Wyo. Code R. 059-0001-16
Pharmacy, Board of
Chapter 16: Immunization Regulations
Effective Date: 07/01/2020 to 06/16/2021
Rule Type: Superceded Rules & Regulations
Reference Number: 059.0001.16.07012020
These rules are promulgated as authorized by the Wyoming Pharmacy Act W.S. § 33-24-157.
(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 for the purpose of this Chapter those adults eighteen (18) 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.
(d) 'High Risk Minors' means for the purpose of this Chapter 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 as allowed by this Chapter for whom a physician has issued a prescription authorizing a pharmacist to dispense and administer an immunization.
(e) 'Private Space' means a physical area separate from the pharmacy that is no less than 48 square feet and has a partition at least six (6) feet tall to ensure patient safety and confidentiality. The partition cannot be a curtain.
(a) Prior to prescribing or administering immunizations a pharmacist shall submit an application supplied by the Board and pay a $10.00 fee.
(i) The Board shall issue a registration to the pharmacist if they meet all of the requirements to prescribe and administer immunizations;
(ii) Registrations shall expire on December 31 of each year;
(iii) Registrations shall be renewed annually;
(iv) Renewal applications will be mailed by the Board annually on or about November 1.
(b) Prior to administering immunizations, a pharmacy intern shall submit an application supplied by the Board and pay a $10.00 fee.
(i) The Board shall issue a registration to the pharmacy intern if they meet all of the requirements to administer immunizations;
(ii) Registrations shall expire on September 30 of each year;
(iii) Registrations shall be renewed annually;
(iv) Renewal applications will be mailed by the Board annually on or about
August 1.
(a) A pharmacist shall meet the following qualifications to prescribe and administer immunizations:
(i) Register with the Board to prescribe and administer immunizations;
(ii) Successfully complete:
(A) The American Pharmacists Association’s (APhA) immunization training certification program entitled “Pharmacy-Based Immunization Delivery” or;
(B) The Washington State Pharmacy Association’s immunization training certification program entitled “Vaccinating Adults and Adolescents: An Immunization Program Practicum Session” or;
(C) Other equivalent training certification program approved by the Board.
(iii) Successfully complete training specific to administering vaccines to the pediatric population if they will be administering to minors;
(iv) Hold a current certification in basic life support (BLS) offered by the American Heart Associations or the American Red Cross; and
(v) Complete 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 (ACPE).
(b) It is unprofessional conduct for a pharmacist to prescribe or administer an immunization, who is not in compliance with this Chapter.
(c) A pharmacy intern shall meet the following qualifications to administer immunizations:
(i) Register with the Board to administer immunizations;
(ii) Successfully complete:
(A) The American Pharmacists Association’s (APhA) immunization training certification program entitled “Pharmacy-Based Immunization Delivery” or;
(B) The Washington State Pharmacy Association’s immunization training certification program entitled “Vaccinating Adults and Adolescents: An Immunization Program Practicum Session” or;
(C) Other equivalent training certification program approved by the Board.
(iii) Successfully complete training specific to administering vaccines to the pediatric population if they will be administering to minors;
(iv) Hold a current certification in basic life support (BLS) offered by the American Heart Association or the American Red Cross; and
(d) A pharmacy intern who is registered to administer immunizations shall do so under the direct supervision of the pharmacist who is registered to administer immunizations.
(a) Vaccines which a pharmacist may prescribe and administer to a healthy adult or healthy minor or may be administered by a prescription of a physician for high risk adults or high risk minors shall include all those included in the following documents incorporated by reference:
(i) The CDC Recommended Adult Immunization Schedule incorporated by reference in this Chapter of these rules is the 2019 United States CDC Recommended Adult Immunization Schedule for Ages 19 Years or Older as existing on September 12, 2019. Copies of this document can be obtained from the Board at 1712 Carey Avenue, Suite 200, Cheyenne, Wyoming, 82002.
(ii) The CDC Recommended Child and Adolescent Immunization Schedule incorporated by reference in this Chapter of these rules is the 2019 United States CDC Recommended Child and Adolescent Immunization Schedule for Ages 18 and Younger as existing on September 12, 2019. Copies of this document can be obtained from the Board at 1712 Carey Avenue, Suite 200, Cheyenne, Wyoming, 82002.
(iii) For any code, standard, rule or regulation by reference in these rules:
(A) 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;
(B) 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;
(C) 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.
(b) Parental or legal guardian consent shall be required for all minors receiving a vaccination. The parent or legal guardian shall be present during the administration.
(c) 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," or "Recommended Immunization Schedule for Persons Aged 0 Through 18 Years," including the footnotes provided for each schedule, shall be utilized by the pharmacist when considering the eligibility of a healthy individual to receive an immunization. The latest notice from CDC may be found at CDC's website (http://www.cdc.gov).
(d) Pharmacists shall utilize the manufacturer's package insert for indications, contraindications, adverse reactions, dosing, route of administration, specifics regarding administration, and storage requirements for each specific immunization authorized by this Chapter.
(e) All immunizations shall be administered with the individual receiving the vaccine seated in a chair with back support.
(f) 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; and
(ii) A recommendation that the patient stays in the vicinity for fifteen (15) minutes; and if the patient chooses not to stay, the pharmacist has discussed how to seek treatment for side effects should they occur.
(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 the immunization is employed.
(a) A pharmacist authorized to prescribe and administer immunizations may administer epinephrine in the management of an acute allergic reaction to an immunization. The pharmacist shall follow guidelines as outlined in the American Pharmacists Association’s (APhA) or Washington State Pharmacy Association’s immunization training certification program.
(b) A pharmacist shall post a protocol as outline in APhA’s or Washington State Pharmacy Association’s immunization training certification program in the private space or maintain a handout within the emergency kit. The emergency kit must be maintained and readily retrievable to manage an acute allergic reaction to a vaccine administered.
(a) Vaccines may be administered by a pharmacist at a site away from the pharmacy if proper storage, transportation and disposal of vaccines and supplies are followed.