Types of Vaccines Authorized to Administer · Types of Vaccines Authorized to Administer 0 10 20 30 40 50 Any ... 27 1 3 3 4 2 0 1 3 8 ... Authority to Administer Pneumococcal Vaccine

Pharmacist Administered VaccinesTypes of Vaccines Authorized to Administer

01020304050

Any vaccine

I, P, Z

Other com

bos

46

1 5

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, ME, MD, MO*, MI*, MN, MS, MT, NE, NV ,NJ*, NM, NC, ND, OK, OR, PA, PR*, RI, SC*, SD* TN, TX, UT*, VT, VA*, WA, WI

Influenza, Pneumoand Zoster (I, P, Z)

NH

Other combos FL, NY, OH**[will change

to any 3/15/15], WV**, WY**

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

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

Updated January 31, 2015 1

Pharmacist Administered VaccinesPrescriber issued protocols vs Rx

0

10

20

30

40

5

31

16


Number ofstates /territories

Protocol FL, KS, MN, NV, WI

Protocol or Rx (depending on age and/or vaccine)

AL, AK, 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 on age and/or vaccine)

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



Pharmacist Administered VaccinesPatient‐Age Limitations

0 20 40

Any age>5yo>6yo>7yo>9yo>10yo>11yo>12yo>14yo>18yo

2713342013

8


* Scope varies

>18yo CT, FL,, MA, NY, PA, PR*, VT, WV

>14yo HI*, NCL, OH*[will change 3/15/ 2015]

>12 yo MT*

>10yo IL *,L, MNL,

>9yo DE, MEL, MD*, L , RI L

>7yo AR*, L, NJ*,L, WYL

>6yo AZL, KSL, WI*

>5yo ND L

Any age

AL, AK, CA,CO, DC*, GA*, ID*, IN*,IA*, KY*, LA*, MI, MS, MO, NE, NV, NHL, NM, OK, OR*, SC*, SD*, TN, TX*, UT, VA*, WA


Updated January 31, 2015 3* Via Rx L Limited to certain vaccines

Pharmacist Administered VaccinesPatient‐Age Limitations via RX

0 5 10 15 20 25

Any age>6yo>7yo>9yo>10yo>11yo>14yo>18yo

24223

13

111


• Scope varies• OH will be added age 7 on 3/15/2015

>18yoCT, ME, MA, NY*, NC, PA, PR, SC, VT, WV, WY

>14yo HI*, >11yo IN, MD*, ND>10yo IL*>9yo DE, MD*, RI*

>7yo AR, NJ*>6yo AZ, WI*

Any age

AL, AK, CA, CO, DC, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA,



Pharmacist Administered VaccinesPatient‐Age Limitations via prescriber protocol

0 5 10 15

Any age>5yo>6yo>7yo>9yo>10yo>11yo>12yo>13yo>14yo>18yo

141

42

43

12

13

13


* Scope varies

>18yoCT, FL*, HI, ME, MA, MT*,NJ, NY*, PA,PR*, SC*, VT, VA

>14yo HI*, NC*, OH*[will change 3/15/15]

>13yo GA*

>12yo DC, MO*

>11yo IN

>10yo IL*, IN*, MN*

>9yo DE, KY*, ME*, RI*

>7yo AR, TX*

>6yo IA* , KS*, WI, VA*

>5yo ND*

Any ageAL, AK, CA, CO, MI, MS, MT, NE, NM, NV, OK, SD, TN, UT, WA


Updated January 31, 2015 5* Scope varies

Pharmacist Administered VaccinesMay student interns administer vaccines?

Number of states / territories allowing

44

States / territories not authorized 8 (FL, MA, NH, NJ, NY, PA, PR, SC)

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)


Pharmacist Administered VaccinesAuthority 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 BVaccine



0

10

20

30

40

50

60

Yes No

52

0



Pharmacist Administered VaccinesAuthority 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 only


0

10

20

30

40

50

60

Yes No

52

0




Pharmacist Administered VaccinesAuthority to Administer Td / Tdap

0

10

20

30

40

50

Yes No

49

3



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*, SD, TN, TX, UT, VA,VT, WA, WI, WV, WY

No FL, NH, NY

*Via Rx onlyMany have age restrictions



Authority to Administer HPV Vaccine

DC

ARAL

IN

LA

MO

TX

ID

VAKSWV

PA

OR

MS

UT

OK

NH

NC

GA

SDWY

FL

MT

NE

ND

KYCO

NM

WA

AK

IANV

SC

OH

HI

AZ

CAMDDE

TN

MANYRI

IL

CT

VT

NJ

MIWI

MEMN

Pharmacists Can Administer HPVPharmacists Can Administer HPV – but only by RX + PR

Pharmacist Administered Vaccines

Based upon APhA/NASPA Survey of State IZ Laws/ Rules Updated January 31,2015 Pharmacists Cannot Administer HPV

10

Pharmacist Administered VaccinesAuthority to Administer HPV

0

10

20

30

40

50

Yes No

47

5



Yes AL , AK, AZ , AR, CA , CO , CT A, DE, GAR , HI A, ID, IL A, ,IN , IA , KS A , KY, LA, ME A, MD*, MAA, MI, MNA, MO, MS, MT, NE,NJ A , NH, NM, NC A, ND , NV, OK, OR, PA A, RI A,PRA, R, SC R, SD ,TN, TX, UT, VT A, VA, WA, WI, WY, DC

No FL, NH, NY, OH*, WV

R Via Rx onlyA Age limitation IF greater than 12 y.o, may require Rx

* OH will be a yes effective 3/15/15.



Pharmacist Administered VaccinesPatient‐Age Limitations – for HPV Vaccination

0 5 10 15 20

No age limit

>6yo

>9yo

>11yo

>12yo

>14yo

>17yo

>18yo

16

1

1

3

2

3

1

20

Number of states / territories>18yo

AZ*, AR*,CT, HI, IA*, KS, ME, MD*,MA, MN, MT, NCR, NJ,PA, PRR, RI, SCR, VA*, VT, WY

>17yo LA*

>14yo IL, KY*, TX*

>12yo ID*, DC*

>11yo IN*, ND, OR*

>9yo DE

>6yo WI

No Age LimitAL, AK, CA, CO, GAR MI, MS, MOR, NE, NV, NM ,OK, SD, TN, UT, WA


*Younger ages under prescription/protocolR Requires a prescriptionUpdated January 31, 2015 12

Pharmacist Administered VaccinesAuthority to Administer Meningococcal

05101520253035404550

Yes No

50

2



Yes AL , AK, AZ, AR, CA , CO , CT A,*, DC, DE , FL A GA R, HI A ID , IL A, IA , IN, KS A, KY , LA , ME A, MAA , MD, MIMNA, MO, MS, MT, NCA , ND, NE, NJ A , NM, NYA, NV, OHA, OK, OR, PA A, , PRR, A, RI A, SC R, SD, TN, TX , UT*, VT A,, VA, WA, WI , WYA

No NH, WV

R Via Rx onlyA Age limitation IF greater than 12 y.o,may require Rx



Pharmacist Administered VaccinesPatient‐Age Limitations – for Meningococcal

0 5 10 15 20 25

No age limit>6yo>7yo>9yo

>11yo>12yo>14yo>17yo>18yo

15111

333

122

Number of states / territories >18yo

AZ*, CT, FL, HI, IA*, KS, ME, MD*, MA, MN, MT, NC, NJ, NY, OH, PA,RI, PRR ,SCR , VT, VA*, WY

>17yo LA*

>14yo IL, KY*, TX*

>12yo DC, ID, MO*

>11yo IN*, ND,OR*

>9yo DE

>7yo AR

>6yo WINo Age Limit AL, AK, CA, CO, GAR , MI, MS, NE,

NV NM, OK, SD, TN, UT, WA


*May allow for younger ages under prescriptionR Via Rx only


Pharmacist Administered VaccinesInfluenza ‐ Age of Administration Authorized

by Any Provision

>18yo CT, FL, MA, NY, PA, PR, VT, WV

>14yo HI*,NC, OH

>12yo ID, MT

>10yo IL, MN

>9yo DE, ME, MD, RI

>7yo AR, WY

>6yo AZ, KS, NJ*, WI

>5yo ND

Any age

AL, AK, CA , CO, DC*, GA*,IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SD, SC*, TN, TX*, UT, VA*, WA


* Requires Prescription

0 10 20 30

Any age>6yo>7yo>9yo>10yo>11yo>12yo>14yo>18yo

2332

52223

10



Pharmacist Administered VaccinesInfluenza ‐ Age of Adm Authorized by Protocol

0 2 4 6 8 10 12

Any age

>5yo

>6yo

>7yo

>9yo

>10yo

>11yo

>12yo

>13yo

>14yo

>18yo

12

1

4

2

3

2

1

2

1

2

9

Number of states / territories >18yo CT, FL, HI, MA, NJ, NY, PA, PR, VT

>14yo NC, OH

>13yo GA

>12 yo DC, MO

>11yo IN

>10yo IL, MN

>9yo DE, KY, RI

>7yo AR, TX

>6yo AZ, IA , KS, WI

>5yo ND

Any ageAL, AK,CA, CO,MI, MS, NE, NV, OK, SD,TN, UT, WA



Pharmacist Administered VaccinesInfluenza No MD protocol or Rx Needed

0 1 2 3

Any age>6mo>3yo>6yo>7yo>9yo

>11yo>12yo>18yo

2111

22

133


>18yo SC, SD WV>12yo ID, MT, NJ>11yo OR>9yo ME, MD>7yo LA, WY>6yo AZ>3yo CA>6mo VAAny age NH, NM,



16 States

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

Documents

Types of Vaccines Authorized to Administer · Types of Vaccines Authorized to Administer 0 10 20 30 40 50 Any ... 27 1 3 3 4 2 0 1 3 8 ... Authority to Administer Pneumococcal Vaccine