Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer

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Types of Vaccines Authorized to Administer Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories Other combos I, P, Z Influ/Zoster Any vaccine 3 3 Any vaccine Number of states / territories 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

Prescriber issued protocols vs Rx Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories 3 3 9 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 Number of states / territories

PaPent- Age LimitaPons Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories >9yo >8yo >yo >yo >yo >yo >9yo >7yo >6yo >yo Any age 3 Any age AL, AK*, CA,CO, DC*, GA*, ID*, LA*MI, MS MO*, NE, NH, NM, NV, OK, TN, TX*, UT, VA*, WA >yo ND* >6yo AZ, IA*, KS*, WI* >7yo AR* >9yo DE, KY*, MD*, ME*, RI* >yo >yo > yo >yo >8yo IL*, MN* IN, OR MT* HI*, NC*, OH* CT, FL,, MA, NJ, NY, PA, PR*, SC*, SD*, VT, WV >9yo WYP[will be > 7 yo] 3 * Scope varies, P Will change pending Regs/Effective Date

PaPent- Age LimitaPons via RX Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories 9 >8yo >yo >yo >9yo >7yo >6yo Any age 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 >yo >yo MD*, RI* IN, HI*, IA*,P MA, NJ, PA, PR, SC, SD, VT, WV >8yo 8 * Scope varies P Will change pending Regs/Effective Date

PaPent- Age LimitaPons via prescriber protocol Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories >8yo >yo >3yo >yo >yo >yo >9yo >7yo >6yo >yo Any age 3 3 3 Any age AK*, CA, CO, MI, MS, NE, NM, NV, OK, TN, UT,, WA >yo ND* >6yo IA*, KS*, WI*, VA* >7yo AR*, LA*, TX* >9yo DE, KY*, ME*, RI* >yo >yo >yo >3yo >yo IL*, MN* IN DC, MO*, MT* GA HI*, NC*, OH* CT, FL, MA, MD, MT*,NJ, NY, PA,PR*, SC*, SD*, VT >8yo * Scope varies P Will change pending Regs/Effective Date

May student interns administer vaccines? Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories allowing 39 States / territories not authorized (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

Authority to Administer Pneumococcal Vaccine Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective July, 3) 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

Authority to Administer Zoster Vaccine Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) 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

Authority to Administer Td / Tdap Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) 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 8 3 Number of states / territories Yes No * Via Rx / pt specific protocol for some

Authority to Administer HPV Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) *Via 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 protocol ; R Via Rx ; A Age limitations P Will change pending Regs/Effective Date

PaPent- Age LimitaPons for HPV VaccinaPon Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) No Age Limit AL*, AK, CA,CO, DC*,GA, MI, MS, MO, NE, NM, NV, OK, TN, UT, VA*,WA Varies >7yo AZ AR >9yo DE >yo IN,OR >yo ID >yo >6yo HI, IL, KY, TX LA CT, IA, KS, MA, ME, MN, MT, NC, NJ, ND,PA, PR, RI, SC, VT, WI WYP Number of states / territories >9yo >8yo >6yo >yo >yo >yo >9yo >7yo Varies No age limit 6 >8yo >9yo 7 *Via protocol ; R Via Rx ; A Age limitations P Will change pending Regs/Effective Date

Influenza - Age of AdministraPon Authorized Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories >9yo >8yo >yo >yo >yo >yo >9yo >7yo >6yo Any age 3 >6yo AZ, KS, WI >7yo AR >9yo DE, KY, ME, MD RI >yo >yo >yo IL, MN OR ID, MT >yo HI*, INP,NC, OH CT, FL, MA, NJ, NY, PA, PR, SC, SD, VT, WV WYP[will be > 7 yo] >8yo >9yo Any age AL*, AK, CA, CO, DC*, GA*, IA*, LA*, MI, MS, MO*, NE, NH, NM, NV, ND*, OK, TN, TX*, UT, VA*, WA 3 P Will change pending Regs/Effective Date * Requires Prescription

Influenza - Age of Adm Authorized Protocol Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories >9yo >8yo >yo >3yo >yo >yo >yo >9yo >7yo >6yo >yo >6mo Any age 3 3 Any age AL, AK, CA,CO,,MI, MS, NE, NH, NV, OK, TN, UT, WA >6 months VA >yo ND >6yo AZ, IA, KS WI >7yo AR, TX >9yo DE, KY, MD RI >yo >yo > yo >3yo >yo IL, MN OR DC, MO GA INP, NC, OH >8yo >9yo CT, FL, HI, MA, NJ, NY, PA, PR, SD, VT, WV WYP[will be > 7 yo] P Will change pending Regs/Effective Date

Influenza - No MD protocol or Rx Needed Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective October, 3) Number of states / territories >8yo >yo >yo >9yo >7yo >6yo Any age.. Any age NH, NM >6yo AZ >7yo LA >9yo >yo > yo >8yo ME OR ID, MT SC, WV