Current through Register Vol. 30, No. 38, September 20, 2024
A. Authorization to administer immunizations,
vaccines, and emergency medications, as defined at A.R.S. §
32-1974(N),
to an eligible adult patient or eligible minor patient. As used in this
Section, "eligible adult patient" means an eligible patient 13 years of age or
older and "eligible minor patient" means an eligible patient at least three
years of age but less than 13 years of age. A pharmacist or an intern in the
presence of and under the immediate personal supervision of a pharmacist may
administer, without a prescription, immunizations, vaccines, and emergency
medications to an eligible adult patient or eligible minor patient, if:
1. Both the pharmacist and intern meet the
qualifications and standards specified by A.R.S. §
32-1974
and this Section;
2. The Board
authorizes both the pharmacist and intern as specified in subsection
(D);
3. For an eligible adult
patient, the immunization or vaccine is:
a.
Recommended for adults by the United States Centers for Disease Control and
Prevention; or
b. Recommended by
the United States Centers for Disease Control and Prevention's Health
Information for International Travel;
4. For an eligible adult patient, the
immunization or vaccine is not on the Arizona Department of Health Services
list specified in A.A.C.
R9-6-1301
as required under A.R.S. §
32-1974(I);
5. For an eligible minor patient, the
immunization or vaccine is for influenza or a booster dose as described under
A.R.S. §
32-1974(B)(2);
and
6. For an eligible minor
patient, any immunizations or vaccines other than influenza or a booster dose
as described under A.R.S. §
32-1974(B)(2)
are administered in response to a public
health emergency declared by the Governor under A.R.S. §
36-787.
B. A pharmacist or an intern in
the presence of and under the immediate personal supervision of a pharmacist,
may administer, with a prescription, any immunizations, vaccines, and emergency
medications to an eligible adult patient or eligible minor patient, if:
1. Both the pharmacist and intern meet the
qualifications and standards specified by A.R.S. §
32-1974
and this Section; and
2. The Board
authorizes both the pharmacist and intern as specified in subsection
(D).
C. A pharmacist or
intern who is authorized to administer immunizations, vaccines, and emergency
medications to an eligible adult patient or eligible minor patient shall:
1. Not delegate the authority to any other
pharmacist, intern, or employee not specifically authorized by rule;
and
2. Maintain their current
certificate for inspection by the Board or its designee or review by the
public.
D. Qualifications
to administer immunizations, vaccines, and emergency medications to an eligible
adult patient or eligible minor patient. After receipt of a completed
application form, the Board shall authorize the administration of
immunizations, vaccines, and emergency medications to an eligible adult patient
or eligible minor patient by a pharmacist or intern who meets the following
qualifications:
1. Has a current license to
practice pharmacy in this state,
2.
Successfully completes a training program specified in subsection (E),
and
3. Has a current certificate in
basic cardiopulmonary resuscitation.
E. Immunizations training program
requirements. A training program for pharmacists or interns to administer
immunizations, vaccines, and emergency medications to an eligible adult patient
or eligible minor patient shall include the following courses of study:
1. Basic immunology and the human immune
response;
2. Mechanics of immunity,
adverse effects, dose, and administration schedule of available
vaccines;
3. Response to an
emergency situation as a result of the administration of an immunization,
vaccine, or medication including administering an emergency medication to
counteract the adverse effects of the immunization, vaccine, or medication
given;
4. Administration of
intramuscular injections;
5. Other
immunization administration methods; and
6. Recordkeeping and reporting requirements
specified in subsection (F).
F. Recordkeeping and reporting requirements.
1. A pharmacist or intern authorized under
this Section to administer immunizations, vaccines, and emergency medications
to an eligible patient shall provide to the pharmacy the following information
and documentation regarding each immunization, vaccine, or emergency medication
administered:
a. The name, address, and date
of birth of the patient;
b. The
date of administration and site of injection;
c. The name, dose, manufacturer's lot number,
and expiration date of the vaccine, immunization, or emergency
medication;
d. The name and address
of the patient's identified primary-care provider or physician;
e. The name of the pharmacist or intern
administering the immunization, vaccine, or emergency medication;
f. A record of the pharmacist's or intern's
consultation with the patient determining that the patient is an eligible
patient as defined in
R4-23-110;
g. Consultation or other professional
information provided to the patient by the pharmacist or intern;
h. The name and date of the immunization or
vaccine information sheet provided to the patient; and
i. For an immunization or vaccine given to an
eligible minor patient, a consent form signed by the minor's parent or
guardian.
2. As required
under A.R.S. §
32-1974(F)(1),
the pharmacist or intern shall provide a written or electronic report to the
patient's primary-care provider or physician containing the documentation
required in subsection (F)(1)(a) through (d). The pharmacy shall document the
time and date the report is sent and make the record of compliance with this
subsection available in the pharmacy or on request, within 72 hours, for
inspection by the Board or its designee.
3. A pharmacy's pharmacist-in-charge or
permittee shall maintain the records required in subsection (F)(1) in the
pharmacy or database for a minimum of seven years from the administration
date.
G. Confidentiality
of records. A pharmacist, intern, pharmacy permittee, or pharmacist-in-charge
shall comply with applicable state and federal privacy statutes and rules when
releasing patient health information.
H. Pharmacist-administered or
intern-administered adult immunizations that require a prescription order. A
pharmacist or intern authorized by the Board to administer adult immunizations
or vaccines shall not administer any immunization or vaccine listed in A.A.C.
R9-6-1301
without a prescription order. In addition to filing a prescription order as
required in A.R.S. §
32-1964,
a pharmacist or pharmacy intern who administers an immunization or vaccine
listed in A.A.C.
R9-6-1301
shall comply with the recordkeeping requirements of subsection
(F)(1).
