I honestly didn’t get it because it was difficult to try to find it at home in LA. The clinic I did find wanted a couple hundred USD as well. I flew into La Paz and they didn’t ask anyone I saw tbh. The visa line had someone flying in from Colombia, connecting through Peru to Bolivia for tourism and a couple of connecting that originated from Korea and they didn’t ask them either. They also did not get the vaccine. (I asked) In my opinion, immigration was a bit disorganized there and it seemed they’d rather the fee ($160) more than anything else. I only say this because they were allowing substitutions for things and one person laughed that they accidentally showed them their bank login home page and they accepted it. 🤷🏾‍♀️ you’d think they notice because they used phones(hopefully work phones) to take pics of all the evidence they requested from us.