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Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer
051015202530354045
Any vaccine
Influ/Zoster
I, P, Z
Other combos
45
1 15
Number of states / territories
Number of states / territories
Any vaccine AL*, AK*, AZ*, AR*, CA, CO, CT, DC*, DE*, GA*, HI*, ID,IL, IN*, IA, KS, KY*, LA*, MA, MD, ME, MO*, MI*, MN, MS, MT, NE, NV ,NJ*, NM, NC, ND, OK, OR, PA, PR* RI, SC*, TN, TX, UT*, VT, VA*, WA, WI
Influenza and Zoster SD
Influenza, Pneumo and Zoster (I, P, Z)
FL
Other combos NH, NY, OH**, WV**, WY**, P
* Via Rx for some; ** broad list of vaccines, P Will change pending Regs/Effective Date
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines Prescriber issued protocols vs Rx
0
10
20
30
40
9
1
32
10
Number of states / territories
Number of states / territories
Protocol CA, CO, CT, KS, MN, MS, NV, OK, WI
Rx AL
Protocol or Rx (depending on age and/or vaccine)
AK, AR, DC, DE, FL, GA,HI, IA IL, IN, KY, MD, MA, MI, MO, NE, NJ, NY, NC, ND OH, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA
Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine)
AZ, ID, LA, ME, MT NH, NM, OR, WV, WY
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines PaPent-‐Age LimitaPons
0 10 20 30
Any age>5yo>6yo>7yo>9yo>10yo>11yo>12yo>14yo>18yo>19yo
211
41
52213
111
Number of states / territories
* Scope varies, P Will change pending Regs/Effective Date
Any age
AL, AK*, CA,CO, DC*, GA*, ID*, LA*MI, MS MO*, NE, NH, NM, NV, OK, TN, TX*, UT, VA*, WA
>5yo ND*
>6yo AZ, IA*, KS*, WI*
>7yo AR*
>9yo DE, KY*, MD*, ME*, RI*
>10yo IL*, MN* >11yo IN, OR >12 yo MT* >14yo HI*, NC*, OH*
>18yo CT, FL,, MA, NJ, NY, PA, PR*, SC*, SD*, VT, WV
>19yo WYP[will be > 7 yo]
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines PaPent-‐Age LimitaPons via RX
0 5 10 15 20
Any age>6yo>7yo>9yo
>11yo>14yo>18yo
182
12
11
9
Number of states / territories
* Scope varies P Will change pending Regs/Effective Date
Any age
AL, AK*, DC, GA, ID*, IA, LA, MI, MS MO*, NE, NV, OK, TN, TX, UT, VA*, WA,
>6yo AZ*, WI*
>7yo AR*,
>9yo MD*, RI* >11yo IN, >14yo HI*,
>18yo IA*,P MA, NJ, PA, PR, SC, SD, VT, WV
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines PaPent-‐Age LimitaPons via prescriber protocol
0 5 10 15
Any age>5yo>6yo>7yo>9yo
>10yo>11yo>12yo>13yo>14yo>18yo
121
43
42
13
13
12
Number of states / territories
* Scope varies P Will change pending Regs/Effective Date
Any age AK*, CA, CO, MI, MS, NE, NM, NV, OK, TN, UT,, WA
>5yo ND*
>6yo IA* , KS*, WI*, VA*
>7yo AR*, LA*, TX*
>9yo DE, KY*, ME*, RI*
>10yo IL*, MN* >11yo IN >12yo DC, MO*, MT* >13yo GA >14yo HI*, NC*, OH*
>18yo CT, FL, MA, MD, MT*,NJ, NY, PA,PR*, SC*, SD*, VT
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines May student interns administer vaccines?
Number of states / territories allowing
39
States / territories not authorized 14 (AK, CT, DE, FL, MA, ND, NH, NJ, NY, PA, PR, SC, SD)
Criteria common among states • Student must be trained (complete CerVficate Training Program) • OperaVng under supervision of trained pharmacist
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
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*, TN, TX, UT, VT, VA, WA, WV, WI, WY
No SD
*Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol
Part B Vaccine
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective July 1, 2013)
Pharmacist Administered Vaccines Authority to Administer Zoster Vaccine
Yes 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 / pt specific protocol for some
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines Authority to Administer Td / Tdap
0
10
20
30
40
50
Yes No
48
4
Number of states / territories
Number of states / territories
Yes AL*, AK*, AZ*, AR*, CA, CO, CT, DC*, DE*, GA*, HI*, IA, ID, IL, IN, KS, KY*, LA*, MA*, MD, ME, MI*, MN, MO*MS, MT, NE, NV , NJ*, NM, NC*, ND, OH*, OK, OR, PA, PR, RI, SC*, TN, TX, UT, VA,VT, WA, WI, WV, WY
No FL, NH, NY, SD
* Via Rx / pt specific protocol for some
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines Authority to Administer HPV
Yes AL R, AK*, R, AZ A, *, R, AR A, R, CA *, R, CO *, CT A,*, R, DCA, *, R, DE A, *, R, GA A,
*, R, HI A,R, ID A, IL A, *, R, IN A, *, R, IA
A, KS A,*, KY A, *, LA A, R, MAA,*,R , ME A, *, R,MI *, R, MN A,*, MO R, MS*, MT A, *, NC *, ND A, *, NE*, NJ A, *, R , NM, NV*, OK*, OR A, *, PA A, *, , PRR, RI A,*, SC A, R, TN *, R, TX A, *, R, UT*, VT *,A, R, VA *, R, WA*, WI A, *, WY A, P
No FL, MDP, NH, NY, OH, SD, WV
*Via protocol ; R Via Rx ; A Age limitations P Will change pending Regs/Effective Date
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
Pharmacist Administered Vaccines PaPent-‐Age LimitaPons – for HPV VaccinaPon
0 5 10 15 20
No age limitVaries>7yo>9yo>11yo>12yo>14yo>16yo>18yo>19yo
171112
14
116
1
Number of states / territoriesNo Age Limit
AL*, AK, CA,CO, DC*,GA, MI, MS, MO, NE, NM, NV, OK, TN, UT, VA*,WA
Varies AZ >7yo AR
>9yo DE
>11yo IN,OR
>12yo ID
>14yo HI, IL, KY, TX >16yo LA
>18yo CT, IA, KS, MA, ME, MN, MT, NC, NJ, ND,PA, PR, RI, SC, VT, WI
>19yo WYP
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
*Via protocol ; R Via Rx ; A Age limitations P Will change pending Regs/Effective Date
Pharmacist Administered Vaccines Influenza -‐ Age of AdministraPon Authorized
Any age
AL*, AK, CA , CO, DC*, GA*, IA*, LA*, MI, MS, MO*, NE, NH, NM, NV, ND*, OK, TN, TX*, UT, VA*, WA
>6yo AZ, KS, WI
>7yo AR
>9yo DE, KY, ME, MD RI
>10yo IL, MN >11yo OR >12yo ID, MT
>14yo HI*, INP ,NC, OH
>18yo CT, FL, MA, NJ, NY, PA, PR, SC, SD, VT, WV
>19yo WYP[will be > 7 yo]
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
P Will change pending Regs/Effective Date * Requires Prescription
0 10 20 30
Any age>6yo>7yo>9yo
>10yo>11yo>12yo>14yo>18yo>19yo
223
15
2124
111
Number of states / territories
Pharmacist Administered Vaccines Influenza -‐ Age of Adm Authorized Protocol
0 5 10 15
Any age>6mo>5yo>6yo>7yo>9yo
>10yo>11yo>12yo>13yo>14yo>18yo>19yo
1311
42
42
12
13
111
Number of states / territories
Any age AL, AK, CA ,CO, ,MI, MS, NE, NH, NV, OK, TN, UT, WA
>6 months VA
>5yo ND
>6yo AZ, IA , KS WI
>7yo AR, TX
>9yo DE, KY, MD RI
>10yo IL, MN >11yo OR >12 yo DC, MO >13yo GA >14yo INP, NC, OH
>18yo CT, FL, HI, MA, NJ, NY, PA, PR, SD, VT, WV
>19yo WYP[will be > 7 yo]
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
P Will change pending Regs/Effective Date
Pharmacist Administered Vaccines Influenza -‐ No MD protocol or Rx Needed
0 0.5 1 1.5 2
Any age
>6yo
>7yo
>9yo
>11yo
>12yo
>18yo
2
1
1
1
1
2
2
Number of states / territories Any age NH, NM
>6yo AZ
>7yo LA
>9yo ME >11yo OR >12 yo ID, MT >18yo SC, WV
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October 1, 2013)
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