Types of Vaccines Authorized to Administer · Pharmacist Administered Vaccines Patient‐Age...
Transcript of Types of Vaccines Authorized to Administer · Pharmacist Administered Vaccines Patient‐Age...
Pharmacist Administered VaccinesTypes of Vaccines Authorized to Administer
01020304050
Any vaccine
I, P, Z
Other com
bos
46
1 5
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, Pneumoand 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 February 12, 2015 1
Pharmacist Administered VaccinesPrescriber issued protocols vs Rx
0
10
20
30
40
5
31
16
Number of states / territories
Number ofstates /territories
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 February 12, 2015 2
Pharmacist Administered VaccinesPatient‐Age Limitations
0 20 40
Any age>5yo>6yo>7yo>9yo>10yo>11yo>12yo>14yo>18yo
2713342013
8
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 February 12, 2015 3* Via Rx L Limited to certain vaccines
Pharmacist Administered VaccinesPatient‐Age Limitations via RX
0 5 10 15 20 25
Any age>6yo>7yo>9yo>10yo>11yo>14yo>18yo
24223
13
111
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 February 12, 2015 4
Pharmacist Administered VaccinesPatient‐Age Limitations via prescriber protocol
0 5 10 15
Any age>5yo>6yo>7yo>9yo>10yo>11yo>12yo>13yo>14yo>18yo
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 February 12, 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 February 12, 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 February 12, 2015 7
0
10
20
30
40
50
60
Yes No
52
0
Number of states / territories
Number ofstates /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
0
10
20
30
40
50
60
Yes No
52
0
Number of states / territories
Number ofstates /territories
Updated February 12, 2015 8
Pharmacist Administered VaccinesAuthority to Administer Td / Tdap
0
10
20
30
40
50
Yes No
49
3
Number of states / territories
Number ofstates /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*, 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 February 12, 2015 9
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 HPVPharmacists 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
10
Pharmacist Administered VaccinesAuthority to Administer HPV
0
10
20
30
40
50
Yes No
47
5
Number of states / territories
Number ofstates /territories
Yes AL , AK, AZ , AR, CA , CO , CT A, DE, GAR , HI A, ID, IL A, ,IN , IA , KS A , KY, LA, ME A, MDA, MAA, MI, MNA, MOR , MS, MT, NE,NJ A , 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 onlyA Age limitation (may not allow or may require a Rx for <12)
* OH will be a yes effective 3/15/15.
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated February 12, 2015 11
Pharmacist Administered VaccinesPatient‐Age Limitations – for HPV Vaccination
0 5 10 15 20
No age limit
>6yo
>9yo
>11yo
>12yo
>14yo
>17yo
>18yo
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 February 12, 2015 12
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 MMRPharmacists Can Administer MMR – 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
13
Pharmacist Administered VaccinesAuthority to Administer MMR
0
10
20
30
40
50
Yes No
47
5
Number of states / territories
Number ofstates /territories
Yes AL , AK, AZA , AR, CA , CO , CT A, DE, GAR , HI A, ID, IL, INR ,, IA A , KS A , KY, LA, ME A, MDA, MAA, MI, MNA, MOR , MS, MTA, NE, NJ A ,NM, NC A,
ND , NV, OK, OR, PA A, RI A, PRA, R, SC R, SD ,TN, TX, UT, VT A, VAA, WA, WI, WYA, DC
No FL, NH, NY, OH*, WV
R Via Rx onlyA Age limitation (may not allow or may require a Rx for <18 )
* OH will be a yes effective 3/15/15.
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated February 12, 2015 14
Pharmacist Administered VaccinesPatient‐Age Limitations – for MMR Vaccination
0 5 10 15 20
No age limit
>6yo
>9yo
>11yo
>12yo
>14yo
>17yo
>18yo
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 ND, OR*
>9yo DE
>6yo WI
No Age Limit
AL, AK, CA, CO, GAR, INR MI, MS, MOR, NE, NV, NM ,OK, SD, TN, UT, WA
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
*Younger ages under prescriptionR Requires a prescriptionUpdated February 12, 2015 15
Pharmacist Administered VaccinesAuthority to Administer Meningococcal
05101520253035404550
Yes No
50
2
Number of states / territories
Number ofstates /territories
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, MIMNA, 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 , WYA
No NH, WV
R Via Rx onlyA Age limitation IF greater than 12 y.o,may require Rx
Based upon APhA / NASPA Survey of State IZ Laws/ Rules
Updated February 12, 2015 16
Pharmacist Administered VaccinesPatient‐Age Limitations – for Meningococcal
0 5 10 15 20 25
No age limit>6yo>7yo>9yo
>11yo>12yo>14yo>17yo>18yo
15111
333
122
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 February 12, 2015 17
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
0 10 20 30
Any age>6yo>7yo>9yo>10yo>11yo>12yo>14yo>18yo
2332
52223
10
Number of states / territories
Updated February 12, 2015 18
Pharmacist Administered VaccinesInfluenza ‐ Age of Adm Authorized by Protocol
0 2 4 6 8 10 12
Any age
>5yo
>6yo
>7yo
>9yo
>10yo
>11yo
>12yo
>13yo
>14yo
>18yo
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 February 12, 2015 19
Pharmacist Administered VaccinesInfluenza No MD protocol or Rx Needed
0 1 2 3
Any age>6mo>3yo>6yo>7yo>9yo
>11yo>12yo>18yo
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 February 12, 2015
Note: authority comes from statute and/or regulation from BOP or Public Health
16 States