Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer Based upon APhA / NASPA Survey of State IZ Laws/ Rules Any vaccine AL, AK, AZ*, AR, CA, CO, CT, Number of states / territories DC*, DE*, FL, GA*, HI, ID, IL, IN*, IA, KS, KY, LA*, MA, 48 ME, MD, MI, MO*, MN, 50 MS, MT, NE, NV, NJ, NM, 40 NC, ND, OH, OK, OR, PA, 30 PR*, RI, SC, SD, TN, TX, UT, 20 VT, VA*, WA, WI 3 Number of states / 10 1 territories Influenza, NH 0 Pneumo and I, P, Z Other combos Any vaccine Zoster (I, P, Z) Other NY, WV**, WY** combos * Via Rx for some; ** broad list of vaccines Updated July 2016 1
Pharmacist Administered Vaccines Prescriber issued protocols vs Rx Based upon APhA / NASPA Survey of State IZ Laws/ Rules Protocol FL, KS, MN, NV, WI Number of states / territories 30 Protocol or Rx AL, AR, CO, CT, DC, DE, 30 (depending on age GA,HI, IL, IN, IA, KY, and/or vaccine) MA, MI, MS, MO, NE, 17 20 NY, NC, ND, OH, OK, PA, PR, RI, TN, TX, UT, Number of VT, WA 10 5 states / territories Protocol/Rx or No AK, AZ, CA, ID, LA, ME, 0 Prescriber/Rx MD, MT NH, NJ, NM, Needed (depending OR, SC, SD, VA, WV, on age and/or WY vaccine) Updated July 2016 2
Pharmacist Administered Vaccines Patient ‐ Age Limitations Based upon APhA / NASPA Survey of State IZ Laws/ Rules >18yo CT, FL, MA, NY L , PR*, VT, WV Number of states / HI*, NC L >14yo territories >12 yo MT L 7 >18yo >10yo IL L, * 2 >14yo 1 >12yo >9yo MD* ,L , PA L , RI L 1 >10yo AR L , ME L NJ *,L , OH L , WY L >7yo 3 >9yo 5 >7yo >6yo KS L , MN L , WI* 3 >6yo ND L >5yo 1 >5yo 1 >3yo AZ L >3yo 28 Any age AL, AK, CA, CO, DE D, DC*, GA*, ID*, IN*, IA*, KY*, LA*, MI, MS, MO*, 0 20 40 NE, NV, NH L , NM, OK, OR*, SC*, SD, Any age TN, TX*, UT, VA*, WA * Via Rx L Limited to certain vaccines Updated July 2016 3 D Any age with an adult dose
Pharmacist Administered Vaccines Patient ‐ Age Limitations via RX Based upon APhA / NASPA Survey of State IZ Laws/ Rules CT, ME, MA, NY*, NC, PR, SC, VT, Number of states / territories >18yo WV, WY >14yo HI 10 >18yo >11yo IN, MD*, ND 1 >14yo 3 >11yo >10yo IL* 1 >10yo >9yo PA*, RI* 2 >9yo >7yo AR, OH, NJ* 3 >7yo >6yo AZ, WI* 2 >6yo AL, AK, CA, CO, DE D ,DC, GA, ID, 25 Any age IN, IA, KY, LA, MI, MS MO, NE, 0 5 10 15 20 25 OK, OR, SC, SD, TN, TX, UT, VA, Any age WA * Scope varies D Any age with an adult dose Updated July 2016 4
Pharmacist Administered Vaccines Patient ‐ Age Limitations via prescriber protocol Based upon APhA / NASPA Survey of State IZ Laws/ Rules CT, FL, HI, ME, MA, MT*,NJ, NY*, >18yo PR*, VT, VA Number of states / territories >14yo HI*, NC* 11 >13yo GA* >18yo 2 >14yo 1 >13yo >12yo DC, MO* 2 >12yo 1 >11yo >11yo IN 2 >10yo 4 >9yo >10yo IL*, IN* 3 >7yo 5 >6yo >9yo KY*, ME*, PA*,RI* 1 >5yo 13 Any age >7yo AR, OH*, TX* 0 5 10 15 >6yo IA* , KS*, MN*,WI, VA* >5yo ND* * Scope varies AL, CA, CO, DE D ,MI, MS, MT, NE, Any age NM, NV, OK, SD, TN, UT, WA • Scope varies • D Any age with an adult dose Updated July 2016 5 •
Pharmacist Administered Vaccines May student interns administer vaccines? Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective January1, 2014) Number of states / territories 48 allowing States / territories not authorized 4 (NH, NJ, NY, PR) • Student must be trained (complete Criteria common among states Certificate Training Program) • Operating under supervision of trained pharmacist Updated July 2016 6
Pharmacist Administered Vaccines Authority to Administer Pneumococcal Vaccine Based upon APhA / NASPA Survey of State IZ Laws/ Rules States AL, AK, AZ, AR, CA, Number of states / territories CO, CT, DC*, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, Part B 60 52 MD, ME, MI, MN, Vaccine 50 MO, MS, MT**, NE, NH, NV , NJ, 40 NM, NC, ND, NY, Number of 30 states / OH, OK, OR, PA, territories PR, RI, SC, SD,TN, 20 TX, UT, VT, VA, WA, WV, WI, WY*** 10 0 0 Yes No *Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol ***Pneumococcal polysaccharide only Updated July 2016 7
Pharmacist Administered Vaccines Authority to Administer Zoster Vaccine Based upon APhA / NASPA Survey of State IZ Laws/ Rules States AL, AK, AZ, AR, CA, Number of states / territories CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA,KS, KY, LA, MA, 60 52 MD, ME, MI, MN, 50 MO, MS, MT, NE, NH, NY, NV, NJ, 40 NM, NC, ND, OH, Number of OK, OR, PA, PR*, 30 states / territories RI, SC, SD, TN, TX, 20 UT, VT, VA, WA, WI, WV, WY 10 0 0 Yes No *Via Rx only Updated July 2016 8
Pharmacist Administered Vaccines Authority to Administer Td / Tdap Based upon APhA / NASPA Survey of State IZ Laws/ Rules Yes AL, AK, AZ, AR, CA, Number of states / territories CO, CT, DC, DE, FL, GA*, HI, IA, ID, IL, IN, KS, KY, LA, MA, 60 51 MD, ME, MI, MN, 50 MO, MS, MT, NE, NV, NJ, NM, NY NC, 40 ND, OH, OK, OR, Number of PA, PR*, RI, SC, SD, 30 states / TN, TX, UT, VA, VT, territories 20 WA, WI, WV, WY No NH 10 1 0 Yes No *Via Rx only Many have age restrictions Updated July 2016 9
Pharmacist Administered Vaccines Authority to Administer HPV Vaccine WA MT ME ND MN VT OR NH I D MA SD WI NY WY MI RI CT NJ PA I A NV NE DE OH UT I L I N MD CA CO WV VA DC KS MO KY NC AZ TN NM OK AR SC AL GA MS TX AK LA FL HI Pharmacists can administer HPV PR Pharmacists can administer HPV – but only by Rx Pharmacists cannot administer HPV Updated July 2016 10
Pharmacist Administered Vaccines Authority to Administer HPV Based upon APhA / NASPA Survey of State IZ Laws/ Rules Number of states / territories Yes AL, AK, AZ A , AR A , CA, CO, CT A , DC A , DE, FL A , GA R , HI A , ID, IL A , 49 IN, IA A , KS A , KY A , LA A , ME A , 50 MD A , MA A , MI, MN A , MO R , MS, MT A , NC A ,ND, NE, NJ A , NM, NV, 40 OH A , OK, OR, PA A , RI A , PR A,R , SC A , SD, TN, TX A , UT, VT A , VA A , 30 Number of WA, WI, WY A , DC states / 20 territories 10 No NH, NY, WV 3 0 Yes No R Via Rx only A Age limitation (may not allow or may require Rx for 12-18) Updated July 2016 11
Pharmacist Administered Vaccines Patient ‐ Age Limitations – for HPV Vaccination Based upon APhA / NASPA Survey of State IZ Laws/ Rules AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NC R , NJ, PA, PR R , RI, >18yo SC*,VA*, VT, WY Number of states / territories >17yo LA* 19 >18yo 1 >17yo >14yo IL, KY*, TX* 3 >14yo >13yo AZ*,MN, OH* 3 >13yo 1 >12yo >12yo DC* 2 >11yo 1 >7yo >11yo IN*, ND 2 >6yo 1 >3yo >7yo OR 17 No age limit >6yo ID, WI 0 5 10 15 20 >3yo CA AL, AK, CO, DE D ,GA R , MI, MS, MO R , NE, NV, NM, OK, SC, SD, TN, No Age Limit UT, WA *Younger ages under prescription/protocol R Requires a prescription Updated July 2016 12 D Any age with an adult dose
Pharmacist Administered Vaccines Authority to Administer HepB Vaccine WA MT ME ND MN VT OR NH I D MA SD WI NY WY MI RI CT NJ PA I A NV NE DE OH UT I L I N MD CA CO WV VA DC KS MO KY NC AZ TN NM OK AR SC AL GA MS TX AK LA FL HI Pharmacists can administer Hepatitis B PR Pharmacists can administer Hepatitis B – but only by Rx Pharmacists cannot administer Hepatitis B Updated July 2016 13
Pharmacist Administered Vaccines Authority to Administer Hep B Based upon APhA / NASPA Survey of State IZ Laws/ Rules Number of states / territories Yes AL, AK, AZ A , AR A , CA, CO, CT A , DC A , DE, FL A , GA R , HI A , ID A , IL A , 50 IN R , IA A , KS A , KY A , LA A , ME A , 50 MD A , MA A , MI, MN A , MO R , MS, MT A , NC A ,ND, NE, NJ A , NM, NV, 40 OH A , OK, OR, PA A , RI A , PR A,R , SC A , SD, TN, TX A , UT, VT A , VA A , 30 Number of WA A , WV, WI, WY A , DC states / 20 territories 10 No NH, NY 2 0 Yes No R Via Rx only A Age limitation (may not allow or may require Rx for 12-18) Updated July 2016 14
Pharmacist Administered Vaccines Patient ‐ Age Limitations – for Hep B Vaccination Based upon APhA / NASPA Survey of State IZ Laws/ Rules AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NC R , NJ, PA, PR R , RI, >18yo SC*,VA*, VT, WV,WY Number of states / territories >17yo LA* 20 >18yo >14yo IL, KY*, TX* 1 >17yo >13yo AZ*,MN, OH* 3 >14yo 3 >12yo DC*, MO* >13yo 2 >12yo >11yo ND 1 >11yo 1 >7yo >7yo OR* 2 >6yo 1 >3yo >6yo ID*, WI 16 No age limit >3yo CA* 0 5 10 15 20 AL, AK, CO, DE D , GA R , IN R , MI, MS, No Age Limit NE, NV, NM, OK, SD, TN, UT, WA *Younger ages under prescription/protocol R Requires a prescription Updated July 2016 15 D Any age with an adult dose
Pharmacist Administered Vaccines Authority to Administer MMR Vaccine WA MT ME ND MN VT OR NH I D MA SD WI NY WY MI RI CT NJ PA I A NV NE DE OH UT I L I N MD CA CO WV VA DC KS MO KY NC AZ TN NM OK AR SC AL GA MS TX AK LA FL HI Pharmacists can administer MMR PR Pharmacists can administer MMR– but only by Rx Pharmacists cannot administer MMR Updated July 2016 16
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