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