Types of Vaccines Authorized to Administer Based upon APhA / NASPA - - PowerPoint PPT Presentation

Pharmacist Administered Vaccines

Types of Vaccines Authorized to Administer

10 20 30 40 50 Any vaccine I, P, Z Other combos 48 1 3

Number of states / territories

Number of states / territories

Any vaccine AL, AK, AZ*, AR, CA, CO, CT, DC*, DE*, FL, GA*, HI, ID, IL, IN*, IA, KS, KY, LA*, MA, ME, MD, MI, MO*, MN, MS, MT, NE, NV, NJ, NM, NC, ND, OH, OK, OR, PA, PR*, RI, SC, SD, TN, TX, UT, VT, VA*, WA, WI Influenza, Pneumo and Zoster (I, P, Z) NH Other combos NY, WV**, WY**

* Via Rx for some; ** broad list of vaccines

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 1

Pharmacist Administered Vaccines Prescriber issued protocols vs Rx

10 20 30 5 30 17

Number of states / territories

Number of states / territories

Protocol FL, KS, MN, NV, WI Protocol or Rx (depending on age and/or vaccine) AL, AR, CO, CT, DC, DE, GA,HI, IL, IN, IA, KY, MA, MI, MS, MO, NE, NY, NC, ND, OH, OK, PA, PR, RI, TN, TX, UT, VT, WA Protocol/Rx or No Prescriber/Rx Needed (depending

• n age and/or

vaccine) AK, AZ, CA, ID, LA, ME, MD, MT NH, NJ, NM, OR, SC, SD, VA, WV, WY

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 2

Pharmacist Administered Vaccines Patient‐Age Limitations

20 40 Any age >3yo >5yo >6yo >7yo >9yo >10yo >12yo >14yo >18yo 28 1 1 3 5 3 1 1 2 7

Number of states / territories

>18yo CT, FL, MA, NYL , PR*, VT, WV >14yo HI*, NCL >12 yo MTL >10yo ILL,* >9yo MD*,L, PAL , RIL >7yo ARL, MEL NJ*,L, OHL , WYL >6yo KSL, MNL, WI* >5yo NDL >3yo AZL Any age AL, AK, CA, CO, DED, DC*, GA*, ID*, IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NV, NHL, NM, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 3

* Via Rx

L Limited to certain vaccines D Any age with an adult dose

Pharmacist Administered Vaccines Patient‐Age Limitations via RX

5 10 15 20 25 Any age >6yo >7yo >9yo >10yo >11yo >14yo >18yo 25 2 3 2 1 3 1 10

Number of states / territories

* Scope varies

D Any age with an adult dose

>18yo CT, ME, MA, NY*, NC, PR, SC, VT, WV, WY >14yo HI >11yo IN, MD*, ND >10yo IL* >9yo PA*, RI* >7yo AR, OH, NJ* >6yo AZ, WI* Any age AL, AK, CA, CO, DED,DC, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 4

Pharmacist Administered Vaccines Patient‐Age Limitations via prescriber protocol

5 10 15 Any age >5yo >6yo >7yo >9yo >10yo >11yo >12yo >13yo >14yo >18yo 13 1 5 3 4 2 1 2 1 2 11

Number of states / territories

* Scope varies

>18yo CT, FL, HI, ME, MA, MT*,NJ, NY*, PR*, VT, VA >14yo HI*, NC* >13yo GA* >12yo DC, MO* >11yo IN >10yo IL*, IN* >9yo KY*, ME*, PA*,RI* >7yo AR, OH*, TX* >6yo IA* , KS*, MN*,WI, VA* >5yo ND* Any age AL, CA, CO, DED,MI, MS, MT, NE, NM, NV, OK, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 5

• Scope varies
• D Any age with an adult dose

Pharmacist Administered Vaccines May student interns administer vaccines?

Number of states / territories allowing 48 States / territories not authorized 4 (NH, NJ, NY, PR) Criteria common among states

• Student must be trained (complete

Certificate Training Program)

• Operating under supervision of

trained pharmacist

Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective January1, 2014)

Updated July 2016 6

Pharmacist Administered Vaccines Authority to Administer Pneumococcal Vaccine

States AL, AK, AZ, AR, CA, CO, CT, DC*, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT**, NE, NH, NV , NJ, NM, NC, ND, NY, OH, OK, OR, PA, PR, RI, SC, SD,TN, TX, UT, VT, VA, WA, WV, WI, WY***

*Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol ***Pneumococcal polysaccharide only

Part B Vaccine

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 7

10 20 30 40 50 60 Yes No 52

Number of states / territories

Number of states / territories

Pharmacist Administered Vaccines

Authority to Administer Zoster Vaccine

States AL, AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA,KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NE, NH, NY, NV, NJ, NM, NC, ND, OH, OK, OR, PA, PR*, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WV, WY

*Via Rx only

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

10 20 30 40 50 60 Yes No 52

Number of states / territories

Number of states / territories

Updated July 2016 8

Pharmacist Administered Vaccines

Authority to Administer Td / Tdap

10 20 30 40 50 60 Yes No 51 1

Number of states / territories

Number of states / territories

Yes AL, AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA*, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NE, NV, NJ, NM, NY NC, ND, OH, OK, OR, PA, PR*, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY No NH

*Via Rx only Many have age restrictions

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 9

Authority to Administer HPV Vaccine

DC AR AL I N LA MO TX I D VA KS WV PA OR MS UT OK

NH

NC GA SD WY FL MT NE ND KY CO NM WA AK I A NV SC OH HI AZ CA MD DE TN MA NY RI I L CT

VT

NJ

MI WI ME MN

Pharmacist Administered Vaccines

10 Pharmacists can administer HPV Pharmacists can administer HPV – but only by Rx Pharmacists cannot administer HPV

PR

Updated July 2016

Pharmacist Administered Vaccines

Authority to Administer HPV

10 20 30 40 50 Yes No 49 3

Number of states / territories

Number of states / territories

Yes AL, AK, AZA, ARA, CA, CO, CTA, DCA, DE, FLA, GAR, HIA, ID, ILA, IN, IAA, KSA, KYA, LAA, MEA, MDA, MAA, MI, MNA, MOR, MS, MTA, NCA,ND, NE, NJA, NM, NV, OHA, OK, OR, PAA, RIA, PRA,R, SCA, SD, TN, TXA, UT, VTA, VAA, WA, WI, WYA, DC No NH, NY, WV

R Via Rx only A Age limitation (may not allow or may require Rx for 12-18)

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 11

Pharmacist Administered Vaccines Patient‐Age Limitations – for HPV Vaccination

5 10 15 20 No age limit >3yo >6yo >7yo >11yo >12yo >13yo >14yo >17yo >18yo 17 1 2 1 2 1 3 3 1 19

Number of states / territories

>18yo AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NCR, NJ, PA, PRR, RI, SC*,VA*, VT, WY >17yo LA* >14yo IL, KY*, TX* >13yo AZ*,MN, OH* >12yo DC* >11yo IN*, ND >7yo OR >6yo ID, WI >3yo CA No Age Limit AL, AK, CO, DED ,GAR, MI, MS, MOR, NE, NV, NM, OK, SC, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

*Younger ages under prescription/protocol

R Requires a prescription D Any age with an adult dose

Updated July 2016 12

Authority to Administer HepB Vaccine

DC AR AL I N LA MO TX I D VA KS WV PA OR MS UT OK

NH

NC GA SD WY FL MT NE ND KY CO NM WA AK I A NV SC OH HI AZ CA MD DE TN MA NY RI I L CT

VT

NJ

MI WI ME MN

Pharmacist Administered Vaccines

13 Pharmacists can administer Hepatitis B Pharmacists can administer Hepatitis B – but only by Rx Pharmacists cannot administer Hepatitis B

PR

Updated July 2016

Pharmacist Administered Vaccines

Authority to Administer Hep B

10 20 30 40 50 Yes No 50 2

Number of states / territories

Number of states / territories

Yes AL, AK, AZA, ARA, CA, CO, CTA, DCA, DE, FLA, GAR, HIA, IDA, ILA, INR, IAA, KSA, KYA, LAA, MEA, MDA, MAA, MI, MNA, MOR, MS, MTA, NCA,ND, NE, NJA, NM, NV, OHA, OK, OR, PAA, RIA, PRA,R, SCA, SD, TN, TXA, UT, VTA, VAA, WAA, WV, WI, WYA, DC No NH, NY

R Via Rx only A Age limitation (may not allow or may require Rx for 12-18)

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 14

Pharmacist Administered Vaccines Patient‐Age Limitations – for Hep B Vaccination

5 10 15 20 No age limit >3yo >6yo >7yo >11yo >12yo >13yo >14yo >17yo >18yo 16 1 2 1 1 2 3 3 1 20

Number of states / territories

>18yo AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NCR, NJ, PA, PRR, RI, SC*,VA*, VT, WV,WY >17yo LA* >14yo IL, KY*, TX* >13yo AZ*,MN, OH* >12yo DC*, MO* >11yo ND >7yo OR* >6yo ID*, WI >3yo CA* No Age Limit AL, AK, CO, DED, GAR, INR, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

*Younger ages under prescription/protocol

R Requires a prescription D Any age with an adult dose

Updated July 2016 15

Authority to Administer MMR Vaccine

DC AR AL I N LA MO TX I D VA KS WV PA OR MS UT OK

NH

NC GA SD WY FL MT NE ND KY CO NM WA AK I A NV SC OH HI AZ CA MD DE TN MA NY RI I L CT

VT

NJ

MI WI ME MN

Pharmacist Administered Vaccines

Updated July 2016

16 Pharmacists can administer MMR Pharmacists can administer MMR– but only by Rx Pharmacists cannot administer MMR

PR

Pharmacist Administered Vaccines

Authority to Administer MMR

10 20 30 40 50 Yes No 49 3

Number of states / territories

Number of states / territories

Yes AL, AK, AZA, AR, CA, CO, CTA, DE, FLA, GAR, HIA, ID, IL, INR, IAA, KSA, KY, LA, MEA, MDA, MAA, MI, MNA, MOR, MS, MTA, NE, NJA, NM, NCA, R, ND, NV, OH, OK, OR, PAA, RIA, PRA,R, SCA, SD, TN, TX, UT, VTA, VAA, WA, WI, WYA, DC No NH, NY, WV

R Via Rx only A Age limitation (may not allow or may require Rx for certain ages <18 )

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 17

Pharmacist Administered Vaccines Patient‐Age Limitations – for MMR Vaccination

10 20 No age limit >3yo >6yo >7yo >11yo >12yo >13yo >14yo >17yo >18yo 17 1 2 1 1 1 3 3 1 19

Number of states / territories

>18yo AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NCR, NJ, PA, PRR, RI, SC*,VA*, VT, WY >17yo LA* >14yo IL, KY*, TX* >13yo AZ*,MN, OH* >12yo DC* >11yo ND >7yo OR* >6yo ID*, WI >3yo CA No Age Limit AL, AK, CO, DED, GAR, INR MI, MS, MOR, NE, NV, NM ,OK, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

*Younger ages under prescription

R Requires a prescription D Any age with an adult dose

Updated July 2016 18

Pharmacist Administered Vaccines

Authority to Administer Meningococcal

10 20 30 40 50 60 Yes No 51 1

Number of states / territories

Number of states / territories

Yes AL, AK, AZA, AR, CA, CO, CTA, DCA, DE, FLA, GAR, HIA, IDA, ILA, IAA, IN, KSA, KYA, LAA, MEA, MAA, MDA, MI, MNA, MOA, MS, MTA, NCA, ND, NE, NJA, NM, NYA, NV, OHA, OK, OR, PAA, PRR,A, RIA, SCA, SD, TN, TXA, UT, VTA, VAA, WA, WV, WI, WYA No NH

R Via Rx only A Age limitations (may not allow or may require Rx for 11-18)

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 19

Pharmacist Administered Vaccines Patient‐Age Limitations – for Meningococcal

5 10 15 20 25 No age limit >3yo >6yo >7yo >11yo >12yo >13yo >14yo >17yo >18yo 14 1 2 2 2 2 3 3 1 21

Number of states / territories

>18yo CT, FL, GA*, HI*, IA*, KS, ME, MD*, MA, MT, NJ, NY, NC, PA, RI, PRR, SC* VT, VA*, WY >17yo LA* >14yo IL, KY*, TX* >13yo AZ*, MN, OH* >12yo DC, MO* >11yo IN*, ND >7yo AR, OR* >6yo ID, WI >3yo CA No Age Limit AL, AK, CO, DED, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

*May allow for younger ages under prescription

R Via Rx only D Any age with an adult dose

Updated July 2016 20

Pharmacist Administered Vaccines Influenza ‐ Age of Administration Authorized

by Any Provision

>18yo CT, FL, MA, NY, PR, VT, WV >14yo HI*, NC >12yo MT >10yo IL >9yo MD, PA, RI >7yo AR, ME, OH, WY >6yo ID, KS, MN, NJ*, WI >5yo ND >3yo AZ Any age AL, AK, CA, CO, DED,DC*, GA*,IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

* Requires Prescription

D Any age with an adult dose

10 20 30 Any age >3yo >5yo >6yo >7yo >9yo >10yo >12yo >14yo >18yo 27 1 1 5 4 3 1 1 2 7

Number of states / territories

Updated July 2016 21

Pharmacist Administered Vaccines Influenza ‐ Age of Adm Authorized by Protocol

5 10 15 Any age >5yo >6yo >7yo >9yo >10yo >11yo >12yo >13yo >14yo >18yo 13 1 5 3 3 1 1 2 1 1 8

Number of states / territories >18yo CT, FL, HI, MA, NJ, NY, PR, VT >14yo NC >13yo GA >12 yo DC, MO >11yo IN >10yo IL >9yo KY, PA, RI >7yo AR, OH, TX >6yo AZ, IA, KS, MN, WI >5yo ND Any age AL, CA, CO, DED, MI, MS, NE, NV, OK, SD, TN, UT, WA

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 22

D Any age with an adult dose

Pharmacist Administered Vaccines Influenza No MD protocol or Rx Needed

1 2 3 4 Any age >6mo >3yo >6yo >7yo >9yo >12yo >18yo 3 1 2 1 4 1 3 2

Number of states / territories

>18yo SD, WV >12yo MT, NJ, SC >9yo MD >7yo LA, ME, OR, WY >6yo ID >3yo AZ, CA >6mo VA Any age AK, NH, NM

Based upon APhA / NASPA Survey of State IZ Laws/ Rules

Updated July 2016 Note: authority comes from statute and/or regulation from BOP or Public Health

17 States