Law Number

AAC R4-23-411

Summary Title

Scope of Practice: Pharmacist Administering Immunizations, Vaccines, and Epi Pen

Summary

A pharmacist, pharmacy intern, or graduate intern can, without a prescription, administer immunizations and vaccines to adults when they are listed as recommended by the CDC or for international travel; to children when they are for influenza or a declared public health emergency; or epinephrine and diphenhydramine in an emergency. A pharmacist, pharmacy intern, or graduate intern are required to have a prescription when administering the Japanese Encephalitis vaccine, Rabies vaccine, Typhoid vaccines, and Yellow fever vaccine. The pharmacist, pharmacy intern, or graduate intern must complete the appropriate training and have the appropriate supervision.

Full Title

Pharmacist-administered or Pharmacy or Graduate Intern-administered immunizations

Full Text

A. Certification to administer immunizations, vaccines, and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient. As used in this Section, eligible adult patient means an eligible patient 18 years of age or older and eligible minor patient means an eligible patient at least 6 years of age but under 18 years of age. A pharmacist or a pharmacy or graduate intern, in the presence of and under the immediate personal supervision of a certified pharmacist, may administer, without a prescription, immunizations or vaccines and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient, if: 1. The pharmacist or pharmacy or graduate intern meets the qualifications and standards specified by A.R.S. § 32-1974 and this Section. 2. The Board certifies the pharmacist or pharmacy or graduate intern as specified in subsection (D). 3. For an eligible adult patient, the immunization or vaccine is listed in the United States Centers for Disease Control and Prevention§ Recommended Adult Immunization Schedule; or the immunization or vaccine is recommended in the United States Centers for Disease Control and Prevention§ Health Information for International Travel. 4. For an eligible adult patient, the immunization or vaccine is not on the Arizona Department of Health Services list specified in A.A.C. R9-6-1301 as required under A.R.S. § 32-1974 and subsection (I). 5. For an eligible minor patient, the immunization or vaccine is for influenza. 6. For an eligible minor patient, any immunizations or vaccines other than influenza are administered in response to a public health emergency declared by the Governor under A.R.S. § 36-787. B. A pharmacist or a pharmacy or graduate intern, in the presence of and under the immediate personal supervision of a certified pharmacist, may administer, with a prescription, any immunizations or vaccines and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient, if: 1. The pharmacist or pharmacy or graduate intern meets the qualifications and standards specified by A.R.S. § 32-1974 and this Section. 2. The Board certifies the pharmacist or pharmacy or graduate intern as specified in subsection (D). C. A pharmacist or pharmacy or graduate intern who is certified to administer immunizations or vaccines and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient shall: 1. Not delegate the authority to any other pharmacist, pharmacy or graduate intern, or employee; and 2. Maintain their current certificate for inspection by the Board or its designee or review by the public. D. Qualifications for certification to administer immunizations or vaccines and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient. After receipt of a completed application form, the Board shall issue a certificate authorizing the administration of immunizations or vaccines and, in an emergency, epinephrine and diphenhydramine to an eligible adult patient or eligible minor patient to a pharmacist or pharmacy or graduate intern who meets the following qualifications: 1. Has a current license to practice pharmacy in this state, 2. Successfully completes a training program specified in subsection (E), and 3. Has a current certificate in basic cardiopulmonary resuscitation. I. Pharmacist-administered or pharmacy or graduate intern-administered adult immunizations that require a prescription order. A pharmacist or pharmacy or graduate intern certified by the Board to administer adult immunizations or vaccines shall not administer any immunization or vaccine listed in A.A.C. R9-6-1301 without a prescription order. In addition to filing a prescription order as required in A.R.S. § 32-1964, a pharmacist or pharmacy or graduate intern who administers an immunization or vaccine listed in A.A.C. R9-6-1301 shall comply with the recordkeeping requirements of subsection (F)(1).

Save as PDF Back to Laws