When DS was a baby his doctors recommended the synagis shot that first year, especially because he attended daycare. Locally BCBS guidelines didn't consider CF to be on their list. Insurance denied it -- we wrote letters our doctor wrote letters and finally our attorney faxed a letter indicating that the cost of the shots ($3000 a piece) far outweighed the costs of hospitalization, lung damage and stress to parents dealing with a genetic disease. DS was approved within the hour, when we messed around with calls and letters for two weeks -- we used similar wording, but the attorney had a LOT more pull.
We had to go to the clinic once a month during RSV/cold and flu season. They'd weigh DS, mix up the vaccine, and then I believe they had to wait 15-20 minutes for it to settle (bubbles?). Got his shot and off we went.
Marla, it seems strange that the clinic would suggest doing it yourself, because I thought it was more cost effective, efficient to go to a major clinic where there are more patients. We'd asked if our neighborhood clinic could do it and we were told because he was the only infant at the time in our City, they didn't carry the vaccine and we'd have to drive 20 minutes into the downtown to the main peds clinic.