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How to Start a Pharmacy Vaccination Program

Independent Pharmacy Guide to

Starting a Vaccination Program

1

Know your state regulations

All 50 states allow pharmacists to administer immunizations but there are limitations in some states. Limitations may include the type of vaccines that can be administered and patient age limitations. 

Know if your state requires pharmacists to have a collaborative practice agreement, protocol, or standing order. If your state does not provide a sample standing order, model standing orders are available at the Immunization Action Coalition’s website:  Vaccine Standing Orders for Healthcare Providers

Know if your state requires pharmacists to report vaccines given and who received them to your state immunization registry. PioneerRx has included this below in the State-Specific Guidelines. PioneerRx integrates with Immslink to assist with reporting to your State Immunization Information System. STC reports your immunization transactions to the appropriate State Immunization Information System (IIS) and returns patient immunization histories and vaccine recommendations when available.

2

Get certified

In order to administer immunizations, you must become certified by an Accreditation Council for Pharmacy Education (ACPE) accredited immunization and delivery course. These courses can be found at:

  1. Your State Pharmacy Association
  2. A local University or School of Pharmacy
  3. American Pharmacists Association (APhA)
  4. Organizations Which Host APhA Certificate Training Programs.

You will also need to be CPR/BLS certified through the American Heart Association’s or American Red Cross’  Basic Life Support for Healthcare Providers course or its equivalent and maintain current certification.

Pharmacists should also take bloodborne pathogen training for compliance with the Occupational Safety and Health Administration (OSHA). APhA offers free accredited CE training on bloodborne pathogens for pharmacists and pharmacy technicians.

3

Procure a standing order or protocol from a licensed physician

Obtain a standing order from a licensed physician if required by your state. If permitted by your state, standing orders are encouraged as they allow a pharmacist to administer vaccinations according to a physician-approved protocol without a direct prescription or order. 

For general guidance on immunization standing orders, refer to the Immunization Action Coalition’s document on Using Standing Orders for Administering Vaccines: What You Should Know

4

Complete state board application

If required by your state, submit your application and required documents to your state board. See State-Specific Guidelines section.

5

Explore reimbursement opportunities

Most vaccines are covered under the prescription drug benefits, however, some vaccines may be covered under the medical benefit. For commercial payers, pharmacies must be contracted to bill. 

Medicare Part B

Enrolled pharmacies can get reimbursed by Medicare Part B for certain vaccines and their administration. If your pharmacy is not enrolled, now is the time!  

In response to COVID-19, CMS has released a notification on Medicare Provider Enrollment Relief and is currently:

  • Waiving the Medicare Part B Enrollment Application fee of $595 for applications submitted on or after March 1, 2020.
  • Waiving criminal background checks associated with fingerprint-based criminal background checks. 
  • Expediting processing of pending or new applications (clean web applications processed within 7 business days; clean paper applications processed within 14 business days).

In order to bill Medicare Part B for vaccines, you must become a certified Medicare Part B provider. There are two methods for applying: 

Prior to submitting your application to CMS,  you must have a National Provider Identification Number (NPI) and include it on your application. As an individual provider, if you do not have an NPI number you can register through the Identity & Access Management System, then access the National Plan & Provider Enumeration System using the same login credentials.

Upon approval of your Medicare Provider Enrollment Application, you will receive a Provider Transaction Access Number (PTAN) and will be able to bill influenza, pneumococcal, and  hepatitis B vaccines covered under the Medicare Part B medical benefit. 

If you are planning to offer the influenza vaccine and/or pneumococcal vaccine to a large number of individuals, you may want to consider becoming a Mass Immunizer. As a mass immunizer, you will be able to use roster billing, submitting multiple beneficiary claims for influenza virus or pneumococcal vaccination. Roster billing cannot be used for hepatitis B vaccines.

See CMS’ education tool on Medicare Part B Immunization Billing: Seasonal Influenza Virus, Pneumococcal, and Hepatitis B for additional information.

Medicaid

Depending on your state Medicaid, this may or may not be a reimbursement option for your pharmacy. Check with your state Medicaid to determine if pharmacists are included as providers that can provide and receive reimbursement for immunization services. 

Commercial Payers

In order to bill commercial payers for vaccines, pharmacies must contract with each individual commercial payer. Pharmacies may be required to opt into a service or submit contract addendum regarding immunizations. Contact the commercial payer for specific requirements. 

For most payers using the National Council for Prescription Drug Programs (NCPDP) standard, pharmacies will need to specify the administrative fee and attach it to the vaccine claim using the following NCPDP fields and codes:

  • Field 439-E4, Reason for Service Code: PH = Preventative Health Care
  • Field 440-E5, Professional Service Code: MA = Medication Administration
  • Field 441-E6, Result of Service Code: 3N = Medication Administration 
Cash Payers

Without having to deal with additional contracts and applications, your pharmacy can set the price for cash payers.

6

Additional considerations

-Supplies you may need for administering vaccines. See the Immunization Action Coalition’s (IAC) checklist

-Who to contact for ordering vaccine products. See the IAC’s list of vaccine manufacturers.

-Vaccine storage and handling. See the CDC’s vaccine storage and handling toolkit.

-Leverage pharmacy technicians in pharmacy vaccine services. See APhA’s free accredited CE series on Technician Integration in Pharmacy-Based Immunization Services

-Vaccine Information Statements (VISs). See the IAC’s information on VISs and the CDC’s current VISs. Consider having your patients access digital VISs with their smartphone via a QR code or simple web link from VaccineSheets.com.  

-Vaccine adverse event reporting. See the U.S. Department of Health and Human Services’ (HHS) Vaccine Adverse Event Reporting System (VAERS) and table of reportable events following vaccination

-Bi-directional immunization interface. Having bi-directional access to immunization histories can not only aid in improving vaccination rates but also grow pharmacies’ immunization services. PioneerRx integrates with STC allowing pharmacies the opportunity to report administered vaccinations to their states’ registries while also being able to access patient immunization histories within the prescription workflow. See STC’s ImmsLink for PioneerRx.

-Promote your immunization services. Reach more people and make your immunization services known by utilizing social media, pharmacy websites, curbside advertisements, bag stuffers, text messages, etc. Don’t forget to participate in the HealthMap Vaccine Finder to help those looking for vaccine services find your pharmacy!

State-Specific Guidelines

 

For your convenience, PioneerRx has gathered each state’s requirements and forms. Click on your state from the list below to be directed to the respective section.

Please be aware that state regulations and requirements may change at any time. Please review your state’s statutes/rules regarding immunizations. This site is intended for use as a resource and not for the purpose of providing legal advice.

For comments, questions, or suggestions regarding this document, please reach out to your PioneerRx account manager.

Alabama

Alabama Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.

State IIS Registry: 

Immunization Provider Registry with Internet Technology (ImmPRINT)

Call: (800) 469-4599

Email: immprint@adph.state.al.us


Additional Resources: 

Alabama Pharmacy Association – Immunization Information

 


Alaska

Alaska pharmacists may independently administer a vaccine and related emergency medication if the pharmacist has completed an immunization training program approved by the board and otherwise complies with the standards established by the board.

 

Alaska Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training as well as cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) training.
  2. Report immunizations administered to Alaska’s IIS registry.

State IIS Registry:

VacTrAK 

Call: (866) 702-8725

Email: vactrak@alaska.gov

Additional Resources: 

Alaska Board of Pharmacy – FAQ

Alaska Department of Health and Human Services – Immunization Program

 


Arizona

Arizona licensed pharmacists certified to perform immunization may administer vaccines to an eligible adult or eligible minor.

 

Arizona Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Apply for a Certification to Perform Immunizations.
  3. Report immunizations administered to Arizona’s IIS registry.

State IIS Registry:

Arizona State Immunization Information System (ASIIS)

Call: (602) 364-3899

Email: ASIISHelpDesk@azdhs.gov

Additional Resources:

Arizona State Board of Pharmacy – Immunization Information

Includes details on eligible vaccines with and without a prescription.

 


Arkansas

Arkansas Immunization Service Process: 

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification. 
  2. Apply for a Certification for the Authority to Administer Medications/Immunizations for Pharmacists. Fax form and required documents to (501) 682-0195.
  3. Enter a written protocol with a licensed physician. 
  4. Report immunizations administered to Arkansas’ IIS registry.

State IIS Registry:

WebIZ

Call: (800) 574-4040

Email: adh.webizhelp@arkansas.gov

Additional Resources:

The Arkansas Pharmacists Association (APA) offers many helpful immunization resources to their members, including the Arkansas Department of Health (ADH) Authority to Administer Immunizations signed by the Arkansas Department of Health’s medical director for immunizations. APA members can visit www.arrx.org to sign up for the ADH immunization protocol or may use the immunization protocol template to partner with a local physician. Keep in mind the Conditions of Use for Immunization Protocol from Arkansas Department of Health.

Arkansas Pharmacists Association – Immunization Toolkit

Arkansas State Board of Pharmacy – Sample Protocols, Authority to Administer, and Consent Forms

 


California

California pharmacists may administer immunizations pursuant to a protocol with a prescriber. They may also independently initiate and administer vaccines listed on the routine immunization schedule recommended by the Advisory Committee for Immunization Practice (ACIP) for persons aged 3 years and older if they meet certain requirements including record keeping, training, and certification.

 

California Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain BLS certification.
  2. Report immunizations administered to California’s IIS registry.

State IIS Registry:

California Immunization Registry (CAIR2) 

Call: (800) 578-7889

Email: CAIRHelpdesk@cdph.ca.gov

Additional Resources: 

California State Board of Pharmacy – Vaccinations

California Pharmacists Association – Immunization Training (9/26/2020)

 


Colorado

Colorado Immunization Service Process

  1. Enroll as a provider with the Department of Health Care Policy & Financing. 
    1. Begin at the Provider Portal
    2. Enroll as:
      • Individual within a Group
      • Provider Type = 75
      • Specialty = 750 Pharmacist
    3. SSN is required for individual enrollment and screening
    4. NPI (type 1 for an individual)
    5. Taxonomy Required
    6. Affiliation to at least one pharmacy (PT09 or PT62); it is encouraged that you list all affiliated pharmacies on the application
    7. Proof of malpractice insurance and pharmacist professional license required
  2. Successfully complete a 20-hour ACPE-accredited immunization training course and maintain CPR/BLS certification. Proof of certification shall be available at the pharmacist’s main practice location.

State IIS Registry:

Colorado Immunization Information System (CIIS)

Call: (888) 611-9918

Email: CDPHE-CIIS@dphe.state.co.us

Additional Resources:

Colorado Department of Health Care Policy & Financing – Pharmacist Enrollment: Immunizations 

Includes a list of vaccines that pharmacists are authorized to administer.

 


Connecticut

A Connecticut licensed pharmacist may administer any vaccine, approved by the United States Food and Drug Administration (FDA) that is listed on the National Centers for Disease Control and Prevention’s (CDC) Adult Immunization Schedule, to an adult in pursuant to the order from a licensed health care provider.

 

Connecticut Immunization Service Process

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification. 
  2. Enter a written protocol with a licensed physician. 
  3. Report immunizations administered to children to Connecticut’s IIS registry

State IIS Registry: 

CT WIZ

Call: (860) 509-7929

Additional Resources: 

Department of Consumer Protection – Administration of Vaccine by Pharmacists §§ 20-633-1—20-633-5

 


Delaware

Delaware Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training course and maintain current CPR/BLS certification. CPR certification cannot be obtained through an online course. 
    1. Notify the Board once the above training is complete for the Board to record in their database systems. 
    2. Documentation of completion of training requirements shall be listed in a policy and procedure manual available for inspection by the Board of Pharmacy. The pharmacist license shall indicate immunizing pharmacist. 
  2. Enter a written protocol with a licensed physician. Administration of vaccines includes adult vaccines pursuant to a valid prescription or written protocol with a licensed physician. 
  3. Report immunizations administered to Delaware’s IIS registry.

State IIS Registry:

DeIVAX

Call: (800) 282-8672 (in DE only) or (302) 744-1060

Fax: (302) 744-5363 or (302) 739-2555

Email: immunizedph@state.de.us

Additional Resources: 

Department of State – Title 24, Section 2500 Board of Pharmacy

 


District of Columbia

District of Columbia Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Apply for authority to administer immunization and vaccinations.
    • Application checklist:
      1. Completed and signed application
      2. Required Fee in the form of a check or money order made payable to “DC Treasurer”
      3. Two (2) recent passport photos (2” X 2”)
      4. Social Security Number or a Sworn Affidavit
      5. Copy of legal name change document (marriage certificate, divorce decree, court order), if applicable
      6. Copy of current DC pharmacist license
      7. Copy of CPR Certification for Health Care Providers
      8. Proof of successful completion of an ACPE-accredited immunization and vaccination certification course approved by the Board of Pharmacy
      9. Undergo a criminal background check
  3. Enter a written protocol or a standing order by a physician. A pharmacist certified by the Board to administer immunizations and vaccinations shall only administer immunizations and vaccinations pursuant to:
    • A written protocol signed and dated by a District of Columbia licensed physician authorizing the administration upon receipt of a written protocol; and
    • A valid prescription; or
    • Physician standing order
  4. Report Immunization administered to Washington D.C.’s IIS registry.

State IIS Registry: 

District of Columbia Immunization Information System (DOCIIS)

Call: (202) 576-9301

Email: doh.immunization@dc.gov

Additional Resources:

DC Health – Pharmacy Immunization and Vaccination 

Department of Health – Pharmacist Authority to Administer Immunizations and Vaccinations FAQs

DC Municipal Regulations – Section 17-6512. Administration of Immunizations and Vaccinations by Pharmacists


Florida

Florida Immunization Service Process:

  1. Apply for an Immunization Administration Certification.
    • Application checklist
      1. Submit application fee.
      2. Successfully complete a 20-hour approved Immunization Administration Certification course and submit a copy of certification of completion with application. 
      3. Enter a written protocol with a licensed physician and submit a copy of this protocol with application.
      4. Obtain $200,000 of professional liability insurance and submit a copy of current policy as proof. 
  2. Report immunizations administered to Florida’s IIS registry.

State IIS Registry: 

Florida SHOTS

Call: (877) 888-7468

Fax: (850) 412-5801

Email: flshots@flhealth.gov

Additional Resources:

Department of Health – Immunization Laws

 


Georgia

Georgia Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain BLS certification.
  2. Enter a Vaccine Protocol Agreement with a licensed physician. 
    • Proof of liability insurance in an amount not less than $250,000. 
    • An original signed affidavit from each pharmacist or nurse covered by the protocol attesting to the maintenance of liability insurance
    • Copy of current BLS certification.
    • For pharmacists, proof of completion of immunology training. 
  3. Submit Vaccine Protocol Agreement via:

    Mail: Georgia Composite Medical Board
    ATTENTION: VACCINE PROTOCOL AGREEMENTS
    2 Peachtree Street, N.W., 6th Floor
    ATLANTA, GA 30303
  4. Provide immunization recipients with a document advising patients about seeing a primary care physician.
  5. Report immunizations administered to Georgia’s IIS registry.

State IIS Registry: 

Georgia Registry of Immunization Transactions and Services (GRITS) 

Call: (404) 463-0810

Email: dph-immreg@dph.ga.gov


Additional Resources: 

Georgia Composite Medical Board – Vaccine Protocol Registration Material

Rules and Regulations of the State of Georgia – Chapter 360-34 Vaccine Protocol Agreements

Georgia Pharmacy Association – Immunization Resources for Georgia Pharmacists

Includes a downloadable sample of letter advising patients about PCPs.

Georgia Pharmacy Association – Immunization Training (12/6/20)

 


Hawaii

Hawaii pharmacists can administer immunizations to persons 18 years of age or older with required training. Pursuant to a valid prescription, pharmacists can administer vaccines to persons age 14-17 as well as administer human papillomavirus (HPV), Tdap (tetanus, diphtheria, pertussis), meningococcal, and influenza vaccines to persons age 11-17.

 

Hawaii Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Submit proof of course completion along with the name, address, and pharmacy permit number of the pharmacy where you will be administering the immunization via:

    Mail: Board of Pharmacy
    P. O. Box 3469
    Honolulu, Hawaii 96801
    Fax: (808) 586-2689
    Email: pharmacy@dcca.hawaii.gov
  3. Report immunizations administered to Hawaii’s IIS registry.

State IIS Registry: 

Hawaii Immunization Registry (HIR)

Call: (808) 586-4665 (Oahu) or (888) 447-1023 (Neighbor Islands)

Fax: (808) 586-8347

Email: registryhelp@doh.hawaii.gov

Additional Resources:

Hawaii State Legislature – HRS §461-11.4 Vaccinations; children

Department of Commerce and Consumer Affairs – FAQs on Immunization of Persons 14-17 Years Old

 


Idaho

Idaho pharmacists have prescription authority for immunizations for persons six years of age and older. Pharmacists can administer immunization to children younger than six years of age with a valid prescription or an authorized collaborative practice agreement with a prescriber.

 

Idaho Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification for healthcare providers. 
  2. Implement a collaborative practice agreement with a physician for administering immunizations to children younger than six years old without a prescription. 
  3. Report immunizations administered to Idaho’s IIS registry.

State IIS Registry:

Immunization Reminder Immunization System (IRIS)

Call: (208) 334-5995

Email: iris@dhw.idaho.gov

Additional Resources:

State Board of Pharmacy – Collaborative Practice Example

Department of Health and Welfare – Idaho Immunization Program (IIP)

 


Illinois

Pursuant to a valid prescription or standing order by a licensed physician, Illinois pharmacists can administer vaccines to persons 14 years of age or older as well as administer influenza and Tdap (tetanus, diphtheria, pertussis) to those ages 10 to 13.

 

Illinois Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification for healthcare providers issued by the American Heart Association, the American Red Cross, the American Safety and Health Institute, or an equivalent as determined by the Division. 
  2. Prior to administering vaccinations/immunizations, a pharmacist or student pharmacist under the direct supervision of a pharmacist must follow protocols written by a physician licensed to practice medicine in all of its branches for the administration of vaccines and treatment of severe adverse events following administration of vaccines.
  3. Reporting immunizations administered to Illinois’ IIS registry is voluntary.

State IIS Registry:

Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE)

Call: (217) 785-1455

Fax: (217) 524-0967

Email: DPH.ICARE@illinois.gov

Additional Resources:

Department of Public Health – Immunizations

Administrative Code – Title 68(b), Section 1330.50 Vaccinations/Immunizations

Illinois Pharmacists Association – Certificate & Advanced Training Programs

 


Indiana

Indiana pharmacists can administer immunizations to an individual under a drug order, prescription, or protocol approved by a physician.

 

Indiana Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. If entering into a protocol with a physician, the immunization protocols must be approved and executed by the physician prior to implementation, maintained at the pharmacy, and renewed annually. 
  3. Report immunizations administered to Indiana’s IIS registry unless the patient completes a written immunization data exception form.

State IIS Registry:
Children and Hoosiers Immunization Registry Program (CHIRP) 

Call: (888) 227-4439

Email: MyVaxIndiana@isdh.in.gov

Additional Resources:

Professional Licensing Agency – Immunization Administration

Includes administration of immunization protocol requirements.

 


Iowa

Iowa pharmacists may order and administer immunizations as outlined in the statewide protocol.

 

Iowa Immunization Service Process: 

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. If administering immunizations under the statewide protocol, keep a copy of the protocol at each location where a pharmacist administers a vaccine. 
  3. Maintain liability insurance that covers the administration of vaccines. 
  4. Obtain the required supplies and equipment listed in Appendix A of the statewide protocol
  5. Report Immunizations administered to Iowa’s IIS registry

State IIR Registry: 

Immunization Registry Information System (IRIS)

Call: (800) 374-3958

Fax: (800) 831-6292

Additional Resources: 

Iowa Pharmacy Association – Immunization Resource

 


Kansas

Kansas pharmacists may order and administer immunizations as outlined in the statewide protocol.

 

Kansas Immunization Service Process: 

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Maintain liability insurance that covers the administration of vaccines. 
  3. Report immunizations administered to Kansas’ IIS registry.

State IIS Registry: 

KSWebIZ 

Call: (877) 296-0464

Fax: (785) 559-4227

Email: KDHE.ImmunizationRegistry@ks.gov

Additional Resources: 

Kansas Pharmacists Association – Immunization Toolkit

 


Kentucky

Pursuant to prescriber-approved protocols, Kentucky pharmacists can administer immunizations to persons ages 9-17 with the consent of a parent or guardian and administer immunizations to adults. 

During a state of emergency as declared by the Governor, Kentucky pharmacists can also administer immunizations to persons under 18 years of age pursuant to a governor-issued executive order vesting pharmacists with authority to do so as well as pursuant to protocols established by the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), or the National Advisory Committee on Immunization Practices (ACIP) or determined to be appropriate by the commissioner of public health or designee.

 

Kentucky Immunization Service Process: 

  1. Kentucky law does not specify training requirements for pharmacists to administer immunizations; however, the Board of Pharmacy expects pharmacists to obtain the knowledge required.
  2. For individuals between ages 9-17 and upon the request of the individual or their parent or guardian, notify the immunization recipient’s primary care provider of the immunization.

State IIS Registry:

Kentucky Immunization Registry (KYIR)

Call: (502) 564-0038

Email: KYIRHelpdesk@ky.gov

Additional Resources: 

Kentucky Revised Statutes – Chapter 315 Pharmacists and Pharmacies

Board of Pharmacy – Board Approved Protocols

Includes anaphylaxis treatment protocol for emergency epinephrine injection devices.

 


Louisiana

Louisiana Immunization Service Process:

  1. Successfully complete immunization training and maintain CPR/BLS certification through Board of Pharmacy-approved training courses
  2. Obtain a Medication Administration Registry Number by submitting copies of your immunization course completion certificate and CPR card along with an Application for New Medication Administration Registration to the Board of Pharmacy via:

    Mail: Louisiana Board of Pharmacy
    3388 Brentwood Drive
    Baton Rouge, LA 70809-1700
    Fax: (225) 925-6496
    Email: info@pharmacy.la.gov
  3. Report immunizations administered to Louisiana’s IIS registry.

State IIS Registry:

Louisiana Immunization Network for Kids Statewide (LINKS)

See LINKS website for region designations and respective LINKS User Services contact information.

Additional Resources: 

Louisiana Board of Pharmacy – Medication Administration by Pharmacists 

Louisiana Board of Pharmacy – Act 769 of 2014 Legislature & Pharmacist Immunization Recordkeeping

 


Maine

Maine Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Apply for a Certificate of Administration of Drugs and Vaccines
    • Include a copy of your immunization course completion certificate (or PharmD transcript, if applies), and a copy of current CPR/BLS certificate.
    • Completed application and required documents can typically be mailed or dropped off but, due to COVID-19, the physical location at Gardiner Annex is currently closed to the public. Please send via:

      Mail: State of Maine Department of Professional & Financial Regulation
      Office of Professional and Occupational Regulation
      35 State House Station
      Augusta, ME 04333
  3. Enter into a treatment protocol established by an authorized practitioner and submit a copy of the protocol to the Board of Pharmacy prior to administering immunizations.

State IIS Registry:

Maine Immunization Information System (ImmPact) 

Call: (800) 906-8754

Email: ImmPact.support@Maine.gov

Additional Resources:

Board of Pharmacy – Frequently Asked Questions 

Includes a list of immunizations that may be included in the treatment protocol.

Board of Pharmacy – Administering Drugs and Immunizations for Currently Licensed Maine Pharmacist

Maine Revised Statutes – Title 32, Chapter 117: MAINE PHARMACY ACT

Maine Revised Statutes – Title 32, Chapter 117, §13833: Treatment protocol

Division of Disease Surveillance – Maine Immunization Program (MIP)

 


Maryland

Pursuant to vaccine-specific written protocols, Maryland pharmacists may administer vaccines listed in the Centers for Disease Control and Prevention’s (CDC) recommended immunization schedule or recommended in the CDC’s Health Information for International Travel to persons 18 years of age or older without a prescription. 

Pursuant to vaccine-specific written protocols, pharmacists may administer an influenza vaccine to individuals age 9 years and older. 

Pursuant to a prescription from an authorized prescriber, pharmacists may administer vaccines listed in the CDC recommended immunization schedule to individuals between ages 11-18.

 

Maryland Immunization Service Process:

  1. Successfully complete immunization training course through APhA and maintain CPR/BLS certification obtained through courses containing a live component with an instructor.
  2. Submit a Pharmacist Administration of Vaccinations Registration Form to the Board of Pharmacy along with a copy of the vaccination certification and copy of CPR/BLS card via:

    Mail: Maryland Board of Pharmacy
    P.O. Box 1991
    Baltimore, MD 21203-1991
    Email: mdh.mdbop@marlyand.gov
    Fax: (410) 358-6207
  3. Report immunizations administered to Maryland’s IIS registry.

State IIS Registry:

ImmuNet 

Call: (410) 935-9295

Fax: (410) 333-5893

Email: mdh.mdimmunet@maryland.gov

Additional Resources:

Department of Health – Maryland Immunization Registry (ImmuNet) For Pharmacists

Department of Health – Maryland Immunization Registry (ImmuNet) For Providers

University of Maryland School of Pharmacy – APhA Certificate Programs 

Board of Pharmacy – FAQs

 


Massachusetts

Massachusetts pharmacists are required to have a prescription, prescriber directive or standing order to administer immunizations. Qualified pharmacists are authorized to administer vaccines included in the Advisory Committee on Immunization Practices (ACIP) recommended immunization schedules to individuals nine years old and older.

 

Massachusetts Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training, maintain CPR/BLS certification, and keep proof of training in the pharmacy.
  2. Enroll in the MDPH Vaccines for Children (VFC) Program to participate in receiving free state-supplied routinely recommended childhood vaccines. For enrollment information, contact the Vaccine Management Unit at (617) 983-6828. 
    • If not enrolled, parents or guardians of patients under 19 years old must be informed that there may be a significant out of pocket expense for the vaccine and they can obtain the vaccine at no cost through their primary care provider. The suggested language should read: “Please note: the cost of the vaccines your child will be receiving may not be covered by your health insurance, resulting in a significant out of pocket expense. You can avoid this expense by having your child vaccinated at his or her primary care provider.”
  3. Provide a notification or record of immunization(s) to the patient’s physician.
  4. If the patient is less than 18 years old, provide information on primary care providers in the pharmacy’s geographic area. 
  5. If the purpose of the visit is for a childhood immunization other than the influenza vaccine, provide counseling on the importance of establishing and maintaining a relationship with a pediatric or family practitioner for ongoing medical and well-child care.
  6. Report immunization administered to Massachusetts’ IIS registry.

State IIS Registry:
Massachusetts Immunization Information System (MIIS)

Call: (617) 983-4335

Fax: (617) 983-4301

Email: MIIShelpdesk@state.ma.us

Additional Resources:

Department of Public Health – 2017-08: Joint Policy – Pharmacist Administration of Vaccines

Department of Public Health – Vaccine Model Standing Orders

Department of Public Health – Guidelines for Vaccination Clinic Operations

Department of Public Health – 2020 Agreement to Comply with Federal and State Requirements for Vaccine Administration

Department of Public Health – 2017 Guidelines for Compliance with Federal and State Vaccine Administration Requirements

Department of Public Health – Frequently Asked Questions About State-Supplied Vaccine

 


Michigan

Michigan Immunization Service Process: 

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
  2. Obtain a letter of delegation from a physician and make it readily available onsite. 
  3. Enroll in the MDHHS Vaccines for Children (VFC) Program to participate in receiving free state-supplied routinely recommended childhood vaccines. For enrollment information, contact your local health department
  4. Confirm coverage of pharmacist-administered vaccines with the Medication Health Plan
  5. Report immunization administered to Michigan’s IIS registry within 72 hours of vaccine administration.Michigan Department of Health and Human Services: Final Bulletin-Format

State IIS Registry:

Michigan Care Improvement Registry (MCIR)

See Contact Regions map for region designations and respective coordinator contact information.

Additional Resources:

MCIR Michigan Care Improvement Registry (MCIR) – Independent Pharmacies

Includes the Provider Site Usage Agreement and General Immunizing Pharmacy Instructions.

Department of Health & Human Services – Community Vaccinators

Department of Health & Human Services – Health Promotions Clearinghouse

Department of Health & Human Services – Vaccine Information Statements (VIS)

Department of Health & Human Services – Michigan Vaccines for Children (VFC) Provider Manual

Department of Health & Human Services – VFC Enrollment & Re-Enrollment Instructions

Department of Health & Human Services – VFC Frequently Asked Questions

 


Minnesota

Pursuant to protocols signed by a physician, physician assistant, or advanced practice registered nurse, pharmacists in Minnesota can administer the influenza vaccine to individuals age 6 and older and administer all recommended vaccines to individuals 13 and older.

 

Minnesota Immunization Service Process:

  1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.  
  2. Enter into a written protocol with a physician, physician assistant, or advanced practice registered nurse..
  3. Enroll in the Minnesota Vaccines for Children (MnVFC) program to participate in receiving free state-supplied routinely recommended childhood vaccines. For enrollment information, contact the MnVFC program at (651) 201-5522. 
    • If not enrolled, the pharmacy cannot charge Minnesota Health Care Program (MHCP)-enrolled children for vaccine or administration costs and cannot bill the MHCP for the vaccine administration fee. Additionally, pharmacists providing vaccines to privately insured or to children who are cash customers must also provide the same vaccines to MHCP-enrolled children free of charge if not enrolled in MnVFC.
  4. Use the state IIS registry to assess a patient’s immunization history before administering any immunizations, other than for influenza given to patients nine years and older.
  5. Report immunization administered to Minnesota’s IIS registry.

State IIS Registry: 

Minnesota Immunization Information Connection (MIIC)

Email: health.miichelp@state.mn.us

Additional Resources:

Board of Pharmacy – Pharmacy Immunization Practice in Minnesota

Department of Health – Immunization Delivery in Pharmacy Settings

Department of Health – Vaccine Protocols

Includes guidance for adopting vaccine protocols as well as protocol templates.

Department of Health – MIIC and Pharmacies

Department of Health – How to Enroll in the MnVFC Program

 


Mississippi

State IIS Registry: 

Mississippi Immunization Information eXchange (MIIX)

Call: (601) 576-7751 or (800) 634-9251

Fax: (601) 576-7468 or (800) 634-9204

Email: Rightfax_imm@msdh.ms.gov

Additional Resources:

Department of Health – MIIX Immunization Reporting

Includes frequently asked questions and enrollment packet.

 


Missouri

Missouri pharmacists are authorized to administer immunizations pursuant to a medical prescription order or administer meningitis, pneumonia, shingles, and viral influenza vaccines per protocol.

 

Missouri Immunization Administrative Process:

  1. Complete immunization certificate program accredited by ACPE and maintain CPR certification. 
  2. Enter a written protocol with a physician if administering vaccines by protocol. 
    • The protocol must be maintained by the pharmacist and made available to the Board upon request.
    • For detailed protocol requirements, please review 20 CSR 2220-6.050(6).
  3. File Notification of Intent to Administer/Immunize with the Board. 
  4. Reporting Immunization administered is voluntary for providers in Missouri.

State IIS Registry:

ShowMeVax | Immunizations | Health & Senior Services

Call: 573.751.6124

Email: showmevaxsupport@health.mo.gov

Additional Resources: 

 Board of Pharmacy – Immunization Administration 

 


Montana

Montana Immunization Administrative Process:

  1. Complete an immunization delivery course of training that is approved by the accreditation council for pharmacy education or by an authority approved by the board and maintain CPR certification issued by the American heart association, the American red cross, or another recognized provider. 
  2. Provide a copy of the immunization certificate and CPR certification to the Board for initial endorsement on license. 
  3. Maintain documentation of immunization endorsement and current CPR certification on file at the practice site
  4. Enter into a collaborative practice agreement with a practitioner authorized to prescribe drugs for immunizations that require a collaborative practice agreement. 
  5. Ensure your pharmacy meets the requirements listed in 24.174.503 : ADMINISTRATION OF VACCINES BY PHARMACISTS.
  6. Offer the patient the opportunity to have the immunization information reported to Montana’s immunization information system, imMTrax.

State IIS Registry:

Montana’s Immunization Information System (imMTrax)

Call: 406.444.5580

Email: hhsphsiis@mt.gov

Link to: Immunization Records


For information on immunizations that a pharmacist can administer with and without a collaborative practice agreement, please review
24.174.503 : ADMINISTRATION OF VACCINES BY PHARMACISTS.

 


Nebraska

State IIS Registry:

Nebraska State Immunization Information System (NESIIS)

Call: 1-888-433-2510 or 402.471.0133

Email: dhhs.nesiis@nebraska.gov


Nevada

Nevada pharmacists can administer immunizations pursuant to a written protocol with a physician as defined in NAC 639 Sec297.

 

Nevada Immunization Administrative Process:

  1. Complete immunization certificate program accredited by ACPE and maintain American Heart Association’s Basic Cardiac Life Support for Healthcare Providers or its equivalent certification.
  2. Enter into a written protocol with a physician. 
  3. Report immunization administered to Nevada’s Immunization Information System, WebIZ.

State IIS Registry:

WebIZ-Nevada’s Immunization Information System

Call: 877.689.3249

Link to: Immunization Records

Email: izit@health.nv.gov

 


New Hampshire

New Hampshire pharmacists may administer vaccines only through a collaborative practice agreement, standing order or prescription from a provider. In order to administer vaccines, the following criteria stated in RSA 318:16 must be followed.


New Hampshire Immunization Administrative Process:

  1. Complete training specific to the administering of the respective vaccines that include programs approved by the ACPE or curriculum-based programs from an ACPE-accredited college of pharmacy or state or local health department programs or programs recognized by the board and maintain CPR / BLS certification. 
  2. Possess at least $1,000,000 of professional liability insurance coverage.
  3. Enter into a collaborative practice agreement with a practitioner with prescriptive authority who holds an active, unrestricted license in the state of New Hampshire. Collaborative Pharmacy Practice Laws and Rules and Collaborative Pharmacy Practice Application
  4. Submit Pharmacist Application to Administer Vaccines to the Board. 
    • Attachments required:
      1. Copy of your current CPR / BLS Certification Card
      2.  Copy of your proof of Liability Insurance Coverage
      3. Copy of your proof of CE / Training from your College of Pharmacy, ACPE, or APhA.

State IIS Registry: 

VaxNH

Call: (603) 271-4028

Email: VaxNH@dhhs.state.nh.us

 


New Jersey

New Jersey Pharmacists may administer certain vaccines under the following conditions: pursuant to a prescription by an authorized prescriber, authorized provider standing order, or in immunization programs and programs sponsored by governmental agencies that are not patient specific. For more information about vaccines allowed, age restrictions, and requirements, please review S3086 and Rules and regulations of the New Jersey Division of Consumer Affairs.

 

New Jersey Immunization Administrative Process:

  1. Complete an immunization certificate program accredited by ACPE and maintain American Heart Association’s BLS certification or the Red Cross CPR protocol for health care providers or in a course that complies with guidelines created by the International Liaison Committee on Resuscitation (ILCOR). 
  2. Submit the Pharmacist Application for Initial Approval to Administer Vaccines
    1. Application must be notarized 
    2. Attach a copy of your immunization course completion certificate and a copy of your CPR / BLS certification. 
    3. Submit your application via:

      Mail: New Jersey Office of the Attorney General
      Division of Consumer Affairs
      Board of Pharmacy
      124 Halsey Street, 6th Floor, P.O. Box 45013
      Newark, New Jersey 07101
  3. Reporting of immunizations administered by health care providers to children less than seven years of age is required by state regulation to the New Jersey Immunization System, NJIIS.

State IIS Registry:

New Jersey Immunization Information System

Call: 609.826.4860

Helpdesk: Submit a ticket

 


New Mexico

Prescriptive authority for vaccines shall be exercised solely in accordance with the written protocol for vaccine prescriptive authority approved by the Board. For more information, review Pharmacist Prescriptive Authority:16.19.26.


New Mexico Immunization Administrative Process:

  1. Complete an immunization course of training accredited by ACPE provided by the centers for disease control and prevention (CDC) or similar health authority or professional body approved by the board and maintain BLS/CPR certifications. 
  2. Report immunization administered to the New Mexico Statewide Immunization Information System, NMSIS.

State IIS Registry:

New Mexico Statewide Immunization Information System

Call: 800.280.1618

Email: DOH-HelpDesk-Main@state.nm.us

 


New York

Certified New York pharmacists may administer seasonal influenza vaccines to patients 2 years of age or older pursuant to a patient specific prescription/order or a non-patient specific order. Certified pharmacists may administer pneumococcal, meningococcal, acute herpes zoster (shingles), tetanus, diphtheria, or pertussis vaccinations to adults 18 years of age or older pursuant to a patient specific prescription/order or a non-patient specific order.

 

New York Immunization Administrative Process:

  1. Complete the American Pharmacists Association’s (APhA) National Certificate Program for Pharmacists (Pharmacy-based Immunization Delivery). In addition to the APhA certificate program, the State Education Department (SED) will accept completion of training in the administration of immunization agents received as part of a Doctor of Pharmacy degree program. Certificate Programs
  2. Maintain BLS/CPR certification. 
  3. Submit Pharmacist Immunization Certification Form to the Board. 
    1. Application must be notarized 
    2. Attach a copy of your immunization course completion certificate and a copy of your CPR / BLS certification. 
    3. Send form and appropriate via:

      Mail: New York State Education Department
      Office of the Professions
      PO Box 22063
      Albany, NY 12201
  4. Report immunization administered to persons less than 19 years of age to the New York State Immunization Information System (NYSIIS), for immunizations administered outside of New York City (NYC), or to the City Immunization Registry (CIR), for immunizations administered within NYC; and report immunizations administered to persons aged 19 years and older to NYSIIS or the CIR upon consent of the patient

State IIS Registry:

New York State Immunization Information System (NYSIIS)

Call: (518) 473-2839 

Email: nysiis@health.ny.gov

 

City IIS Registry: 

Citywide Immunization Registry (CIR)

Call: 347-396-2400

Email: cir@health.nyc.gov 


Additional Resources: 

Resources including Non-Patient Specific Orders, laws and regulations, NYS Department of Health – Pharmacist as Immunizers

NYS Pharmacy:Administration of Immunizations

NYS Pharmacy:FAQ:Administration of Immunizations

New law, S. 8182-A / A. 10508-A  adds COVID-19 to the list of illnesses for which pharmacists can vaccinate.

 


North Carolina

North Carolina Immunization Administrative Process:

  1. Complete a certificate program in vaccine administration accredited by the Centers for Disease Control and Prevention, the Accreditation Council for Pharmacy Education, or a similar health authority or professional body approved by the Board. Maintain CPR certification issued by the American Heart Association or the American Red Cross, or an equivalent certification.
  2. Notify the North Carolina Board of Pharmacy and the North Carolina Medical Board of immunizing pharmacist status. Confirm immunizing pharmacists status each year as part of  the license renewal process.
  3. Enter into a written protocol with a physician licensed in and has a practice physically located in North Carolina.
  4. Administer vaccines or immunizations in accordance with G.S. 90-85.15B.
  5. Complete training approved by the Division of Public Health’s Immunization Branch for participation in the North Carolina Immunization Registry.
  6. Report immunization administered ( influenza vaccines administered under G.S. 90-85.15B(c) are not required) to the North Carolina Immunization Registry (NCIR).

State IIS Registry:

North Carolina Immunization Registry

Call: 877.873.6247

Link to: Immunization Records

Email: NCIRHelp@dhhs.nc.gov


Additional Resources:

NC DPH, WCH: Immunization: Providers

North Carolina BOP Pharmacist FAQs

Minimum Screening Questionnaire for Immunizing Pharmacists 

 


North Dakota

North Dakota Immunization Administrative Process:

  1. Complete required immunization training and maintain CPR/BLS certification. 
  2. Enter into a written protocol with a licensed practitioner. Immunization Protocol
  3. Complete an attestation process adopted by the board and, upon any request, provide required documentation. Immunization and Medication Administration Guidance As a result of House Bill 1498 (2019 legislative session) and the Board’s
  4. Report immunization administered North Carolina Immunization Information System (NDIIS)

State IIS Registry:

North Dakota Immunization Information System (NDIIS)

Call: 701.328.3386 or 800.472.2180

Link to: Immunization record request

Email (Immunization Records): immrecord@nd.gov

Email (NDIIS): ndiis@nd.gov

Additional Resources:

North Dakota Board of Pharmacy – Laws, Rules, and Regulations

 


Ohio

Ohio Immunization Administrative Process:

  1. Complete an immunization administration course approved by the Board. Course requirements must adhere to section 4729.41 of the Ohio Revised Code and rule 4729-5-36 of the Ohio Administrative Code. Maintain BLS certification certified by the American red cross or American heart association or approved by the state board of pharmacy.
  2. Enter into a protocol with a licensed physician. Ohio Pharmacist Association (OPA) offers a protocol package that includes draft protocols for each of the vaccines approved in Ohio law for administration by trained pharmacists. The protocol package can be purchased by using the following online Protocol Package Order Form. Requirements for immunization protocols can be found in rule 4729-5-37 of the Ohio Administrative Code.

State IIS Registry:
ImpactSIIS

Call: (614) 466-4643 or (866) 349-0002

Email: impact@odh.ohio.gov

Additional Resources: 

Laws, Rules, and Regulation: Ohio Administrative Code – Pharmacist-Administrative Provisions 

OPA Immunization Resources: OPA | Immunization

Ohio Impact Statewide Immunization Information System (ImpactSIIS)

 


Oklahoma

Oklahoma Immunization Administrative Process:

  1. Maintain CPR certification and complete an approved immunization training course described in 535:10‐11‐5:
    • Programs that include training in immunizations offered by the two state colleges of pharmacy:
      1. Southwestern Oklahoma State University (SWOSU) College of Pharmacy
      2. University of Oklahoma (OU) College of Pharmacy
    • Immunization programs approved by the Accreditation Council for Pharmacy Education (ACPE). 
    • Immunization programs offered by the American Pharmaceutical Association (APHA). 
    • Immunization programs offered by the National Community Pharmacy Association (NCPA). 52 
    • Immunization programs offered by the American Society of Health System Pharmacists (ASHP).
  2. Submit Pharmacist Applicant for Immunization Registration to the Board. 
  3. Enter into a protocol with a licensed physician. The pharmacist must either have a patient-specific prescription or a protocol in place from a provider.  The physician will set limitations regarding the types of immunizations and patient age, if any, via the protocol.

State IIS Registry:
Oklahoma State Immunization Information System (OSIIS)Enhanced version available Fall 2020

Call: (405) 271-7200

Fax: (405) 271-6133

Email: OSIIShelp@health.ok.gov

Additional Resources:

Oklahoma State Immunization Information Registry (OSIIS)

OKLAHOMA PHARMACY LAW BOOK 2016

 


Oregon

Pharmacists can immunize people aged 7 years or older with all ACIP recommended vaccines in accordance with posted Oregon Pharmacy Protocols for Immunization and to any age with a valid prescription. The Oregon rules and laws for pharmacies can be found on the Oregon Immunization Provider Information site.

 

Oregon Immunization Administrative Process:

  1. Complete an immunization training program approved by the Board and maintain CPR certification issued by the American Heart Association or the American Red Cross or any other equivalent program intended for a healthcare provider.
  2. Follow the Oregon pharmacy protocols for vaccine administration
  3. Report immunization administered to the Oregon Immunization Information System, ALERT IIS.

State IIS Registry:

Alert Immunization Information System

Call: 800.980.9431

Email: OHD.Alert@state.or.us

 


Pennsylvania

Pennsylvania pharmacists who meet indicated requirements have the authority to administer vaccines to people more than 18 years of age (one day after 18th birthday) and the flu vaccine to anyone aged 9 years or older.

 

Pennsylvania Immunization Administration Process:

  1. Complete an approved Training Program and obtain CPR certification. 
  2. Apply for an Application for Authorization to Administer Injectable Medications, Biologicals and Immunizations.
  3. Enter a written protocol or order with a licensed physician. Sample Standing Order
  4. Obtain professional liability insurance. Insurance Certification:  Authorization to Administer Injectable Medications, Biologicals and Immunizations – Certification of Professional Liability Insurance

State IIS Registry:

Pennsylvania Statewide Immunization Information System (PA-SIIS)

Call: 877.774.4748

Email: pasiis@pa.gov

City IIS Registry:

Philadelphia’s Immunization Information System (PhilaVax)

Call: 215.685.6784

Email: philavax@phila.gov

 

For more information and complete detailed steps, please visit: Pennsylvania Pharmacist Immunization Toolkit: Law and Initial Licensure 

 


Rhode Island

An immunizing Rhode Island pharmacist shall follow a written protocol from a prescriber or have obtained a valid prescription for immunization administration to a patient.

 

Rhode Island Immunization Administrative Process:

  1. Complete an immunization training course recognized by the Board and maintain CPR certification by the American Heart Association, the American Red Cross, or other such similar training organization. 2016 — H 7662 STATE OF RHODE ISLAND Section 23.2  
  2. Enter into a written protocol with a provider. 2016 — H 7662 STATE OF RHODE ISLAND Section 23.10

State IIS Registry:
KIDSNET

Call: (401) 222-7681

Fax: (401) 222-5734

Email: Jeff.Goggin@health.ri.gov or Kim.SalisburyKeith@health.ri.gov

Additional Resources:

Department of Health – The Rhode Island State-Supplied VaccineImmunization Information for Healthcare Providers

Department of Health – KIDSNET Reporting

 


South Carolina

South Carolina BOP – Protocol for Administration of Vaccines by Pharmacist

South Carolina Immunization Administrative Process:

  1. Complete an approved pharmacy‐based immunization training program that is accredited by the ACPE or a similar health authority or professional body approved by the Board of Pharmacy and the Board of Medical Examiners. Maintain CPR/BLS certification. 
  2. Maintain liability insurance that covers the administration of vaccines.  
  3. Report Immunization administered to the South Carolina Immunization Registry

State IIS Registry:

SCI Registry

Call: 800.277.4687

Email: HUBERHL@dhec.sc.gov

Additional Resources:

South Carolina Pharmacy Association – Vaccine Protocol Summary

 


South Dakota

South Dakota Board of Pharmacy Policy Statement on Immunizations

South Dakota Immunization Administrative Process:

  1. Complete an ACPE approved immunization training program which includes: 
    1. Basic immunology and the human immune response;
    2. Mechanics of immunity, adverse effects, dose and administration of an immunization;
    3. Administration of intramuscular injections; and
    4. Record keeping and reporting requirements as set forth by § 20:51:28:05
  2. Maintain CPR certification
  3. For Influenza application: Submit Application for Authorization to Administer Influenza Immunization. Use this application to obtain an immunization registration outside of license renewal. You can complete the immunization section during your online license application (new or renewal). Send completed form and all required documents (in a PDF format) via:

    Email: pharmacyboard@state.sd.us
  4. If administering a vaccine pursuant to a protocol, sample protocols immunizations protocols can be found on the SD Pharmacy Board site.
  5. If administering a vaccine pursuant to a protocol, report immunization administered to the South Dakota Immunization and Information System (SDIIS).

State IIS Registry:

South Dakota Immunization Information System

Call: 800.592.1861

 


Tennessee

Tennessee Board of Pharmacy Policy Statement on Preventive Care

State IIS Registry:

Tennessee Immunization Information System (TennIIS)

Call: 800.404.3006

Email: TennIIS.Help@tn.gov

Members of the Tennessee Pharmacist Association have access to Immunization Resources including:

  • First Steps to Developing an Immunization Practice
  • Contracting with Medicare
  • Contracting as a BlueCross BlueShield of Tennessee (BCBST) Immunizing Pharmacist Provider
  • Regulatory and Practice Compliance
  • Standing Orders for Pharmacist-Administered Immunizations
  • Additional Immunization Practice Resources

 


Texas

Texas Pharmacists require a written protocol with a licensed physician to administer vaccines.  A pharmacist may administer an influenza vaccination to a patient over sevens years of age without an established physician-patient relationship.  TEXAS PHARMACY ACT

Texas Immunization Administrative Process: 

  1. Complete an ACPE approved immunization training course and maintain CPR certification for health care providers by the American Heart Association or its equivalent. 
  2. Enter into a written protocol with a physician
  3. Report immunization administered to the Texas Immunization Registry, ImmTrac2.

State IIS Registry:

ImmTrac2

Call: 800.252.9152

Email: ImmTrac@dshs.state.tx.us

Additional Resources: 

Texas Pharmacist Immunization Certification Requirements, sample immunization standing order, and additional resources: TPA Immunization Certification

 


Utah

State of Utah Department of Commerce – Vaccine Administration Protocol

Utah Immunization Administrative Process:

  1. Complete an ACPE approved immunization training program and maintain CPR certification.
  2. Enter into a written protocol with a licensed practitioner. 
  3. Report immunization administered to the Utah Statewide Immunization Information System (USIIS).

State IIS Registry:

Utah Statewide Immunization Information System

Call: 800.678.3440

Email: http://www.usiis.org/feedback.shtml

 


Vermont

For patients 18 or older: A Vermont pharmacist or intern may administer a vaccine pursuant to a written protocol including emergency measures e.g., epinephrine and/or diphenhydramine based on a collaborative practice agreement or a patient-specific prescription from a licensed prescriber. Section 04-030-230-10-10.35 – Immunizations

 

Vermont Immunization Administrative Process:

  1. Complete an ACPE approved immunization training program and maintain BLS certification.
  2. Enter into a written protocol with a licensed practitioner. 
  3. Report Immunizations to the Vermont Immunization Registry (IMR).

State IIS Registry:

Vermont Immunization Registry

Call: 888.688.4667

Email: IMR@vermont.gov

 


Virginia

Virginia pharmacists can administer a vaccine to a person of any age pursuant to a valid prescription. There are two areas of law which address pharmacist administration of immunizations.  Section I of §54.1-3408 of the Drug Control Act authorizes a pharmacist to administer adults an immunization under a Board of Nursing-approved protocol and Section W authorizes a pharmacist to administer an influenza vaccine to minors under guidelines developed by the Virginia Department of Health.

 

Virginia Immunization Administrative Process:

  1. Maintain CPR certification 
  2. Complete immunization training program (not a requirement by the Virginia Board of Pharmacy).
  3. Enter into protocol with a medical director.  VPhA Immunization Protocol 2017


State IIS Registry:

Virginia Immunization Information System 

Call: 866.375.9795

Email: VIISHelpDesk@hp.com

 

Members of the Virginia Pharmacist Association have access to additional Immunization Resources including: Administering Immunizations & Medications

 


Washington

Washington Immunization Administrative Process:

  1. Complete Immunization training and maintain CPR certification
  2. Enter into a protocol with a practitioner authorized to prescribe drugs in accordance with WAC 246-863-100 and RCW 18.64.011. An Immunization Collaborative Agreement Sample is available on the Washington State Department of Health -Pharmacist Applications and Forms website. 
    1. If using the sample agreement, complete and attach form Collaborative Drug Therapy Agreement Review Form
    2. Turn in completed form and signed agreement via:

Mail: Pharmacy Quality Assurance Commission 

PO Box 47877 

Olympia WA, 98504-7877

Email: HSQAFacilitiesCredentialing@doh.wa.gov

State IIS Registry:

Washington State Immunization Information System

Call: 866.397.0337

Email: WAIISRecords@doh.wa.gov

 


West Virginia

Please review the West Virginia Board of Pharmacy – Immunization for a list of authorized vaccines. Additional information can be found on their website under Forms & Links, Immunizations Administered by Pharmacist.

 

West Virginia Immunization Administrative Process:

  1. Complete a Board approved immunization administration course: 
    • American Pharmacist Association (APhA)  
    • University of Findlay School of Pharmacy 
    • University of Florida School of Pharmacy 
    • University of Connecticut School of Pharmacy 
    • North Eastern University School of Pharmacy 
    • Ohio Pharmacist Association 
    • University of Kentucky College of Pharmacy
  2. Complete an American Red Cross or American Heart Association basic life-support training and maintain certification. Currently approved courses by the Board: 
    • American Red Cross
    • American Heart Association
    • American Health & Safety Institute (December 2013)
    • American CPR  (December 2013)
    • National Safety Council  (December 2013)
    • Emergency Care & Safety Institute –ECSI (August 2016)
  3. Register with the Board to administer immunization
    1. Complete the Initial Application for Immunization Permit found on the West Virginia Board of Pharmacy Forms & Links website. 
    2. Send form and required documents/payment via:

      Mail: West Virginia Board of Pharmacy
      2310 Kanawha Blvd. East
      Charleston, WV 25311
  4. Report Immunization administered to the West Virginia Statewide Immunization Information (WVSII):

State IIS Registry:

West Virginia Statewide Immunization Information System

Call: 877.408.8930

 


Wisconsin

Wisconsin Immunization Administrative Process:

  1. Complete immunization training approved by the ACPE and maintain CPR certification. 
  2. Liability insurance must cover the pharmacist and a person who administers a vaccine.  
  3. Report Immunization administered to the Wisconsin Immunization Registry (WIR): 

State IIS Registry:

Wisconsin Immunization Registry

Call: 608.266.9691

Email: dhswirhelp@wisconsin.gov

Additional Resources: 

Pharmacy Society of Wisconsin – Immunizing Pharmacists

Wisconsin Legislature 450.06(2)(b)

 


Wyoming

Wyoming Immunization Administrative Process:

  1. Complete immunization training course accepted by the Board:
    • American Pharmacy Association’s (APhA) training program entitled “Pharmacy Based Immunization Delivery”
    • Washington State Pharmacy Association’s training program entitled “Vaccinating Adults and Adolescents: An Immunization Program Practicum Session”
    • Contact the Board office if you completed a different course.
  2. Maintain CPR/BLS certification accepted by the Board: 
    • American Heart Association training program
    • American Red Cross training program
  3. Submit Application for Registration as a Pharmacist to Prescribe and Administer Immunizations to the Board. Send completed application and required documents/payment via:

    Mail: Wyoming State Board of Pharmacy
    1712 Carey Avenue, Suite 200
    Cheyenne, WY 82002
  4. Report immunization administered to the Wyoming Immunization Registry (WyIR):

State IIS Registry:

Wyoming Immunization Information System

Call: 800.599.9754

Email: wdh-immrecords@wyo.gov

 

Additional Resources:

Wyoming State Board of Pharmacy – Pharmacy – Laws