Wyo. Code R. 059-0001-16
Pharmacy, Board of
Chapter 16: Immunization Regulations
Effective Date: 08/31/2023 to Current
Rule Type: Current Rules & Regulations
Reference Number: 059.0001.16.08312023
These rules are promulgated as authorized by the Wyoming Pharmacy Act W.S. § 33-24-101 et. seq.
(a) 'Healthy Adults' means those individuals who are eighteen (18) years of age or older and have no absolute contraindications to receive immunizations allowed by this Chapter.
(b) 'Healthy Minor' means those individuals who are seven (7) years of age or older but have not attained the age of eighteen (18) years old and have no absolute contraindications to receive immunizations allowed by this Chapter.
(c) 'High Risk Adults' means those adults eighteen (18) years of age or older who may have an absolute or relative contraindication to receive immunizations for whom a physician has issued a prescription authorizing a pharmacist to dispense and administer an immunization.
(d) 'High Risk Minors' means those individuals seven (7) years of age or older but who have not attained the age of eighteen (18) who may have an absolute or relative contraindication to receive immunizations for whom a physician has issued a prescription authorizing a pharmacist to dispense and administer an immunization.
(a) A pharmacist shall meet the following qualifications to prescribe and administer and a pharmacy intern shall meet the following qualifications to administer immunizations:
(i) Successfully complete:
(A) The American Pharmacists Association's (APhA) immunization training certification program entitled 'Pharmacy-Based Immunization Delivery' or
(B) Other immunization training certification program accredited by ACPE specific to pharmacists.
(ii) Hold a current certification in basic cardiopulmonary resuscitation (CPR).
(iii) A copy of the training and CPR certification shall be maintained and readily retrievable.
(b) A registered pharmacy technician shall meet the following qualifications to administer immunizations:
(i) Successfully complete:
(A) The American Pharmacists Association’s (APhA) immunization training certification program entitled “Pharmacy-Based Immunization Administration by Pharmacy Technicians” or
(B) Other immunization training certification program accredited by ACPE specific to pharmacy technicians.
(ii) Hold a current certification in basic cardiopulmonary resuscitation (CPR).
(iii) A copy of the training and CPR certification shall be maintained and readily retrievable.
(c) Pharmacists and pharmacy technicians shall complete a minimum of one (1) hour of continuing education related to immunizations annually. The continuing education must be by a provider approved by the Accreditation Council for Pharmacy Education (ACPE).
(d) It is unprofessional conduct for a pharmacist to prescribe and administer or a pharmacy intern or registered pharmacy technician to administer immunizations who is not in compliance with this Chapter.
(e) A pharmacy intern or pharmacy technician who is qualified to administer immunizations shall do so under the supervision of the pharmacist who is also qualified to administer immunizations.
(a) Pharmacists shall utilize the manufacturer’s package insert for indications, contraindications, adverse reactions, dosing, route of administration, specifics regarding administration, and storage requirements for immunizations when prescribing, administering, and supervising the administration of vaccines.
(b) Parental or legal guardian consent shall be required for all minors receiving a immunization. The parent or legal guardian shall be present during the administration.
(c) A current Vaccine Information Statement, as provided by the CDC, shall be provided to each person receiving an immunization for each immunization administered. The Vaccine Information Statement is available from the CDC's website (http://www.cdc.gov).
(a) An Immunization Questionnaire and Consent Form shall be completed for each individual receiving and immunization. The consent form shall include:
(i) Documentation that the pharmacist has discussed the side effects with the patient, including seeking treatment for side effects if they occur; and
(ii) A recommendation that the patient stays in the vicinity for fifteen (15) minutes after immunization administration.
(b) The Immunization Questionnaire and Consent Form shall be filed in a manner that will allow timely retrieval and shall be on file for two (2) years. All records shall be maintained in the pharmacy where the pharmacist who administered or provided supervision for the immunization is employed at the time the immunization is administered.
(a) A pharmacist authorized to prescribe and administer immunizations and a pharmacy intern or pharmacy technician authorized to administer immunizations may administer epinephrine in the management of an acute allergic reaction to an immunization. The pharmacist, pharmacy intern, or pharmacy technician shall follow the Advisory Committee on Immunization Practices (ACIP) Preventing and Managing Adverse Reactions General Best Practice Guidelines for Immunization. The ACIP Preventing and Managing Adverse Reactions General Best Practice Guidelines for Immunization incorporated by reference in this Chapter of these rules is the Vaccine Recommendations and Guidelines of the ACIP Preventing and Managing Adverse Reactions as existing on the effective date of this chapter. Copies of this document can be obtained from the Board at 1712 Carey Avenue, Suite 200, Cheyenne, Wyoming, 82002.
(b) The pharmacy shall post ACIP's Preventing and Managing Adverse Reactions in the private space or maintain a handout within the emergency kit. The emergency kit shall be maintained and immediately available to manage an immunization-related acute allergic reaction.
(a) The space to provide immunizations must provide reasonable privacy for the patient and be of capacity to perform CPR and any other life-saving measures necessary in the event of an immunization-related emergency.
(b) Immunizations may be administered by a pharmacist, or by a pharmacy intern or pharmacy technician under a qualified pharmacist's supervision at a site away from the pharmacy if proper storage, transportation and disposal of immunizations and supplies are followed.
(a) For any code, standard, rule or regulation incorporated by reference in these Rules:
(i) The Board has determined that incorporation of the full text in these rules could be cumbersome or inefficient given the length or nature of the rules;
(ii) The incorporation by reference does not include any later amendments or editions of the incorporated matter beyond the applicable date identified in subsection (ii) of this section;
(iii) The incorporated codes, standards, rules or regulations are maintained at 1712 Carey Avenue, Suite 200, Cheyenne, Wyoming 82002 and are available for public inspection any copying at cost as the same location.