Immunizations Administered by Pharmacists

All of the following information is derived from TITLE 15, LEGISLATIVE RULE, WEST VIRGINIA BOARD OF PHARMACY; SERIES 12, BOARD OF PHARMACY RULES REGARDING IMMUNIZATIONS ADMINISTERED BY PHARMACISTS. (West Virginia Board of Pharmacy Rules Regarding Immunizations Administered by Pharmacists)

What Immunizations/Vaccines am I allowed to perform by law?

Will my Immunization training be accepted by the West Virginia Board of Pharmacy?

Will my CPR training meet the set requirements?

Will I need any continuing education courses to obtain or maintain my Immunization Permit?

Where do I obtain an application for a new Immunization Permit?

Where do I obtain an application for a renewal Immunization Permit?

What are the fees associated with obtaining an Immunization Permit?

Can Registered Interns perform Immunizations/Vaccines?

Can I fax my Immunization Permit Application?

Can credit card/phone payments be made?

Immunizations” means, for the purpose of this rule, the vaccines specifically listed in this subsection which a pharmacist may administer to any person eighteen years of age or older, including:

  • Influenza;

  • Pneumonia;

  • Hepatitis A;

  • Hepatitis B;

  • Herpes Zoster;

  • Tetanus, tetanus-diphtheria (commonly referred to as “Td”), or tetanus-diphtheria-and-pertussis (commonly referred to as “Tdap”) ; and

  • Meningococcal.


Qualifications:

A pharmacist licensed by the Board may administer immunizations to any person eighteen years of age or older provided the pharmacist has met all of the following requirements:

  • Registered with the board to administer immunizations;

  • Successfully completed the American Pharmacists Association's (APhA) immunization training program, or such other immunization training course as may be approved by the Board, which courses must be based on the standards established for immunization training by the Centers for Disease Control and Prevention in the public health service of the United States Department of Health and Human Services. The following are currently approved immunization training courses accepted by The West Virginia Board Of Pharmacy:

    • American Pharmacist Association (APhA)

    • University of Findlay School of Pharmacy

    • University of Florida School of Pharmacy

    • University of Connecticut School of Pharmacy

    • North Eastern University School of Pharmacy

    • Ohio Pharmacist Association

  • Upon renewal of an existing Immunization Permit a minimum of two (2) hours annually of continuing education related to immunizations is required. The continuing education must be by a provider approved by the Accreditation Council for Pharmacy Education (A.C.P.E.). (Example: If applying for a one (1) year Immunization Permit, two (2) hours CE will be required. If applying for a two (2) year Immunization Permit, four (4) hours CE will be required. When applying for your immunization permit your current RPh license expiration date will determine if you apply for a one (1) year permit or a two (2) year permit. Proof of continuing education is only due upon renewal of Immunization Permits.

  • Initial Immunization Applications will not require the two (2) or four (4) hours of Continuing Education but instead proof of the approved Immunization Training Program.

  • It is unprofessional conduct for a pharmacist to administer an immunization, who is not in compliance with this rule.


Registration:

Prior to administering immunizations a pharmacist shall submit an application supplied by the Board for review and approval of the Board, providing that all of the requirements of Section 3.1 have been met. The application must be submitted along with a required fee of $10.00 (per year being applied). Provided all requirements of Section 3.1 have been met and the required fee is received, the Board shall issue a registration to administer immunizations. Registrations shall expire bi-annually on June 30 of year in which the pharmacist’s license to practice pharmacy expires. (Example: If your RPh license will expire the upcoming June 30th you will be applying for a one (1) year Immunization Permit which requires a $10 fee. If your RPh license will expire in the following June 30th you will be applying for a two (2) year Immunization Permit which requires a $20 fee.)

All applications must be received by mail or in person. Payment is due upon receipt of application. If application is received without payment (via fax) the application will be sent back to sender and not be processed. Payment and application must be received together.

The West Virginia Board of Pharmacy only accepts payments via check or money order; therefore, phone payments/credit cards will not be accepted. All checks or money orders should be made payable to The West Virginia Board of Pharmacy.

A pharmacist may not administer an immunization unless currently registered with the Board to do so under this rule. Further, such registration must be posted conspicuously at any location at which the registered pharmacist is doing any administration.


Immunizations:

Immunizations authorized by this rule shall be administered:

In accordance with definitive treatment guidelines for immunizations promulgated by the latest notice from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), including, but not limited to, CDC's "Recommended Adult Immunization Schedule, by Vaccine and Age Group" and "Recommended Adult Immunization Schedule, by Vaccine and Medical and Other Indications", including the footnotes provided for each schedule.

  • May be done in accordance with a proper order from a properly authorized practitioner.

  • Administration must be done in accordance with the training required by Section 3.1.b of this Series, including, but not limited to indications, contraindications, route of administration, sanitary environment for administration, specifics regarding administration, and storage requirements for each specific immunization authorized by this rule;

  • Administration must include implementation of the CDC’s recommended appropriate observation for an adverse reaction of an individual following an immunization.

  • Under no circumstances may a pharmacist delegate his or her authority to administer immunizations to any other person, including but not limited to, any pharmacy technician.

  • A current Vaccine Information Statement, as provided by CDC, shall be provided to each person receiving an immunization for each immunization administered.


Record-keeping and reporting:

  • An immunization questionnaire and consent form shall be completed for each person receiving an immunization. A record of the immunization administration shall be forwarded to the primary care physician or other licensed health care provider as identified by the person receiving the immunization, within not more than 30 days of the date of the administration. In the event that the patient affirmatively indicates in writing that he or she does not have a primary care physician or other health care provider to whom to forward the report, the pharmacist must document such in the immunization record, and provide a record of the immunization administration to the patient.

  • In addition, the pharmacist must report the administration of the patient immunization to the West Virginia Statewide Immunization Information (WVSII) database in the format and containing such information as may be required by the WVSII within not more than 30 days of the date of the administration.

  • The immunization questionnaire and consent form and record of the immunization administration shall be filed in the pharmacy in a manner that will allow timely retrieval, and shall be kept on file for a time period not less than five (5) years from the date of the immunization. All such records shall be maintained in the pharmacy where the immunization is administered. In the event it is administered off-site, then the records shall be maintained in the pharmacy where the pharmacist who administered the immunization is employed at the time the immunization is given.

  • Pharmacists shall report all adverse events to the Vaccine Adverse Events Reporting System (VAERS), and promptly provide a copy of all reports to the Board of Pharmacy, the West Virginia Department of Health and Human Resources Bureau for Public Health, Office of Epidemiology and Prevention Services, Division of Immunization Services, and the patient’s identified primary care physician or other licensed health care provider as identified by the person receiving the immunization. VAERS is a national vaccine safety surveillance program co-sponsored by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA).


Interns and Immunizations:

Properly Certified Pharmacy Interns May Give Immunizations

The statute was amended to allow for interns to be permitted to administer them, subject to the rules.

The Board, with the assistance of practicing pharmacists and the three schools of pharmacy in the state, drafted amendments to the rules to incorporate interns, including requirements for their training and credentialing. These were forwarded to the Boards of Medicine and Osteopathic Medicine for their review. The Board of Medicine asked for an amendment that would require the intern be under the “personal supervision” of the supervising immunizing pharmacist, rather than “direct supervision”. This requires the pharmacist to be physically present with the intern when the immunization is actually administered by the intern. The Board of Osteopathic Medicine also reviewed the proposal and asked for a few minor amendments. The rules were finalized and became effective May 17, 2015.

So, pharmacists who hold an immunizing pharmacist permit, and properly trained and certified interns under their personal supervision, can now do immunizations for influenza, pneumococcal hepatitis A, hepatitis B, herpes zoster, tetanus, tetanus-diphtheria, tetanus-diphtheria-and-pertussis, and meningococcal vaccines.

The rules now provide that a licensed pharmacy intern may perform all of the immunizations an immunizing pharmacist can administer so long as the intern has completed all of the same training and current certification required of a pharmacist and the intern is under the personal supervision of an immunizing pharmacist and to buy finasteride. The term “personal supervision” is defined as follows: “Personal supervision” means the supervising immunizing pharmacist is physically present in the room during the administration of a vaccine.” So, an intern who is properly trained and certified can get all of the paperwork ready and get the vaccine ready under the usual direct supervision, but the supervising immunizing pharmacist must be physically present in the same room and personally supervising the intern when the vaccine is actually administered to the patient.

While immunizing pharmacists get an immunizing pharmacist permit issued by the Board, the rules provide that interns must simply have their intern license, and then provide his or her supervising pharmacist a copy of the documentation that the intern has completed all of the training and current certification, and that the supervising pharmacist shall in turn maintain this documentation in the pharmacy where the pharmacist and intern who administers an immunization is employed at the time any immunization is administered by the intern.

<p align="center"><a name="_top"></a>
<font face="Arial, serif"><font size="4" style="font-size: 14pt"><b>Immunizations
Administered by Pharmacists</b></font></font></p>
<p align="center"><br/>
<br/>

</p>
<p align="justify"><font face="Arial, serif">All
of the following information is derived from TITLE 15, LEGISLATIVE
RULE, WEST VIRGINIA BOARD OF PHARMACY; SERIES 12, BOARD OF PHARMACY
RULES REGARDING IMMUNIZATIONS ADMINISTERED BY PHARMACISTS. (<a href="/C:%5CUsers%5CE025434%5CDesktop%5CBoard%20of%20Pharmacy%20Rules%20Regarding%20Immunizations%20Administered%20by%20Pharmacists.doc">West
Virginia Board of Pharmacy Rules Regarding Immunizations Administered
by Pharmacists</a>)</font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">What
Immunizations/Vaccines am I allowed to perform by law?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">Will
my Immunization training be accepted by the West Virginia Board of
Pharmacy?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">Will
my CPR training meet the set requirements?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><font face="Arial, serif"><a href="/">Will
I need any continuing education courses to obtain or maintain my
Immunization Permit?</a> </font>
</p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="http://wvbop.com/forms/immunization_application.pdf"><font face="Arial, serif">Where
do I obtain an application for a new Immunization Permit?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="http://wvbop.com/forms/license_renewal_for_immunization_report.pdf"><font face="Arial, serif">Where
do I obtain an application for a renewal Immunization Permit?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">What
are the fees associated with obtaining an Immunization Permit?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">Can
Registered Interns perform Immunizations/Vaccines?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">Can
I fax my Immunization Permit Application?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a href="/"><font face="Arial, serif">Can
credit card/phone payments be made?</font></a></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><font face="Arial, serif">    </font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a name="Immuniations"></a>
“<font face="Arial, serif">Immunizations” means, for the purpose
of this rule, the vaccines specifically listed in this subsection
which a pharmacist may administer to any person eighteen years of age
or older, including:</font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Influenza;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Pneumonia;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Hepatitis A;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Hepatitis B;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Herpes Zoster;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Tetanus, tetanus-diphtheria (commonly
    referred to as “Td”), or tetanus-diphtheria-and-pertussis
    (commonly referred to as “Tdap”) ; and   </font>
    </p>
</ul>
<p style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 115%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Meningococcal.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><font face="Arial, serif">Qualifications:</font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><font face="Arial, serif">    A
pharmacist licensed by the Board may administer immunizations to any
person eighteen years of age or older provided the pharmacist has met
all of the following requirements:</font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Registered with the board to administer
    immunizations;</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a name="Training"></a>
    <font face="Arial, serif">Successfully completed the <a href="http://www.pharmacist.com/pharmacy-based-immunization-delivery">American
    Pharmacists Association</a>'s (APhA) immunization training program,
    or such other immunization training course as may be approved by the
    Board,</font><font face="Arial, serif"> which courses must be based
    on the standards established for immunization training by the
    Centers for Disease Control and Prevention in the public health
    service of the United States Department of Health and Human
    Services.</font><font face="Arial, serif">  The following are
    currently approved immunization training courses accepted by The
    West Virginia Board Of Pharmacy:</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <ul>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">American Pharmacist Association (APhA)</font></p>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">University of Findlay School of Pharmacy</font></p>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">University of Florida School of Pharmacy</font></p>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">University of Connecticut School of
        Pharmacy</font></p>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">North Eastern University School of
        Pharmacy</font></p>
        <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
        <font face="Arial, serif">Ohio Pharmacist Association</font></p>
    </ul>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0in; line-height: 100%">
<br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a name="CPR"></a>
    <font face="Arial, serif">Maintains current certification in basic
    life-support training, including basic cardiopulmonary resuscitation
    (CPR).  We accept the CPR courses approved by the <a href="http://www.dhhr.wv.gov/bms/hcbs/idd/pages/training.aspx">DHHR,
    Bureau of Medical Services</a>, for Provider Training.  The
    following courses are accepted; <a href="http://www.heart.org/HEARTORG/CPRAndECC/FindaCourse/Find-a-Course_UCM_303220_SubHomePage.jsp">American
    Heart Association</a>, <a href="http://www.redcross.org/take-a-class">American
    Red Cross</a>, <a href="http://www.hsi.com/">American Health &amp;
    Safety Institute</a>, <a href="http://www.americancpr.com/">American
    CPR</a>, and <a href="http://www.nsc.org/pages/home.aspx">National
    Safety Council</a>. </font>
    </p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><a name="CEs"></a>
<br/>

</p>
<p style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Upon renewal of an existing Immunization
    Permit a minimum of two (2) hours annually of continuing education
    related to immunizations is required.  The continuing education must
    be by a provider approved by the <a href="https://www.acpe-accredit.org/">Accreditation
    Council for Pharmacy Education</a> (A.C.P.E.).  (Example: If
    applying for a one (1) year Immunization Permit, two (2) hours CE
    will be required.  If applying for a two (2) year Immunization
    Permit, four (4) hours CE will be required.  When applying for your
    immunization permit your current RPh license expiration date will
    determine if you apply for a one (1) year permit or a two (2) year
    permit.  Proof of continuing education is only due upon renewal of
    Immunization Permits.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Initial Immunization Applications will not
    require the two (2) or four (4) hours of Continuing Education but
    instead proof of the approved Immunization Training Program.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">It is unprofessional conduct for a
    pharmacist to administer an immunization, who is not in compliance
    with this rule.</font></p>
</ul>
<p align="justify"><br/>
<br/>

</p>
<p align="justify"><font face="Arial, serif">Registration:</font></p>
<p align="justify"><a name="Fee"></a>
<font face="Arial, serif">    Prior to administering immunizations a
pharmacist shall submit an application supplied by the Board for
review and approval of the Board, providing that all of the
requirements of Section 3.1 have been met. The application must be
submitted along with a required fee of $10.00 (per year being
applied). Provided all requirements of Section 3.1 have been met and
the required fee is received, the Board shall issue a registration to
administer immunizations. Registrations shall expire bi-annually on
June 30 of year in which the pharmacist’s license to practice
pharmacy expires.  (Example: If your RPh license will expire the
upcoming June 30</font><sup><font face="Arial, serif">th</font></sup><font face="Arial, serif">
you will be applying for a one (1) year Immunization Permit which
requires a $10 fee.  If your RPh license will expire in the following
June 30</font><sup><font face="Arial, serif">th</font></sup><font face="Arial, serif">
you will be applying for a two (2) year Immunization Permit which
requires a $20 fee.)</font></p>
<p align="justify"><a name="faxApp"></a>
<font face="Arial, serif">    All applications must be received by mail
or in person.  Payment is due upon receipt of application.  If
application is received without payment (via fax) the application
will be sent back to sender and not be processed.  Payment and
application must be received together.  </font>
</p>
<p align="justify"><a name="payment"></a>
<font face="Arial, serif">    The West Virginia Board of Pharmacy only
accepts payments via check or money order; therefore, phone
payments/credit cards will not be accepted.  All checks or money
orders should be made payable to The West Virginia Board of Pharmacy.</font></p>
<p align="justify"><font face="Arial, serif">    A
pharmacist may not administer an immunization unless currently
registered with the Board to do so under this rule.  Further, such
registration must be posted conspicuously at any location at which
the registered pharmacist is doing any administration.</font></p>
<p align="justify"><br/>
<br/>

</p>
<p align="justify"><font face="Arial, serif">Immunizations:</font></p>
<p align="justify"><font face="Arial, serif">    Immunizations
authorized by this rule shall be administered:</font></p>
<p align="justify"><br/>
<br/>

</p>
<p align="justify"><font face="Arial, serif">    In
accordance with definitive treatment guidelines for immunizations
promulgated by the latest notice from the <a href="http://www.hhs.gov/index.html">U.S.
Department of Health and Human Services</a>, <a href="http://www.cdc.gov/VACCINEs/">Centers
for Disease Control and Prevention (CDC</a>), including, but not
limited to, CDC's &quot;Recommended Adult Immunization Schedule, by
Vaccine and Age Group&quot; and &quot;Recommended Adult Immunization
Schedule, by Vaccine and Medical and Other Indications&quot;,
including the footnotes provided for each schedule.</font></p>
<p align="justify"><br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify">
    <font face="Arial, serif">May be done in accordance with a proper
    order from a properly authorized practitioner.</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify">
    <font face="Arial, serif">Administration must be done in accordance
    with the training required by Section 3.1.b of this Series,
    including, but not limited to indications, contraindications, route
    of administration, sanitary environment for administration,
    specifics regarding administration, and storage requirements for
    each specific immunization authorized by this rule;</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify">
    <font face="Arial, serif">Administration must include implementation
    of the CDC’s recommended appropriate observation for an adverse
    reaction of an individual following an immunization.</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify">
    <font face="Arial, serif">Under no circumstances may a pharmacist
    delegate his or her authority to administer immunizations to any
    other person, including but not limited to, any pharmacy technician.</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<ul>
    <li/>
<p align="justify">
    <font face="Arial, serif">A current Vaccine Information Statement,
    as provided by CDC, shall be provided to each person receiving an
    immunization for each immunization administered.</font></p>
</ul>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><font face="Arial, serif">Record-keeping
and reporting:</font></p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<p align="justify" style="margin-left: 0.5in; margin-bottom: 0in; line-height: 100%">
<br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">An immunization questionnaire and consent
    form shall be completed for each person receiving an immunization.
    A record of the immunization administration shall be forwarded to
    the primary care physician or other licensed health care provider as
    identified by the person receiving the immunization, within not more
    than 30 days of the date of the administration.  In the event that
    the patient affirmatively indicates in writing that he or she does
    not have a primary care physician or other health care provider to
    whom to forward the report, the pharmacist must document such in the
    immunization record, and provide a record of the immunization
    administration to the patient.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">In addition, the pharmacist must report
    the administration of the patient immunization to the West Virginia
    Statewide Immunization Information (WVSII) database in the format
    and containing such information as may be required by the WVSII
    within not more than 30 days of the date of the administration.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">The immunization questionnaire and consent
    form and record of the immunization administration shall be filed in
    the pharmacy in a manner that will allow timely retrieval, and shall
    be kept on file for a time period not less than five (5) years from
    the date of the immunization.  All such records shall be maintained
    in the pharmacy where the immunization is administered.  In the
    event it is administered off-site, then the records shall be
    maintained in the pharmacy where the pharmacist who administered the
    immunization is employed at the time the immunization is given.</font></p>
</ul>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<ul>
    <li/>
<p align="justify" style="margin-bottom: 0in; line-height: 100%">
    <font face="Arial, serif">Pharmacists shall report all adverse
    events to the <a href="http://vaers.hhs.gov/index">Vaccine Adverse
    Events Reporting System (VAERS)</a>, and promptly provide a copy of
    all reports to the Board of Pharmacy, the </font><font face="Arial, serif">West
    Virginia Department of Health and Human Resources Bureau for Public
    Health, Office of Epidemiology and Prevention Services, Division of
    Immunization Services,</font><font face="Times New Roman, serif"><b>
    </b></font><font face="Arial, serif">and the patient’s identified
    primary care physician or other licensed health care provider as
    identified by the person receiving the immunization.</font><font face="Arial, serif"><font size="2" style="font-size: 10pt">
     </font></font><font face="Arial, serif">VAERS is a national vaccine
    safety surveillance program co-sponsored by the Centers for Disease
    Control and Prevention (CDC) and the Food and Drug Administration
    (FDA).</font></p>
</ul>
<p style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 115%">
<br/>
<br/>

</p>
<p style="margin-left: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<br/>
<br/>

</p>
<p><font face="Arial, serif">Interns
and Immunizations:</font></p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0.14in; line-height: 100%"><a name="Interns"></a>
<font face="Arial, serif">Properly Certified Pharmacy Interns May
Give Immunizations </font>
</p>
<p align="justify"><font face="Arial, serif">    The
statute was amended to allow for interns to be permitted to
administer them, subject to the rules. </font>
</p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0.14in; line-height: 100%">
<font face="Arial, serif">The Board, with the assistance of
practicing pharmacists and the three schools of pharmacy in the
state, drafted amendments to the rules to incorporate interns,
including requirements for their training and credentialing.  These
were forwarded to the Boards of Medicine and Osteopathic Medicine for
their review.  The Board of Medicine asked for an amendment that
would require the intern be under the “personal supervision” of
the supervising immunizing pharmacist, rather than “direct
supervision”.  This requires the pharmacist to be physically
present with the intern when the immunization is actually
administered by the intern.  The Board of Osteopathic Medicine also
reviewed the proposal and asked for a few minor amendments.  The
rules were finalized and became effective May 17, 2015. </font>
</p>
<p align="justify" style="margin-bottom: 0in; line-height: 100%"><br/>

</p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0in; line-height: 100%"><a name="_GoBack"></a>
<font face="Arial, serif">So, pharmacists who hold an immunizing
pharmacist permit, and properly trained and certified interns under
their personal supervision, can now do immunizations for influenza,
pneumococcal hepatitis A, hepatitis B, herpes zoster, tetanus,
tetanus-diphtheria, tetanus-diphtheria-and-pertussis, and
meningococcal vaccines.  </font>
</p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
<br/>

</p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
<font face="Arial, serif">The rules now provide that a licensed
pharmacy intern may perform all of the immunizations an immunizing
pharmacist can administer so long as the intern has completed all of
the same training and current certification required of a pharmacist
and the intern is under the personal supervision of an immunizing
pharmacist.  The term “personal supervision” is defined as
follows:  “Personal supervision” means the supervising immunizing
pharmacist is physically present in the room during the
administration of a vaccine.”  So, an intern who is properly
trained and certified can get all of the paperwork ready and get the
vaccine ready under the usual direct supervision, but the supervising
immunizing pharmacist must be physically present in the same room and
personally supervising the intern when the vaccine is actually
administered to the patient.</font></p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
<br/>

</p>
<p align="justify" style="text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
<font face="Arial, serif">While immunizing pharmacists get an
immunizing pharmacist permit issued by the Board, the rules provide
that interns must simply have their intern license, and then provide
his or her supervising pharmacist a copy of the documentation that
the intern has completed all of the training and current
certification, and that the supervising pharmacist shall in turn
maintain this documentation in the pharmacy where the pharmacist and
intern who administers an immunization is employed at the time any
immunization is administered by the intern.</font></p>