Pharmacist Immunization Authority

Every state allows pharmacists to administer immunizations, but laws vary in the details of that authorization. There are two main questions to consider when looking at pharmacist vaccination authority by state:

1. Can pharmacists administer the vaccine? Several states have restrictions on which vaccines the pharmacist can administer and/or age limitations on who the pharmacist can vaccinate.
2. Does a patient need a prescription? The pharmacist’s authority to prescribe vaccines and/or administer a vaccine without a patient-specific prescription from another healthcare provider can vary by vaccine or patient age for each state.

The charts and interactive maps below provides a visual representation of pharmacist immunization authority in each state. A PDF version of this information is also available below. Included in the updated PDF version is a map specific to pharmacist authority to administer monkeypox vaccines to adults (18+). 

Updated Pharmacist Immunization Authority Report – August 2022

*Note: Under temporary federal PREP Act authority, pharmacists are able to order/prescribe and administer, and pharmacy interns and pharmacy technicians are able to administer, all routine childhood immunizations and COVID-19 vaccines to ages 3 and older and influenza vaccines to ages 19 and older. For more information, please see our COVID-19: Federal PREP Act Actions page. 

 

Outside Support/Publications

• The American Journal of Managed Care: The Essential Role of Community Pharmacies in Expanding Access to Vaccines
• Pharmacy Times: The Value of Pharmacy Immunization
• Revcycle Intelligence: Shifting Vaccinations to the Pharmacy Lowers Healthcare Costs

CPE Opportunities 

• CDC recommended vaccine-related courses
• APhA Immunization Delivery Certificate
• Pediatric Vaccine Refresher for Pharmacists

Other Resources

• PREP Act Amendments and Declarations
• American Disease Prevention Coalition
• Explanation of HHS declaration from APhA
• Immunize.org
• Adult Immunization NEHI brief

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