexed and can change: your pharmacy confirms the exact amount at the counter.

The copayments for the hepatitis B vaccines Engerix-B 20 µg, HBvaxpro and Fendrix, and those for rotavirus, were consulted on 10 October 2026 on the CBIP/BCFI pages, which cite INAMI/RIZIV as their source. Your pharmacy confirms the amount at the counter.

The flu vaccine prices apply to season 2026-2027, published by CBIP/BCFI in March 2026. A new page is published every season, so those amounts shift from one year to the next. Cervarix, the second HPV vaccine, was withdrawn from the market in September 2026.

For Triaxis, the category b mention was not clearly shown on the CBIP/BCFI page at the time of the check, unlike Boostrix. We therefore do not assert it: have the reimbursement confirmed case by case.

For Shingrix, INAMI/RIZIV reimburses only people aged 18 or over in one of these three situations: a haematological malignancy or malignant tumour with active treatment in the past 5 years, HIV infection, a haematopoietic stem cell or organ transplant, or being a candidate for a transplant. Age alone, 60 or 65, gives no right to reimbursement.

That Shingrix reimbursement requires prior agreement from the advisory physician, requested by your doctor before vaccination, and covers two doses at most. Rule consulted on 10 October 2026.

This breakdown covers the public pharmacy circuit. Hospital-circuit prices are not necessarily identical and were not verified here.

Source : Tetanus booster in Belgium: the guide ↗Flu vaccine 2026-2027: who, when, how much ↗Vaccination schedule: the emmunity tool ↗

And travel vaccines, what do they cost?

CBIP/BCFI is explicit: the vaccines used in travel medicine are not reimbursed, except the rabies vaccine. For all the others, the public price is what you pay.

Vaccine	Products	Public price	Category	What you pay
Hepatitis A (adult)	Avaxim (Sanofi) 160 U.Elisa/0,5 ml, from 16	43,31 €	Not reimbursed by INAMI/RIZIV	The full public price
Hepatitis A (adult)	Havrix Adult (GSK) 1440 U.Elisa/1 ml; Vaqta Adult (MSD) 50 U/1 ml	45,66 €	Not reimbursed by INAMI/RIZIV	The full public price
Hepatitis A (child)	Havrix Junior (GSK) 720 U.Elisa/0,5 ml; Vaqta Junior (MSD) 25 U/0,5 ml	30,04 €	Not reimbursed by INAMI/RIZIV	The full public price
Hepatitis A and B combined	Twinrix Adult (GSK) 1 ml	54,60 €	Not reimbursed by INAMI/RIZIV; reimbursed by Fedris for certain occupational groups, according to CBIP/BCFI	The full public price
Typhoid	Typhim Vi (Sanofi Belgium) 25 µg/0,5 ml	31,83 €	Not reimbursed by INAMI/RIZIV	The full public price
Rabies	Rabipur (Bavarian Nordic) 2,5 IU; Verorab (Sanofi Belgium) 3,25 IU	65,30 €	Category b	The only travel-medicine vaccine INAMI/RIZIV reimburses
Japanese encephalitis	Ixiaro (Valneva) 0,5 ml	96,06 €	Not reimbursed by INAMI/RIZIV	The full public price
Meningococcus ACWY (travel)	Menveo (GSK), Nimenrix (Pfizer)	52,60 €	Not reimbursed by INAMI/RIZIV outside the basic schedule	The full public price

Prices collected from the CBIP/BCFI directory on 20 September 2026 and subject to indexation, for the reference pack. Twinrix Paediatric was withdrawn from the market in July 2025.

The yellow fever vaccine does not appear in this table: it may be given only at an approved centre. The CBIP/BCFI directory lists a public price of 47,30 € per dose for Stamaril (Sanofi Belgium), with no reimbursement symbol, consulted on 10 October 2026. What the centre charges you is to be confirmed with the centre itself. Our yellow fever guide sets out that circuit.

Fedris, the federal agency for occupational risks, can reimburse, under certain conditions, vaccinations against hepatitis A, hepatitis B, measles, varicella and yellow fever. For hepatitis A and B, the vaccination is organised by the occupational prevention service. Its official page, consulted on 10 October 2026, states no list of occupations, no amount and no percentage: have that cover confirmed by your prevention service before counting on it.

Source : Travel vaccines when departing from Belgium ↗Yellow fever: approved centres in Belgium ↗Vaccines by destination: the emmunity tool ↗

What is genuinely free?

The vaccines in the basic schedule for infants, children and adolescents are handed out free of charge by the Communities: Vaccinnet on the Flemish side, e-vax.be on the French-speaking side. The rotavirus vaccine is the only exception in the basic schedule.

Certain vaccines are also made available free of charge to very precise adult target groups. The list differs from one Community to the other and evolves: the table below repeats what CBIP/BCFI publishes.

Who	What is made available free of charge
Infants, children and teenagers	Hexavalent, pneumococcus, MMR, meningococcus ACWY at 13-15 months, HPV at 11-13, dTpa at 15-16.
Exception in the schedule	Rotavirus is never handed out free of charge, although it is reimbursed under category b.
Pregnant women	Boostrix between the 24th and 32nd week, and the people in the same household (Flanders).
Up to 20 and students	dTpa booster and catch-up (Wallonia-Brussels Federation).
Asylum seekers and under-18s	Polio vaccine for people coming from areas with virus circulation (Flanders).
Residents of approved care homes	Seasonal flu vaccine (Flanders).
People born after 1970	MMR catch-up for those who did not receive two doses.
Everyone	COVID-19 vaccine (Comirnaty), in both Communities.

Tables drawn from CBIP/BCFI: situation on 5 May 2026 for the children’s schedule, on 1 September 2025 for the adult target groups. Those lists are reviewed regularly by the Communities.

Free does not mean reimbursed. Rotavirus sits in category b but is never handed out free of charge; conversely, a vaccine that is free through your Community is not necessarily listed as reimbursable.

Source : Child vaccination schedule in Belgium ↗Vaccination schedule: the emmunity tool ↗CBIP/BCFI: reimbursement and distribution of vaccines ↗

What does your health fund add on top?

Beyond INAMI/RIZIV reimbursement, most health funds add a contribution through their supplementary insurance. It often targets the vaccines INAMI/RIZIV does not cover, travel vaccines included, on the basis of a BVAC dispensing certificate handed to you by your pharmacist.

The amount and the annual ceiling vary by health fund and by membership formula. Here are the only amounts we could verify on official health fund pages, as an example and not as a general rule.

Health fund	Published contribution	Conditions
Solidaris Wallonie	Two amounts on the same page: 25 € a year for anti-infective vaccines in the summary, up to 30 € a year per beneficiary in the detail	Anti-infective and desensitisation vaccines, with no age limit, contributions up to date, vaccine recognised by Solidaris. Request through the app, e-Mut or a branch. Check the page.
Mutualité Libérale (ML MUTPLUS.be)	50 % of the price actually paid, capped at 30 € a year	All vaccines recognised in Belgium, travel vaccines included, on a BVAC certificate or a vaccination centre certificate. Nothing where the vaccination is already free.
Mutualité Chrétienne (MC)	Up to 15 € per item and 75 € a year per person	Amount read on the French-language MC page; the Dutch-language CM page could not be opened. Ceiling shared with alternative therapies and other prevention benefits, products on the CBIP/BCFI list, BVAC proof. Check the page.
Helan	Maximum 25 € a year	Vaccines not reimbursed by the compulsory insurance; its French page also mentions “100 % of the copayment”. Check the page.
Partenamut	Up to 35 € a year	All vaccines registered in Belgium, travel vaccines included, with no age condition. BVAC certificate where the compulsory insurance does not contribute.
Mutualia	35 € a year per beneficiary	All vaccines recognised in Belgium, capped at the amount left after the compulsory insurance.
La Mutualité Neutre	Up to 35 € per calendar year	Any type of vaccine, on a BVAC certificate.
Other health funds	Not verified here	The supplementary insurance mechanism generally exists, but the amount depends on the fund, the region and the formula.

This list is neither exhaustive nor generalisable. Other health funds apply their own rules, and the same fund can offer different amounts depending on the region and the membership formula. Amounts read on the health funds’ own pages on 10 October 2026; those pages carry no date.

Before paying for a vaccine that is not reimbursed, open your own health fund’s benefits page and ask your pharmacist for the BVAC certificate. That is the only way to know your amount.

Source : Solidaris Wallonie: vaccination reimbursement ↗ML MUTPLUS.be: vaccine reimbursement ↗Mutualité Chrétienne: vaccination ↗

What does a travel medicine consultation cost?

The price of the vaccines is not the only item. On top comes the consultation that establishes what you need, and its cost depends on where you have it.

CBIP/BCFI points to the Institute of Tropical Medicine in Antwerp as the Belgian reference centre for vaccination advice to travellers. The institute publishes no itemised tariff. Its FAQ, consulted on 10 October 2026, gives an approximate total of 50 € to 150 € for the consultation and the vaccines together, part of which is reimbursed by the health fund. All its doctors work under the agreed rates, and the patient pays for the consultation and the vaccines given.

General practitioners certified in travel medicine also exist in Flanders. In that case the consultation is reimbursable by INAMI/RIZIV like a standard medical consultation, independently of the price of the vaccines.

The Institute of Tropical Medicine publishes no itemised tariff, only an approximate total of 50 € to 150 € for the consultation and the vaccines together, read in its FAQ on 10 October 2026. Ask for the rate when you book the appointment.

Source : Travel vaccines when departing from Belgium ↗Yellow fever: approved centres in Belgium ↗Vaccines by destination: the emmunity tool ↗

Know the price before you reach the counter

The real cost of a vaccine is decided before the pharmacy: knowing whether it is already done, whether it falls in the free circuit, whether it is reimbursed and on what condition. A digital record like emmunity keeps your dates and your family’s in one place, so you do not buy a dose you have already had.

Frequently asked questions

How much does the tetanus booster cost?

The tetanus booster uses a combined dTpa vaccine. Boostrix carries a public price of 25,11 € in the CBIP/BCFI directory, collected on 20 September 2026. It sits in category b, under chapter IV paragraph 5050000: where the reimbursement conditions are met, you pay only 6,56 €, or 3,91 € with increased reimbursement. Reimbursement covers, among others, adolescents over 16 never vaccinated for a documented medical or social reason, as well as parental plans and pregnancy. The other product, Triaxis, costs 33,77 €, with no category b mention seen on its page. Our tetanus booster guide sets out the schedule and the conditions.

Are children’s vaccines really free?

Yes, for the basic schedule, with one exception. The Communities hand out the vaccines of the basic schedule for infants, children and adolescents free of charge: hexavalent, pneumococcus, MMR, meningococcus ACWY at 13-15 months, HPV at 11-13 and dTpa at 15-16. Distribution runs through Vaccinnet on the Flemish side and e-vax.be on the French-speaking side. The only exception in the basic schedule is the rotavirus vaccine, which is never handed out free of charge but remains reimbursed under category b. Note that what is free is the vaccine, not any fee for the consultation in which it is given. The two circuits run separately: a free vaccine is not automatically a reimbursed one.

Is the flu vaccine reimbursed?

Yes, under category b, for risk groups. According to the published reimbursement rules, the standard-dose vaccine costs 4,08 €, or 2,45 € with increased reimbursement, for someone in a risk group. Outside a risk group the same vaccine costs its public price of 17,74 €. For eligible people aged 65 and over, the adjuvanted Fluad and the high-dose Efluelda cost 7,92 €, or 4,71 € with increased reimbursement; outside those conditions their public price is 30,87 €. These amounts apply to season 2026-2027 and are republished every year. Prices were collected from the CBIP/BCFI directory on 20 September 2026 and are indexed, so your pharmacy confirms the amount at the counter.

Does my health fund reimburse travel vaccines?

Often yes, through its supplementary insurance, but the amount depends entirely on your fund and your formula. The mechanism is the same everywhere: the pharmacist gives you a BVAC dispensing certificate, which you submit to your health fund. The Solidaris Wallonie page shows two amounts for anti-infective vaccines: 25 € a year in its summary and up to 30 € a year per beneficiary in the detail, to be checked on the page. Mutualité Libérale, under ML MUTPLUS.be, publishes 50 % of the price actually paid, capped at 30 € a year, travel vaccines included. Other funds apply other amounts: the table in this guide lists those we read on 10 October 2026. Check your own supplementary insurance rules rather than relying on a single figure. The contribution generally does not apply where the vaccination is already free through a public programme.

Do you need a prescription to buy a vaccine?

Yes, vaccines are dispensed at the pharmacy on prescription. One exception exists for the flu vaccine: the pharmacist may prescribe it directly and record it in the Shared Pharmaceutical Record, without going through a doctor. For several reimbursed vaccines falling under chapter IV of the nomenclature, the prescription is not enough: your doctor has to fill in a request form for your health fund’s advisory physician before reimbursement is granted. Boostrix is one of those. Without that agreement the vaccine remains available, but at its public price to you. Beyond the pharmacy, the Communities’ vaccination programme hands out certain vaccines free of charge, through its own request route.