Department regulations at 105 CMR 700.004(B)(6) pertaining to administration of influenza vaccine may be viewed at .
Accredited training courses* currently offered by the ACPE meeting the requirements of 105 CMR 700.004(B)(6)(c)1. include, but are not necessarily limited to:
- Immunization Update 2003: Advances in Practice
ACPE Universal Program No. 202-000-03-279H01
- New Advances in Influenza Vaccination - a multimedia CE Program for Pharmacists - ACPE Universal Program No. 202-000-03-289-H01.
Accessible at www.Pharmacist.com
All such courses must, at a minimum, meet U.S. Center for Disease Control and Prevention (CDC) Guidelines and be accredited by the Accreditation Council for Pharmacist Education (ACPE), or similar health authority or professional body, and include pre-administration education and screening, vaccine storage and handling, administration of medication, record-keeping and reporting of adverse events
* Information on other accredited courses is available through professional organizations, colleges and other sources.
Joint Policy of the Drug Control Program and Board of Registration in Pharmacy - Requirements for Influenza Vaccine Administration by Pharmacists
The MA Department of Public Health is making influenza vaccination more accessible and easier to obtain by allowing pharmacists, who have completed duly accredited training, to administer injectable influenza vaccine as well as FluMist™, intranasal influenza vaccine. The table below compares the requirements for administration of injectable vaccine to those for intranasal influenza vaccine. Regulations can be found at 105 CMR 700.004(B)(6).
|General Requirements||Injectable Influenza Vaccine||Intranasal Influenza Vaccine|
|Training in accredited program*||Required||Required|
|Additional DPH training||No longer required||None|
|Inform DPH of intention to administer||No longer required||Not Required|
|Report to DPH number of doses administered each season||Suggested||Suggested|
|Age Limits||18 years of age and older||18 through 49 years of age|
|Physician Orders Are Required||Injectable Influenza Vaccine||Intranasal Influenza Vaccine|
|To administer influenza vaccine||Prescription, |
physician directive, or standing order***
physician directive or standing order**
|To administer single dose emergency epinephrine||Standing order||Standing order|
* Must keep proof of training on file in pharmacy.
*** Amended, as authorized by Department on July 01, 2004
Information on influenza, vaccines and the current flu season can be accessed at the Centers for Disease Control and Prevention website, www.cdc.gov and the Department's website: Department of Public Health .
September 27, 2004
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This information is provided by the Drug Control Program within the Department of Public Health.