types of vaccines - pharmacist.com · prescriber issued protocols vs rx protocol fl, ks, mn, nv, wi...

Types of Vaccines Authorized to Administer

Any vaccine

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

Other combos NH, NY, WV, WY

* Via Rx for some

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

Updated January 2018

Prescriber issued protocols vs Rx

Protocol FL, KS, MN, NV, WI

Protocol or Rx (dependingon 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, UT, VT, WA

Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine)

AK, AZ, CA, ID, LA, ME, MD, MTNH, NJ, NM, OR, SC, SD, TX, VA, WV, WY



Patient‐Age Limitations

>18yo CT, FL, NYL , PR*, VT>14yo NCL

>12 yo DCL , MTL

>11 yo HIL,* WVL,*

>10yo ILL

>9yo MAL,MDL, PAL , RIL >7yo ARL, MEL NJ*,L, OHL , WYL

>6yo KSL, MNL, WI>5yo NDL

>3yo AZL

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

* Via Rx L Limited to certain vaccinesD Any age with an adult dose



Patient‐Age Limitations via RX

>18yo CT, ME, MA, NY*, NC, PR, VT, WV, WYHR

>12yo DC

>11yo HI*, MD, ND, WV*>10yo IL*>9yo MA*, PA*, RI*

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

Any age

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

* Scope variesD Any age with an adult dose

HR Rx only for high risk



Patient‐Age Limitations via prescriber protocol

>18yo CT, FL, HI, ME, MT, NJ, NY*, PR*, VT, VA

>14yo NC*, TX

>13yo GA*

>12yo DC, MO*

>11yo IN

>10yo IL*, IN*

>9yo KY*, MA, PA*,RI*

>7yo AR, OH*, TX*

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

>5yo ND*

Any age AL, CA, CO, DED,MI, MS, NE, NM, NV, OK, SD, TN, UT, WA

*Scope variesD Any age with an adult dose



May student interns administer vaccines?

Number of states/territories allowing 49

States/territories not authorized 3 (NJ, NY, PR)

Criteria common among states

•Student must be trained (complete CertificateTraining Program)•Operating under supervision of trained pharmacist



Authority to Administer Pneumococcal Vaccine

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, 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***Pneumococcal polysaccharide only

Part BVaccine



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 only



Authority to Administer Td/Tdap

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, 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 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 HPV

Pharmacists can administer HPV – but only by Rx

Pharmacists cannot administer HPV

PR



Authority to Administer HPV

Yes

AL, AK, AZA, ARA, CA, CO, CTA, DCA, DE, FLA,GAR, HIA, ID, ILA, IN, IAA, KSA, KY, LAA, MEA,MDA, MA, MI, MNA, MOR, MS, MTA, NCR,ND,NE, NJA, NM, NV, OHA, OK, OR, PAA, RIA,PRA,R, SCA, SD, TN, TXA, UT, VTA, VAA, WA, WV*, WI, WYA, DCA

No NH, NYR Via Rx only

A Age limitation (may not allow or may require Rx for 11‐19)*awaiting rule promulgation as of 1/1/2018



Patient‐Age Limitations for HPV Vaccination>18yo AR*, CT, FL, HI*, IA*,ME, MD*, MT, NCR, NJ, PA,

PRR, RI, SC*,VA*, VT, WY

>17yo LA*

>14yo IL,TX*

>13yo AZ*,MN, OH*

>12yo DC, KS

>11yo IN*, ND, WV>9yo

KY, MA

>7yo OR

>6yo ID, WI

>3yo CA

No Age Limit AL, AK, CO, DED ,GAR, MI, MS, MOR, NE, NV, NM, OK, SD, TN, UT, WA

*Younger ages under prescription/protocolR Requires a prescription

D Any age with an adult dose



Authority to Administer Hep B 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 Hepatitis B

Pharmacists can administer Hepatitis B – but only by Rx

Pharmacists cannot administer Hepatitis B

PR



Authority to Administer Hep B Vaccine

Yes

AL, AK, AZA, ARA, CA, CO, CTA, DCA, DE, FLA, GAR, HIA, ID, ILA, INR, IAA, KS, KY, LAA, MEA,MDA, MA, MI, MNA, MO, MS, MTA,NHA, NCA, ND,NE, NJA, NM, NV,OHA, OK, OR, PAA, RIA, PRA,R, SCA, SD, TN, TXA, UT, VTA, VAA, WAA, WV, WI, WYA, DC

No NY

R Via Rx onlyA Age limitation (may not allow or may require Rx for 12‐18)



Patient‐Age Limitations for Hep B Vaccination

>18yo AR*, CT, FL, HI*, IA*, KS, ME, MD*, MT, NC, NJ, NH, PA, PRR, RI, SC*,VA*, VT, WV,WY

>17yo LA*>14yo IL, TX*>13yo AZ*,MN, OH*>12yo DC, KS, MO*>11yo IN*,ND>9yo

KY, MA>7yo OR*>6yo ID, WI>3yo CA*

No Age Limit AL, AK, CO, DED, GAR, INR, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA

*Younger ages under prescription/protocolR Requires a prescription




Authority to Administer MMR 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 MMR

Pharmacists can administer MMR– but only by Rx

Pharmacists cannot administer MMR

PR



Authority to Administer MMR Vaccine

Yes

AL, AK, AZA, AR, CA, CO, CTA, DE, FLA, GAR,HIA, ID, IL, INR, IAA, KSA, KY, LA, MEA,MDA, MAA, MI, MNA, MOR, MS, MTA, NE,NHA, NJA, NM, NCA, R, ND, NV, OH, OK, OR, PAA, RIA, PRA,R, SCA, SD, TN, TX, UT, VTA, VAA, WA, WI, WYA

No DC, NY, WVR Via Rx only

A Age limitation (may not allow or may require Rx for certain ages <18 )



Patient‐Age Limitations for MMR Vaccination

>18yoAR*, CT, FL, HI*, IA*, ME, MD*, MA, MT, NCR, NH NJ, PA, PRR, RI, SC*,VA*, VT, WY

>17yo LA*

>14yo IL, TX*

>13yo AZ*,MN, OH*

>12yo KS

>11yo ND

>9yo KY*, MA

>7yo OR*

>6yo ID*, WI

>3yo CA*

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

*Younger ages under prescriptionR Requires a prescription




Authority to Administer Meningococcal Vaccine

Yes

AL, AK, AZA, AR, CA, CO, CTA, DCA, DE, FLA, GAR, HIA, IDA, ILA, IAA, IN, KSA, KYA, LAA, MEA, MAA, MDA, MI, MNA, MOA, MS, MTA, NH, NCA, ND, NE, NJA, NM, NYA, NV, OHA, OK, OR, PAA, PRR,A, RIA, SCA, SD, TN, TXA, UT, VTA, VAA, WA, WV, WI, WYA

R Via Rx onlyA Age limitations (may not allow or may require Rx for 11‐18)



Patient‐Age Limitations for Meningococcal Vaccination

>18yo CT, FL, GA*, HI*, IA*, ME, MD*, MT, NH, NJ, NY, NC, PA, RI, PRR, SC* VT, VA*, WV, WY

>17yo LA*>14yo IL, TX*>13yo AZ*, MN, OH*>12yo DC, KS, MO*>11yo IN*, ND>9yo KY*, MA

>7yo AR, OR

>6yo ID, WI

>3yo CA

No Age Limit AL, AK, CO, DED, MI, MS, NE, NV, NM, OK, SD, TN, UT, WA

*May allow for younger ages under prescriptionR Via Rx only




Influenza ‐ Age of Administration Authorized by Any Provision

>18yo CT, FL, HI, NY, PR, VT, WV>14yo NC>12yo DC, MT>11yo HI*>10yo IL>9yo MD, MA, PA, RI>7yo AR, ME, OH, WY>6yo KS, MN, NJ*, WI>5yo ND>3yo AZ

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

* Requires PrescriptionD Any age with an adult dose



Influenza ‐ Age of AdministrationAuthorized by Protocol

>18yo CT, FL, HI, NY, PR, VT>14yo NC>13yo GA>12 yo DC, MT MO>11yo IN>10yo IL>9yo KY, MA, PA, RI>7yo AR, OH, TX>6yo IA, KS, MN, WI>5yo ND

Any age AL, CA, CO, DED, MI, MS, NE, NV, OK, SD, TN, UT, WA




Influenza No MD protocol or Rx Needed

>18yo SD, WV

>12yo MT, NJ, SC

>9yo MD

>7yo LA, ME, OR, TX, WY

>6yo ID

>3yo AZ, CA

>6mo VA

Any age AK, NH, NM

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

18 States



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