Wyo. Code R. 059-0001-16
Pharmacy, Board of
Chapter 16: Immunization Regulations
Effective Date: 12/05/2006 to 01/17/2007
Rule Type: Superceded Rules & Regulations
Reference Number: 059.0001.16.12052006
Section 1. These regulations are promulgated as authorized by W.S. 33-24-157.
Section 2. Definitions.
(a) "Healthy Adults" means for the purpose of this chapter those individuals who are nineteen (19) years of age or older and have no absolute contraindications to receive immunizations allowed in this chapter.
(b) "High Risk Adults" means for the purpose of this chapter those adults nineteen (19) years of age or older who may have an absolute or relative contraindication to receive immunizations as allowed by this chapter for whom a physician has issued a prescription authorizing a pharmacist to dispense and administer an immunization. Only those pharmacists that meet the qualifications of this chapter may administer an immunization to a high risk adult.
(c) "Immunizations" means for the purpose of this chapter those vaccines which a pharmacist may prescribe or administer to healthy adults or those vaccines which may be administered on a specific order of a physician for high risk adults and shall be restricted to the following vaccines:
Section 3. Qualifications.
(a) A pharmacist licensed by the board may prescribe and administer immunizations to healthy adults or administer immunizations to high risk adults authorized by a physician provided the pharmacist has:
(ii) Successfully completed the American Pharmaceutical Association's (APhA) immunization training certification program entitled "Pharmacy-Based Immunization Delivery" or the Washington State Pharmacy Association's immunization training certification program entitled "Vaccinating Adults and Adolescents: An Immunization Program Practicum Session";
(iii) Current certification in basic cardiopulmonary resuscitation (CPR) offered by the American Heart Association or the American Red Cross; and
(iv) Completed a minimum of one (1) contact hour (0.1 CEU) of continuing education related to immunizations annually. The continuing education must be by a provider approved by the Accreditation Council for Pharmacy Education (A.C.P.E.).
(b) It is unprofessional conduct for a pharmacist, to prescribe or administer an immunization, who is not in compliance with this Chapter.
Section 4. Registration
(a) Prior to prescribing or administering immunizations a pharmacist shall submit an application supplied by the board and a $10.00 fee. Provided all requirements of Section 3(a) have been met, the board shall issue a registration. Registrations shall expire on December 31 of each year.
(b) Renewal applications will be mailed by the board annually on or about November 1st.
(c) A pharmacist may not prescribe or administer an immunization unless currently registered with the board under this Chapter.
Section 5. Immunizations
(a) Immunizations authorized by this Chapter shall be prescribed in accordance with the latest notice from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). Specifically, CDC's "Recommended Adult Immunization Schedule, by Vaccine and Age Group" and "Recommended Adult Immunization Schedule, by Vaccine and Medical and Other Indications", including the footnotes provided for each schedule, shall be utilized by the pharmacist when considering the eligibility of a healthy adult to receive an immunization. The latest notice from CDC may be found at CDC's website (http://www.cdc.gov) or (http://www.cdc.gov/nip/recs/adult-schedule-bw.pdf)
(b) In addition to the requirements of Section 5(a) of this chapter, the pharmacist shall utilize the manufacturer's package insert for indications, contraindications, adverse reactions, adult dosing, route of administration, specifics regarding administration, and storage requirements for each specific immunization authorized by this chapter.
Section 6. Vaccine Information Statement.
A current Vaccine Information Statement, as provided by CDC, shall be provided to each person receiving an immunization for each immunization administered. The Vaccine Information Statement is available from CDC's website (http://www.cdc.gov) or (http://www.cdc.gov/nip/publications/VIS/default.htm)
Section 7. Record-keeping.
(a) An Immunization Questionnaire and Consent Form, as provided by the board, shall be completed for each person receiving an immunization. Two (2) copies shall be provided to the patient. (b) The Immunization Questionnaire and Consent Form shall be filed in a manner that will allow timely retrieval. All records shall be maintained in the pharmacy where the pharmacist who administered the immunization is employed. (c) The Immunization Questionnaire and Consent Form shall be kept on file for a time period not less than six (6) years from the date of the immunization.
Section 8. Emergencies.
(a) A pharmacist authorized to prescribe and administer immunizations under this chapter may administer auto-inject epinephrine in the management of an acute allergic reaction to an immunization following guidelines issued by the American Pharmacy Association's (APhA) or Washington State Pharmacy Association's immunization training certification program. (b) A pharmacist shall post a protocol as outlined in APhA's or Washington State Pharmacy Association's immunization training certification program and maintain an emergency kit which is readily retrievable to manage an acute allergic reaction to an immunization administered.
"Emergency rules are no longer in effect 120 days after filing with the Secretary of State"