Types of Vaccines Authorized to Administer 50 40 0 0 0 0 48 Any vaccine I, P, Z Other combos Number of states / territories Any vaccine Influenza, Pneumo and Zoster (I, P, Z) 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; ** broad list of vaccines Updated July 06
Prescriber issued protocols vs Rx Protocol FL, KS, MN, NV, WI 0 0 0 0 5 0 7 Number of states / territories Protocol or Rx (depending on age and/or vaccine) Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine) 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, TX, UT, VT, WA AK, AZ, CA, ID, LA, ME, MD, MT NH, NJ, NM, OR, SC, SD, VA, WV, WY Updated July 06
Patient Age Limitations >8yo >4yo >yo >0yo >5yo >yo Number of states / territories 7 5 8 0 0 40 >8yo >4yo > yo MT L >0yo IL L, * >5yo >yo CT, FL, MA, NY L, PR*, VT, WV HI*, NC L MD*,L, PA L, RI L AR L, ME L NJ *,L, OH L,WY L KS L, MN L, WI* ND L AZ L AL, AK, CA, CO, DE D, DC*, GA*, ID*, IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NV, NH L, NM, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA * Via Rx L Updated July 06 Limited to certain vaccines D with an adult dose
Patient Age Limitations via RX >8yo >4yo >yo >0yo 0 0 5 0 5 0 5 5 >8yo >4yo >yo >0yo CT, ME, MA, NY*, NC, PR, SC, VT, WV, WY HI IN, MD*, ND IL* PA*, RI* AR, OH, NJ* AZ, WI* AL, AK, CA, CO, DE D,DC, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA * Scope varies D with an adult dose Updated July 06 4
Patient Age Limitations via prescriber protocol >8yo CT, FL, HI, ME, MA, MT*,NJ, NY*, PR*, VT, VA >4yo HI*, NC* >8yo >4yo >yo >yo >yo >0yo >5yo 4 5 0 5 0 5 >yo >yo >yo >0yo GA* DC, MO* IN IL*, IN* KY*, ME*, PA*,RI* AR, OH*, TX* IA*, KS*, MN*,WI, VA* >5yo ND* * Scope varies AL, CA, CO, DE D,MI, MS, MT, NE, NM, NV, OK, SD, TN, UT, WA Scope varies Updated July 06 D with an adult dose 5
May student interns administer vaccines? (effective January, 04) allowing 48 States / territories not authorized 4 (NH, NJ, NY, PR) Criteria common among states Student must be trained (complete Certificate Training Program) Operating under supervision of trained pharmacist Updated July 06 6
Authority to Administer Pneumococcal Vaccine 60 50 40 0 0 0 0 5 Yes 0 No Number of states / territories States 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*** *Via Rx / pt specific protocol for some **Pneumococcal polysaccharide without an Rx; all other forms under protocol ***Pneumococcal polysaccharide only Updated July 06 7
Authority to Administer Zoster Vaccine 60 50 40 0 0 0 0 5 Yes 0 No Number of states / territories States 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 Updated July 06 8
Authority to Administer Td / Tdap 60 50 40 0 0 5 Number of states / territories Yes 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, NJ, NM, NY NC, ND, OH, OK, OR, PA, PR*, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY 0 0 Yes No No NH *Via Rx only Many have age restrictions Updated July 06 9
Authority to Administer HPV Vaccine WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI IN KY TN PA OH WV VA NC SC NY 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 Updated July 06 0
Authority to Administer HPV 50 40 0 0 49 Number of states / territories Yes 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 A, LA A, ME A, MD A, MA A, MI, MN A, MO R, MS, MT 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, WI, WY A, DC 0 No NH, NY, WV 0 Yes No R Via Rx only A Age limitation (may not allow or may require Rx for -8) Updated July 06
Patient Age Limitations for HPV Vaccination >8yo >4yo >yo >yo >yo >yo No age limit 7 0 5 0 5 0 9 >8yo >4yo >yo >yo >yo AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NC R, NJ, PA, PR R, RI, SC*,VA*, VT, WY LA* IL, KY*, TX* AZ*,MN, OH* DC* IN*, ND OR ID, WI >yo No Age Limit CA AL, AK, CO, DE D,GA R,MI, MS, MO R, NE, NV, NM, OK, SC, SD, TN, UT, WA *Younger ages under prescription/protocol Updated July 06 R Requires a prescription D with an adult dose
Authority to Administer HepB Vaccine WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI IN KY TN PA OH WV VA NC SC NY 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 Updated July 06
Authority to Administer Hep B 50 40 0 0 50 Number of states / territories Yes AL, AK, AZ A, AR A, CA, CO, CT A, DC A, DE, FL A,GA R,HI A, ID A, IL A, IN R, IA A, KS A, KY A, LA A, ME A, MD A, MA A, MI, MN A, MO R, MS, MT 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 0 No NH, NY 0 Yes No R Via Rx only A Age limitation (may not allow or may require Rx for -8) Updated July 06 4
Patient Age Limitations for Hep B Vaccination >8yo >4yo >yo >yo >yo >yo No age limit 6 0 5 0 5 0 0 >8yo >4yo >yo >yo >yo >yo No Age Limit AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NC R, NJ, PA, PR R, RI, SC*,VA*, VT, WV,WY LA* IL, KY*, TX* AZ*,MN, OH* DC*, MO* ND OR* ID*, WI CA* 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 Updated July 06 D 5 with an adult dose
Authority to Administer MMR Vaccine WA OR CA NV ID AZ UT MT WY CO NM ND SD NE KS OK MN IA MO AR WI IL MI IN KY TN PA OH WV VA NC SC NY 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 Updated July 06 6
Authority to Administer MMR 50 40 0 0 0 49 Number of states / territories Yes 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, 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 No NH, NY, WV 0 Yes No R Via Rx only A Age limitation (may not allow or may require Rx for certain ages <8 ) Updated July 06 7
Patient Age Limitations for MMR Vaccination >8yo >4yo >yo >yo >yo >yo No age limit 7 0 0 0 9 >8yo >4yo >yo >yo >yo >yo No Age Limit AR*, CT, FL, HI*, IA*, KS, ME, MD*, MA, MT, NC R, NJ, PA, PR R, RI, SC*,VA*, VT, WY LA* IL, KY*, TX* AZ*,MN, OH* DC* ND OR* ID*, WI 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 Updated July 06 R Requires a prescription D with an adult dose 8
Authority to Administer Meningococcal 60 50 40 0 0 0 0 5 Yes No Number of states / territories Yes 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, 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 NH R Via Rx only A Age limitations (may not allow or may require Rx for -8) Updated July 06 9
Patient Age Limitations for Meningococcal >8yo CT, FL, GA*, HI*, IA*, KS, ME, MD*, MA, MT, NJ, NY, NC, PA, RI, PR R, SC* VT, VA*, WY >8yo >4yo >yo >yo >yo >yo No age limit 4 0 5 0 5 0 5 >4yo >yo >yo >yo >yo No Age Limit LA* IL, KY*, TX* AZ*, MN, OH* DC, MO* IN*, ND 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 with an adult dose Updated July 06 0
Influenza Age of Administration Authorized by Any Provision >8yo CT, FL, MA, NY, PR, VT, WV >8yo >4yo >yo >0yo >5yo >yo 4 5 7 7 0 0 0 0 >4yo >yo >0yo >5yo >yo HI*, NC MT IL MD, PA, RI AR, ME, OH, WY ID, KS, MN, NJ*, WI ND AZ AL, AK, CA, CO, DE D,DC*, GA*,IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SC*, SD, TN, TX*, UT, VA*, WA * Requires Prescription D with an adult dose Updated July 06
Influenza Age of Adm Authorized by Protocol >8yo CT, FL, HI, MA, NJ, NY, PR, VT >8yo >4yo >yo >yo >yo 8 >4yo >yo NC GA > yo DC, MO >yo >0yo IN IL >0yo KY, PA, RI AR, OH, TX AZ, IA, KS, MN, WI >5yo 5 >5yo ND AL, CA, CO, DE D, MI, MS, NE, NV, OK, SD, TN, UT, WA 0 5 0 5 D with an adult dose Updated July 06
Influenza No MD protocol or Rx Needed >8yo >yo >yo >6mo 0 4 4 >8yo >yo >yo >6mo 7 States SD, WV MT, NJ, SC MD LA, ME, OR, WY ID AZ, CA VA AK, NH, NM Updated July 06 Note: authority comes from statute and/or regulation from BOP or Public Health