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This page is provided as a resource only and does not constitute legal advice or supercede any state or federal laws. Please review the statutes/rules regarding immunizations, which are linked below. If there is any discrepancy between this guide or state law, state law controls. If you require legal advice, please consult a private attorney as neither the Board nor the Board's staff can provide legal advice.
IC 25-26-13-31.2: Administration of immunizations; emergency immunizations; immunization data
IC 25-26-13-31.5: Immunizations by pharmacist interns and pharmacist students; rules
856 IAC 4: Pharmacist Vaccinations Administered Via Protocol Authority
Administering Immunizations Under Drug Order or Prescription for a Specific Individual
Indiana law allows a pharmacist or pharmacist intern (includes student) to administer an immunization to an individual under a drug order or a prescription. There are no restrictions regarding the type of immunization that can be administered to an individual via drug order or prescription.
Administering Immunizations for Influenza Under Drug Order, Prescription, or Protocol to a Group of Individual
A pharmacist or pharmacist intern (includes student) may administer the following immunizations to a group of individuals under a drug order, a prescription, or according to a protocol approved by a physician:
- Influenza, shingles (herpes zoster), pneumonia, tetanus, diphtheria, and acellular pertussis (whooping cough), human papillomavirus (HPV) injection, and meningitis.
Immunizations administered pursuant to a protocol must meet the following requirements:
The protocol for the administration of immunizations must include the following:
Immunization protocols must be approved and executed by the physician prior to implementation, maintained at the pharmacy, and renewed annually.
Qualifying pharmacist responsibilities
The qualifying pharmacist of the pharmacy is responsible for the following:
Reporting of adverse events
A pharmacist or pharmacist intern's supervising physician shall report adverse events to the patients PCP and the physician who approved the immunization protocol within 72 hours of the pharmacist's knowledge of the adverse event. The pharmacist shall also report to the Vaccine Adverse Events Reporting Systems (VAERS).
A pharmacist or designee shall also report each immunization to the Children and Hoosiers Immunization Registry Program (CHIRP) unless the patient completes a written immunization data exception form.
Immunization practice voluntary
A pharmacist or pharmacist intern may not be required to administer an immunization or complete the accredited training program if the pharmacist or pharmacist intern chooses not to administer any immunization. A pharmacist or pharmacist intern is not required to complete the accredited training program in order to maintain a license to practice as a pharmacist or pharmacist intern in Indiana, if that individual is not administering immunizations.
A pharmacist or pharmacist intern is prohibited from delegating the administration of the immunization to another person.
Pharmacist interns and students must be supervised under direct supervision within a reasonable visual and vocal distance by a pharmacist, physician, physician assistant, and an advanced practice nurse.
Pharmacist interns and students must identify themselves as such to the patient and receive consent from the patient prior to administering an immunization.
If you have any questions, please contact our office at pla4@pla.IN.gov.