Wyo. Code R. 059-0001-16
Pharmacy, Board of
Chapter 16: Immunization Regulations
Effective Date: 01/16/2014 to 05/16/2017
Rule Type: Superceded Rules & Regulations
Reference Number: 059.0001.16.01162014
Section 1. Authority.
These regulations are promulgated as authorized by W.S. 33-24-157.
Section 2. Definitions.
(a) "Healthy Adults" means those individuals who are eighteen (18) years of age or older and have no absolute contraindications to receive immunizations allowed in this chapter.
(b) "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 in 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. Only those pharmacists that meet the qualifications of this chapter may administer an immunization to a high risk adult.
(d) "Immunizations" means treatment by vaccination of an organism for the purpose of making it immune to a particular pathogen.
(e) "Private Space" means a physical area separated from the pharmacy that is no less than 48 square feet and has at least an 6 feet tall partition to ensure patient safety and confidentiality. The partition cannot be a curtain. The requirement for private space will be in effect on July 20, 2014.
(f) "Vaccine" means a preparation of killed microorganisms, toxoids, living attenuated organisms, or living fully virulent organisms, that is administered to produce or artificially increase immunity to a particular disease.
Section 3. Adults (age 18 and older)
(a) Vaccines which a pharmacist may prescribe and administer to healthy adults or may be administered by a prescription of a physician for high risk adults shall be restricted to:
(v) Measles, mumps, rubella (MMR) (vi) Meningococcal (vii) Pneumococcal (Polysaccharide) (viii) Tetanus, diphtheria, pertussis (Td, Tdap) (ix) Varicella (x) Zoster
Section 4. Minors (age 7 through 17).
(a) Vaccines which a pharmacist may prescribe and administer to a minor shall be restricted to:
(iv) Influenza
(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.
Section 5. Qualifications.
(a) A pharmacist licensed by the Board may prescribe and administer immunizations to healthy individuals, age 7 years of age and older, or administer immunizations to high risk adults authorized by a physician provided the pharmacist has:
(i) Registered with the board to prescribe and administer immunizations;
(ii) Successfully completed the American Pharmacists 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) Successfully completed training specific to administering vaccines to the pediatric population if they will be administering to minors.
(iv) Current certification in healthcare cardiopulmonary resuscitation (CPR) offered by the American Heart Association or the American Red Cross; and
(v) 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 (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 who is registered to administer immunizations must do so under the direct supervision of the pharmacist who is registered to administer immunizations.
(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 this Chapter 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.
(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', 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).
(b) In addition to the requirements of this Chapter, the pharmacist 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.
(c) All immunizations shall be administered with the individual receiving the vaccine seated with back support. Section 8. 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).
(a) An Immunization Questionnaire and Consent Form shall be completed for each individual receiving an immunization. Two (2) copies shall be provided to the patient. Patients shall be instructed to send one copy to their medical provider. The consent form shall include:
(i) Documentation that the pharmacist has discussed the side effects with the patient;
(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 a time period not less than six (6) 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 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 Pharmacists 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 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, in addition to all other requirements of this chapter.
(b) The sponsoring organization shall keep the records of administration for a period of not less than six (6) years.