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.

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

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

Immunization Service Process

1. Enroll as a provider with the Department of Health Care Policy & Financing.
2. Begin at the Provider Portal
3. Enroll as:
   - Individual within a Group
   - Provider Type = 75
   - Specialty = 750 Pharmacist
   
4. SSN is required for individual enrollment and screening
   
5. NPI (type 1 for an individual)
   
6. Taxonomy Required
   
7. Affiliation to at least one pharmacy (PT09 or PT62); it is encouraged that you list all affiliated pharmacies on the application
   
8. Proof of malpractice insurance and pharmacist professional license required
   
9. 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.

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.
   - Notify the Board once the above training is complete for the Board to record in their database systems.
   - 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

Immunization Service Process

1. Apply for an Immunization Administration Certification. Application checklist:
   - Submit application fee.
   - Successfully complete a 20-hour approved Immunization Administration Certification course and submit a copy of certification of completion with application.
   - Enter a written protocol with a licensed physician and submit a copy of this protocol with application.
   - 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

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.

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

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.

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:

Immunization Reminder Immunization System (IRIS)

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

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

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 IIS Registry:

Immunization Registry Information System (IRIS)

Call

(800) 374-3958

Fax

(800) 831-6292

Additional Resources:

Iowa Pharmacy Association – Immunization Resource

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.

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.

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)

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.

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

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.

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

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

Immunization Service Process

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

Email

vfc-smvsupport@health.mo.gov

Additional Resources:

Board of Pharmacy – Immunization Administration

Pursuant to a practice agreement or prescription, pharmacists may provide administration of vaccinations or injections.

Immunization Service Process

1. Successfully complete ACPE-accredited immunization training and maintain CPR/BLS certification.
2. Enter into a collaborative practice agreement with an authorized prescribing practitioner and notify the Board of Pharmacy and the practitioner’s licensing board at initiation of the agreement.
3. Offer the patient the opportunity to have the immunization information reported to Montana’s IIS registry.

State IIS Registry:

Nebraska State Immunization Information System (NESIIS)

Call

(888) 433-2510 or (402) 471-0133

Email

dhhs.nesiis@nebraska.gov

Additional Resources:

Department of Health & Human Services – NESIIS User Manual
‍Nebraska Administrative Code – 175 Ch. 8, § 003.01A: Licensing Requirements and Procedures
Department of Health & Human Services – Pharmacy Practice Act 38-2867.03

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.

Immunization Service Process

1. Successfully complete ACPE-accredited training for administration of respective vaccines 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.
4. Submit a Pharmacist Application to Administer Vaccines to the Board along with the following:
   - Application fee in the form of check or money order made payable to “Treasurer, State of New Hampshire”
   - Copy of current CPR / BLS Certification Card
   - Copy of proof of Liability Insurance Coverage
   - Copy of proof of CE/Training from your College of Pharmacy, ACPE, or APhA.
5. Report immunization administered to New Hampshire’s IIS registry.

State IIS Registry:

NH Immunization Information System

Call

(603) 271-4028

Email

VaxNH@dhhs.state.nh.us

Additional Resources:

Office of Professional Licensure and Certification – Collaborative Pharmacy Practice Laws and Rules
Board of Pharmacy – Collaborative Pharmacy Practice Application
Department of Health and Human Services – Immunization Program – Health Care Providers

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.

Immunization Service 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

Immunization Service 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. Complete training approved by the Division of Public Health’s Immunization Branch for participation in the North Carolina Immunization Registry.
5. 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

Website

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

Immunization Service 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.
   - OPA – Certificate Training Programs
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)

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.

Immunization Service 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

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.

Immunization Service 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 Vaccine – Immunization Information for Healthcare Providers
Department of Health – KIDSNET Reporting

South Dakota Board of Pharmacy Policy Statement on Immunizations

Immunization Service Process

1. Complete an ACPE approved immunization training program which includes:
   - Basic immunology and the human immune response;
   - Mechanics of immunity, adverse effects, dose and administration of an immunization;
   - Administration of intramuscular injections; and
   - 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

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

Immunization Service 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

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

Immunization Service 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

Immunization Service 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.
   - If using the sample agreement, complete and attach form Collaborative Drug Therapy Agreement Review Form.
   - Turn in completed form and signed agreement via:
   Email: HSQAFacilitiesCredentialing@doh.wa.gov
   ‍Mail: Pharmacy Quality Assurance Commission PO Box 47877 Olympia WA, 98504-7877

State IIS Registry:

Washington State Immunization Information System

Call

866.397.0337

Email

WAIISRecords@doh.wa.gov

Immunization Service Process

1. Complete immunization training approved by the ACPE and maintain CPR certification.
   - Pharmacy Society of Wisconsin – 2020 Immunization Delivery for Pharmacists
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)