pharmacist administered vaccines types of vaccines authorized to administer any vaccineal, ak*, az*,...
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Pharmacist Administered VaccinesTypes of Vaccines Authorized to Administer
Any
vacc
ine
I, P,
Z
Oth
er c
ombo
s0
10
20
30
40
50 46
15
Number of states / territories
Number of states / territories
Any vaccine 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*, SD* TN, TX, UT*, VT, VA*, WA, WI
Influenza, Pneumo and Zoster (I, P, Z)
NH
Other combos FL, NY, OH**[will change to
any 3/15/15], WV**, WY**
* Via Rx for some; ** broad list of vaccines
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 1
Pharmacist Administered VaccinesPrescriber issued protocols vs Rx
Protocol
Protocol o
r Rx
Pro/Rx o
r None
05
101520253035
5
31
16
Number of states / territories
Number of states / terri-tories
Protocol FL, KS, MN, NV, WI
Protocol or Rx (depending on age and/or vaccine)
AL, AK, 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
Protocol/Rx or No Prescriber/Rx Needed (depending on age and/or vaccine)
AZ, CA, ID, LA, ME, MD, MT NH, NJ, NM, OR, SC, SD, VA, WV, WY
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 2
Pharmacist Administered VaccinesPatient-Age Limitations
Any age>5yo>6yo>7yo>9yo
>10yo>11yo>12yo>14yo>18yo
0 5 10 15 20 25 30
271
334
201
38
Number of states / territories
* Scope varies
>18yo CT, FL,, MA, NY, PA, PR*, VT, WV
>14yo HI*, NCL, OH*[will change 3/15/ 2015]
>12 yo MT*
>10yo IL *,L, MNL,
>9yo DE, MEL, MD*, L , RI L
>7yo AR*, L, NJ*,L, WYL
>6yo AZL, KSL, WI*
>5yo ND L
Any age
AL, AK, CA,CO, DC*, GA*, ID*, IN*, IA*, KY*, LA*, MI, MS, MO, NE, NV, NHL, NM, OK, OR*, SC*, SD*, TN, TX*, UT, VA*, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 3* Via Rx L Limited to certain vaccines
Pharmacist Administered VaccinesPatient-Age Limitations via RX
Any age>6yo>7yo>9yo
>10yo>11yo>14yo>18yo
0 5 10 15 20 25
2422
31
31
11
Number of states / territories
• Scope varies• OH will be added age 7 on 3/15/2015
>18yoCT, ME, MA, NY*, NC, PA, PR, SC, VT, WV, WY
>14yo HI*, >11yo IN, MD*, ND>10yo IL*>9yo DE, MD*, RI*
>7yo AR, NJ*>6yo AZ, WI*
Any age
AL, AK, CA, CO, DC, GA, ID, IN, IA, KY, LA, MI, MS MO, NE, OK, OR, SC, SD, TN, TX, UT, VA, WA,
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 4
Pharmacist Administered VaccinesPatient-Age Limitations via prescriber protocol
Any age>5yo>6yo>7yo>9yo
>10yo>11yo>12yo>13yo>14yo>18yo
0 2 4 6 8 10 12 14
141
42
43
12
13
13
Number of states / territories
* Scope varies
>18yoCT, FL*, HI, ME, MA, MT*,NJ, NY*, PA,PR*, SC*, VT, VA
>14yo HI*, NC*, OH*[will change 3/15/15]
>13yo GA*
>12yo DC, MO*
>11yo IN
>10yo IL*, IN*, MN*
>9yo DE, KY*, ME*, RI*
>7yo AR, TX*
>6yo IA* , KS*, WI, VA*
>5yo ND*
Any ageAL, AK, CA, CO, MI, MS, MT, NE, NM, NV, OK, SD, TN, UT, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 5* Scope varies
Pharmacist Administered VaccinesMay student interns administer vaccines?
Number of states / territories allowing
44
States / territories not authorized 8 (FL, MA, NH, NJ, NY, PA, PR, SC)
Criteria common among states •Student must be trained (complete Certificate Training Program)• Operating under supervision of trained pharmacist
Based upon APhA / NASPA Survey of State IZ Laws/ Rules (effective January1, 2014)
Updated January 31, 2015 6
Pharmacist Administered VaccinesAuthority to Administer Pneumococcal Vaccine
States 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
Part BVaccine
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 7
Yes No0
10
20
30
40
50
60 52
0
Number of states / territories
Number of states / territories
Pharmacist Administered VaccinesAuthority 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
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Yes No0
10
20
30
40
50
60 52
0
Number of states / territories
Number of states / territories
Updated January 31, 2015 8
Pharmacist Administered VaccinesAuthority to Administer Td / Tdap
Yes No05
101520253035404550
49
3
Number of states / territories
Number of states / ter-ritories
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*, SD, TN, TX, UT, VA,VT, WA, WI, WV, WY
No FL, NH, NY
*Via Rx onlyMany have age restrictions
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 9
10
Authority to Administer HPV Vaccine
DC
AR
AL
IN
LA
MO
TX
ID
VAKS
WV
PA
OR
MS
UT
OK
NH
NC
GA
SDWY
FL
MT
NE
ND
KY
CO
NM
WA
AK
IANV
SC
OH
HI
AZ
CAMD
DE
TN
MANY
RI
IL
CT
VT
NJ
MIWI
MEMN
Pharmacists Can Administer HPV
Pharmacists Can Administer HPV – but only by RX + PR
Pharmacist Administered Vaccines
Based upon APhA/NASPA Survey of State IZ Laws/ Rules Updated January 31,2015
Pharmacists Cannot Administer HPV
Pharmacist Administered VaccinesAuthority to Administer HPV
Yes No05
101520253035404550 47
5
Number of states / territories
Number of states / ter-ritories
Yes AL , AK, AZ , AR, CA , CO , CT A, DE, GAR , HI A, ID, IL A, ,IN , IA , KS A , KY, LA, ME A, MD*, MAA, MI, MN A, MO, MS, MT, NE,NJ A , NH, NM, NC
A, ND , NV, OK, OR, PA A, RI A, PRA, R, SC R, SD ,TN, TX, UT, VT A, VA, WA, WI, WY, DC
No FL, NH, NY, OH*, WV
R Via Rx only
A Age limitation IF greater than 12 y.o, may require Rx* OH will be a yes effective 3/15/15
.
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 11
Pharmacist Administered VaccinesPatient-Age Limitations – for HPV Vaccination
No age limit
>6yo
>9yo
>11yo
>12yo
>14yo
>17yo
>18yo
0 2 4 6 8 10 12 14 16 18 20
16
1
1
3
2
3
1
20
Number of states / territories>18yo
AZ*, AR*,CT, HI, IA*, KS, ME, MD*, MA, MN, MT, NCR, NJ,PA, PRR, RI, SCR, VA*, VT, WY
>17yo LA*
>14yo IL, KY*, TX*
>12yo ID*, DC*
>11yo IN*, ND, OR*
>9yo DE
>6yo WI
No Age LimitAL, AK, CA, CO, GAR MI, MS, MOR, NE, NV, NM ,OK, SD, TN, UT, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
*Younger ages under prescription/protocolR Requires a prescriptionUpdated January 31, 2015 12
Pharmacist Administered VaccinesAuthority to Administer Meningococcal
Yes No05
101520253035404550
50
2
Number of states / territories
Number of states / ter-ritories
Yes AL , AK, AZ, AR, CA , CO , CT A,*, DC, DE , FL A GA R, HI A ID , IL A, IA , IN, KS A, KY , LA , ME A, MAA , MD, MI MN A, MO, MS, MT, NCA , ND, NE, NJ A , NM, NYA, NV, OHA, OK, OR, PA A, , PRR, A, RI A, SC R, SD, TN, TX , UT*, VT A,, VA, WA, WI , WY A
No NH, WV
R Via Rx only A Age limitation IF greater than 12 y.o,may require Rx
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 13
Pharmacist Administered VaccinesPatient-Age Limitations – for Meningococcal
No age limit
>6yo
>7yo
>9yo
>11yo
>12yo
>14yo
>17yo
>18yo
0 5 10 15 20 25
15
1
1
1
3
3
3
1
22
Number of states / territories>18yo
AZ*, CT, FL, HI, IA*, KS, ME, MD*, MA, MN, MT, NC, NJ, NY, OH, PA,RI, PRR ,SCR , VT, VA*, WY
>17yo LA*
>14yo IL, KY*, TX*
>12yo DC, ID, MO*
>11yo IN*, ND,OR*
>9yo DE
>7yo AR
>6yo WINo Age Limit AL, AK, CA, CO, GAR , MI, MS, NE,
NV NM, OK, SD, TN, UT, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
*May allow for younger ages under prescriptionR Via Rx only
Updated January 31, 2015 14
Pharmacist Administered VaccinesInfluenza - Age of Administration Authorized
by Any Provision
>18yo CT, FL, MA, NY, PA, PR, VT, WV
>14yo HI*,NC, OH
>12yo ID, MT
>10yo IL, MN
>9yo DE, ME, MD, RI
>7yo AR, WY
>6yo AZ, KS, NJ*, WI
>5yo ND
Any age
AL, AK, CA , CO, DC*, GA*,IN*, IA*, KY*, LA*, MI, MS, MO*, NE, NH, NM, NV, OK, OR*, SD, SC*, TN, TX*, UT, VA*, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
* Requires Prescription
Any age>6yo>7yo>9yo
>10yo>11yo>12yo>14yo>18yo
0 5 10 15 20 25
233
25
222
310
Number of states / territories
Updated January 31, 2015 15
Pharmacist Administered VaccinesInfluenza - Age of Adm Authorized by Protocol
Any age
>5yo
>6yo
>7yo
>9yo
>10yo
>11yo
>12yo
>13yo
>14yo
>18yo
0 2 4 6 8 10 12
12
1
4
2
3
2
1
2
1
2
9
Number of states / territories >18yo CT, FL, HI, MA, NJ, NY, PA, PR, VT
>14yo NC, OH
>13yo GA
>12 yo DC, MO
>11yo IN
>10yo IL, MN
>9yo DE, KY, RI
>7yo AR, TX
>6yo AZ, IA , KS, WI
>5yo ND
Any ageAL, AK,CA, CO,MI, MS, NE, NV, OK, SD,TN, UT, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 16
Pharmacist Administered VaccinesInfluenza No MD protocol or Rx Needed
Any age>6mo>3yo>6yo>7yo>9yo
>11yo>12yo>18yo
0 0.5 1 1.5 2 2.5 3
2111
22
133
Number of states / territories
>18yo SC, SD WV>12yo ID, MT, NJ>11yo OR>9yo ME, MD>7yo LA, WY>6yo AZ >3yo CA>6mo VAAny age NH, NM,
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated January 31, 2015 17
16 States
Note: authority comes from statute and/or regulation from BOP or Public Health