Updated January 2019 Based upon APhA/NASPA Survey of State IZ Laws/Rules

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1 Updated January 9 Based upon APhA/NASPA Survey of State IZ Laws/Rules

2 Any vaccine Other combos Any vaccine Other combos 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 NH, NY, WV, WY * Via Rx for some

3 Protocol Protocol or Rx (depending on age and/or vaccine) FL, KS, MN, NV, WI 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, UT, VT, WA 5 Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine) AK, AZ, CA, ID, LA, ME, MD, MT NH, NJ, NM, OR, SC, SD, TX, VA, WV, WY

4 >yo >yo >yo >5yo >yo >yo Any age 5 7 CT, FL, PR*, VT >yo NC L > yo DC L, MT L > yo HI L,* WV L,* >yo IL L MA L,MD L, PA L, RI L AR L, ME L NJ *,L, OH L,WY L KS L, MN L, WI >5yo ND L >yo AZ L >yo NY L AL, AK, CA, CO, DE D,, GA*, ID*, IN*, IA*, KY*, Any age LA*, MI, MS, MO*, NE, NV, NH L, NM, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA * Via Rx L Limited to certain vaccines D Any age with an adult dose

5 >yo >yo >yo Any age 7 >yo >yo >yo Any age CT, ME, MA, NC, PR, VT, WV DC HI*, MD, ND, WV* IL* MA*, PA*, RI* AR, OH, NJ*, WY HR AZ, WI* NY* AL, AK, CA, CO, DE D, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA * Scope varies D Any age with an adult dose HR Rx only for high risk

6 CT, FL, HI, ME, MT, NJ, PR*, VT, VA >yo >yo >yo >yo 9 >yo >yo >yo >yo NC*, TX GA* DC IN IL*, IN* KY*, MA, PA*,RI* AR, MO*, OH*,TX* >5yo >yo Any age 5 5 >5yo >yo Any age IA*, KS*, MN*,WI ND* NY* AL, CA, CO, DE D,MI, MS, NE, NM, NV, OK, SD, TN, UT, WA *Scope varies D Any age with an adult dose 6

7 Number of states/territories allowing 5* States/territories not verified (PR) Criteria common among states Student must be trained (complete Certificate Training Program) Operating under supervision of trained pharmacist *NJ effective //9 7

8 6 5 5 Part B Vaccine 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 Various ages and some require RX No Number of states / territories 8

9 6 5 5 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 No Number of states / territories 9

10 6 5 5 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, NH, NJ, NM, NY NC, ND, OH, OK, OR, PA, PR*, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY *Via Rx only Many have age restrictions No Number of states / territories

11 WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI OH IN WV KY TN SC NY PA VA NC VT ME NH MA RI CT NJ DE MD DC TX MS AL GA AK LA HI FL Pharmacists can administer HPV Pharmacists can administer HPV but only by Rx Pharmacists cannot administer HPV PR

12 AL, AK, AZ A, AR A, CA, CO, CT A, DC A, DE, FL A,GA R,HI A, ID, IL A, IN, IA A, KS A, KY, LA A, ME A,MD A, MA, MI, MN A, MO R, MS, MT A, NC R,ND,NE, NJ A, NM, NV, OH A, OK, OR, PA A, RI A,PR A,R, SC A, SD, TN, TX A, UT, VT A, VA A, WA, WV, WI, WY A, DC A 5 5 No No NH, NY R Via Rx only A Age limitation (may not allow or may require Rx for -9) *awaiting rule promulgation as of //8 Number of states / territories

13 AR*, CT, FL, HI*, IA*,ME, MD*, MT, NC R, NJ, PA, PR R, RI, SC*,VA*,VT, WY >7yo >yo 7 >7yo >yo >yo LA* IL,TX* AZ*,MN, OH* >yo >yo >yo DC, KS IN*, ND, WV KY, MA >yo OR ID, WI No age limit >yo No Age Limit CA AL, AK, CO, DE D,GA R, MI, MS, MO R, NE, NV, NM, OK, SD, TN, UT, WA *Younger ages under prescription/protocol R Requires a prescription D Any age with an adult dose

14 WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI OH IN WV KY TN SC NY PA VA NC VT ME NH MA RI CT NJ DE MD DC TX MS AL GA AK LA HI FL Pharmacists can administer Hepatitis B Pharmacists can administer Hepatitis B but only by Rx Pharmacists cannot administer Hepatitis B PR

15 6 5 5 AL, AK, AZ A, AR A, CA, CO, CT A, DC A, DE, FL A,GA R,HI A, ID, IL A, IN R, IA A, KS, KY, LA A, ME A,MD A, MA, MI, MN A, MO, MS, MT A,NH A, NC A,ND,NE, NJ A, NM, NV, OH A, OK, OR, PA A, RI A, PR A,R, SC A, SD, TN, TX A, UT, VT A, VA A, WA A, WV, WI, WY A, DC No NY R Via Rx only A Age limitation (may not allow or may require Rx for -8) No Number of states / territories 5

16 >7yo >yo >yo >yo >yo No age limit AR*, CT, FL, HI*, IA*, KS, ME, MD*, MT, NC, NJ, NH, PA, PR R, RI, SC*,VA*,VT, WV,WY >7yo LA* >yo IL, TX* >yo AZ*,MN, OH* >yo DC, KS, MO* IN*,ND KY, MA OR* ID, WI >yo CA* No Age Limit AL, AK, CO, DE D, GA R,IN R, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA *Younger ages under prescription/protocol R Requires a prescription D Any age with an adult dose 6

17 WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI OH IN WV KY TN SC NY PA VA NC VT ME NH MA RI CT NJ DE MD DC TX MS AL GA AK LA FL HI Pharmacists can administer MMR Pharmacists can administer MMR but only by Rx Pharmacists cannot administer MMR PR 7

18 No No AL, AK, AZ A, AR, CA, CO, CT A, DE, FL A, GA R,HI A, ID, IL, IN R, IA A,KS A, KY, LA, ME A,MD A, MA A, MI, MN A, MO R, MS, MT A, NE,NH A, NJ A, NM, NC A, R, ND, NV, OH, OK, OR, PA A, RI A,PR A,R, SC A, SD, TN, TX, UT, VT A, VA A, WA, WI, WY A DC, NY, WV R Via Rx only A Age limitation (may not allow or may require Rx for certain ages <8 ) Number of states / territories 8

19 AR*, CT, FL, HI*, IA*, ME, MD*, MT, NC R, NH NJ, PA, PR R, RI, SC*,VA*,VT, WY >7yo >yo >yo 9 >7yo >yo >yo >yo LA* IL, TX* AZ*,MN, OH* KS >yo ND KY*, MA OR* ID*, WI >yo No age limit >yo No Age Limit CA* AL, AK, CO, DE D, GA R, IN R MI, MS, MO R, NE, NV, NM,OK, SD, TN, UT, WA *Younger ages under prescription R Requires a prescription D Any age with an adult dose 9

20 6 5 5 AL, AK, AZ A, AR, CA, CO, CT A, DC A, DE, FL A, GA R,HI A,ID A,IL A, IA A, IN, KS A, KY A, LA A, ME A,MA A,MD A, MI, MN A, MO A, MS, MT A, NH, NC A,ND, NE, NJ A, NM, NY A,NV, OH A,OK, OR, PA A,PR R,A, RI A, SC A, SD, TN, TX A, UT, VT A, VA A,WA,WV, WI,WY A No R Via Rx only A Age limitations (may not allow or may require Rx for -8) Number of states / territories

21 >7yo >yo >yo >yo >9 yo >yo No age limit 5 5 >7yo >yo >yo >yo >yo No Age Limit CT, FL, GA*, HI*, IA*, ME, MD*, MT, NH, NJ, NY, NC, PA, RI, PR R, SC* VT, VA*, WV, WY LA* IL, TX* AZ*, MN, OH* DC, KS, MO* IN*, ND KY*, MA AR, OR ID, WI CA AL, AK, CO, DE D, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA *May allow for younger ages under prescription R Via Rx only D Any age with an adult dose

22 CT, FL, HI, PR, VT, WV >yo >yo >yo 6 >yo >yo >yo NC DC, MT HI* IL MD, MA, PA, RI AR, ME, NJ*, OH, WY >5yo >yo >yo Any age >5yo >yo >yo Any age KS, MN, WI ND AZ NY AL, AK, CA*, CO, DE D, GA*,ID*, IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA * Requires Prescription D Any age with an adult dose

23 >yo >yo >yo >yo >5yo >yo Any age CT, FL, HI, PR, VT >yo NC >yo GA > yo DC, MT >yo >5yo >yo Any age IN IL KY, MA, PA, RI AR, MO, OH, TX IA, KS, MN, WI ND NY AL, CA, CO, DED, MI, MS, NE, NV, OK, SD, TN, UT, WA D Any age with an adult dose

24 >yo >yo >6mo Any age >yo >yo >6mo Any age SD, WV MT, SC MD LA, ME, NJ*, OR, TX, WY ID AZ, CA VA AK, NH, NM * Effective //9 Note: Authority comes from statute and/or regulation from BOP or Public Health 8 States

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