4729-5-38 Immunization and vaccine administration.

(A) A pharmacist or pharmacy intern acting under the direct supervision of a pharmacist may administer in accordance with section 4729.41 of the Revised Code the following:

(1) Any immunization or vaccine that is included in either of the following schedules and is administered according to those schedules:

(a) The immunization schedule for persons aged zero through eighteen years recommended by the advisory committee on immunization practices of the centers for disease control and prevention in the United States department of health and human services (8/17/2015).

(b) Except as listed in paragraph (A)(2) of this rule, the adult immunization schedule recommended by the advisory committee on immunization practices of the centers for disease control and prevention in the United States department of health and human services (8/17/2015).

(2) The zoster vaccine according to the age criteria specified in the F.D.A. approved labeling.

(3) Except as provided in paragraphs (A)(4) and (A)(5) of this rule, any other immunization or vaccine recommended by the advisory committee on immunization practices of the centers for disease control and prevention in the United States department of health and human services if administered in accordance with the recommendations adopted by the committee.

(4) The rabies vaccine for post exposure if all the following are met:

(a) A pharmacist or pharmacy intern does not provide the initial dose of the rabies post exposure vaccine;

(b) Follow-up doses are administered pursuant to a prescription issued by a prescriber; and

(c) The follow-up doses are administered in accordance with recommendations adopted by the advisory committee on immunization practices of the centers for disease control and prevention in the United States department of health and human services (8/17/2015).

(5) The requirements listed in paragraph (A)(4) of this rule do not apply to the rabies vaccine for preexposure if administered in accordance with recommendations adopted by the advisory committee on immunization practices of the centers for disease control and prevention in the United States department of health and human services (8/17/2015).

(B) A pharmacist or pharmacy intern shall obtain informed consent to administer an immunization or vaccination pursuant to paragraph (O) of rule 4729-5-27 of the Administrative Code.

(C) A pharmacist or pharmacy intern shall comply with the vaccine information statement requirements of the National Vaccine Childhood Injury Act, 42 U.S.C. Section 300aa-26 (8/17/2015).

(D) A pharmacist or pharmacy intern who engages in the administration of an immunization or vaccination shall do so in accordance with rules 4729-5-36 and 4729-5-37 of the Administrative Code.

(E) An immunization or vaccine specified in this rule shall not be administered to any individual who is less than thirteen years of age, except in the following situations:

(1) The immunization for influenza is administered to individuals who are seven years of age or older; or

(2) Pursuant to a prescription from a licensed prescriber, an immunization or vaccine is administered to individuals who are seven years of age or older but not more than thirteen years of age.

(F) For each immunization administered to an individual by a pharmacist or pharmacy intern, other than an immunization for influenza administered to an individual eighteen years of age or older, the pharmacist or pharmacy intern shall notify the individual's family physician or, if the individual has no family physician, the board of health of the health district in which the individual resides or the authority having the duties of a board of health for that district under section 3709.05 of the Revised Code. The notice shall be given not later than thirty days after the immunization is administered.

Replaces: 4729-5-38

Effective: 10/5/2015
Five Year Review (FYR) Dates: 10/05/2020
Promulgated Under: 119.03
Statutory Authority: 4729.26, 4729.41
Rule Amplifies: 4729.41
Prior Effective Dates: 6/21/09, 5/22/14, 6/9/14 (Emer), 8/22/14