Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer

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Any vaccine Influ/Zoster I, P, Z Other combos 45 40 35 30 5 0 5 0 5 0 Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer 45 5 Number of states / territories Any vaccine Influenza and Zoster 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*, TN, TX, UT*, VT, VA*, WA, WI SD Influenza, Pneumo and Zoster (I, P, Z) Other combos FL NH, NY, OH**, WV**, WY** * Via Rx for some; ** broad list of vaccines Updated May 3, 04

Prescriber issued protocols vs Rx Protocol CO, CT, KS, MN, MS, NV, OK, WI 40 30 0 0 0 8 3 Number of states / territories Rx Protocol or Rx (depending on age and/or vaccine) Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine) AL AK, AR, DC, DE, FL, GA,HI, IA IL, IN, KY, MA, MI, MO, NE, NJ, NY, NC, ND OH, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA AZ, CA, ID, LA, ME, MD, MT NH, NM, OR, WV, WY Updated May 3, 04

Patient-Age Limitations >8yo >4yo >yo >yo >0yo >5yo Number of states / territories 3 5 3 4 0 0 0 40 >5yo AL, AK*, CA*,CO, DC*, GA*, ID*, LA*MI, MS, MO*, NE, NH, NM, NV, OK, TN, TX*, UT, VA*, WA ND* AZ, IA, KS*, WI* AR*, NJ*, WY* DE, KY*, ME*, MD*, RI* >0yo IL*, MN* >yo IN, OR > yo MT* >4yo HI*, NC*, OH* CT, FL,, MA, NY, PA, PR*, SC*, SD*, >8yo VT, WV * Scope varies Updated May 3, 04 3

Patient-Age Limitations via RX AL, AK*, DC, GA, ID*, IA, LA, MI, MS MO*, NE, NV, OK, TN, TX, UT, VA*, WA >8yo >4yo >yo 9 8 >yo >4yo >8yo AZ*, WI* AR* MD*, RI* IN, HI*, MA, NJ, NC, PA, PR, SC, SD, VT, WV 0 5 0 5 0 * Scope varies Updated May 3, 04 4

Patient-Age Limitations via prescriber protocol >8yo >4yo >3yo >yo >yo >0yo >5yo 3 3 4 4 5 0 5 0 5 >5yo >0yo >yo >yo >3yo >4yo >8yo AK*, CA, CO, MI, MS, NE, NM, NV, OK, TN, UT, WA ND* IA*, KS*, WI*, VA* AR*, LA*, TX* DE, KY*, ME*, RI* IL*, MN* IN DC, MO* GA HI*, NC*, OH* CT, FL, MA, MT*,NJ, NY, PA,PR*, SC*, SD*, VT * Scope varies Updated May 3, 04 5

May student interns administer vaccines? (effective January, 04) allowing 40 States / territories not authorized (AK, CT, DE, FL, MA, NH, NJ, NY, PA, PR, SC, SD) Criteria common among states Student must be trained (complete Certificate Training Program) Operating under supervision of trained pharmacist Updated May 3, 04 6

Authority to Administer Pneumococcal Vaccine States Part B Vaccine No 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*** SD *Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol ***Pneumococcal polysaccharide only Updated May 3, 04 7

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 Updated May 3, 04 8

Authority to Administer Td / Tdap 50 40 30 0 0 48 4 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 0 Yes No No FL, NH, NY, SD Via Rx / pt specific protocol for some Updated May 3, 04 9

Authority to Administer HPV Yes AL R, AK *, R, AZ A, *, R, AR A, R, CA, CO *, CT A,*, R, DC A, *, R, DE A, *, R, GA A, *, 50 40 30 0 0 46 6 Number of states / territories No R, HI A,R, ID A, IL A, *, R, IN A, *, R, IA A, KS A,*, KY A, *, LA A, R, MA A,*,R, MD A, ME A, *, R,MI *, R, MN A,*, MO R, MS *, MT A, *, NC R, ND A, *, NE *, NJ A, *, R, NM, NV *, OK *, OR A, *, PA A, *,, PR R, RI A,*, SC A, R, TN *, R, TX A, *, R, UT *, VT *,A, R, VA *, R, WA *, WI A, *, WY A FL, NH, NY, OH, SD, WV 0 Yes No * Via protocol ; R Via Rx ; A Age limitation Updated May 3, 04 0

Patient-Age Limitations for HPV Vaccination >8yo 7 >4yo 4 >yo >yo 3 Varies No age limit 6 0 5 0 5 0 No Age Limit Varies >yo >yo >4yo >8yo AL R, AK,CO, DC*,GA, MI, MS, MO, NE, NM, NV, OK, TN, UT, VA R,WA AZ, CA AR DE IN, MD, OR ID HI, IL, KY, TX LA CT, IA*, KS, MA, ME, MN, MT, NC R, NJ, ND,PA, PR, RI, SC, VT, WI. WY * Via protocol ; R Via Rx Updated May 3, 04

Influenza - Age of Adm Authorized Protocol >8yo >4yo >3yo >yo >yo >0yo >5yo >6mo 3 4 3 0 5 0 5 >6 months VA >5yo AL, AK, CA,CO,MI, MS, NE, NH, NV, OK, TN, UT, WA ND AZ, IA, KS, WI AR, TX DE, KY, RI >0yo IL, MN >yo IN, OR > yo DC, MO >3yo GA >4yo NC, OH >8yo CT, FL, HI, MA, NJ, NY, PA, PR, SD, VT, WV Updated May 3, 04

Influenza - Age of Administration Authorized >8yo >4yo >yo >yo >0yo 3 3 5 >0yo >yo >yo >4yo >8yo AL*, AK, CA, CO, DC*, GA*, IA*, LA*, MI, MS, MO*, NE, NH, NM, NV, ND*, OK, TN, TX*, UT, VA*, WA AZ, KS, WI AR, WY DE, KY, ME, MD, RI IL, MN IN, OR ID, MT HI*,NC, OH CT, FL, MA, NJ, NY, PA, PR, SC, SD, VT, WV 0 5 0 5 0 5 * Requires Prescription Updated May 3, 04 3

Influenza - No MD protocol or Rx Needed >8yo >yo >yo >3yo NH, NM >3yo CA AZ LA, WY ME, MD >yo OR >yo ID, MT >8yo SC, WV 0 0.5.5 Updated May 3, 04 4