Welcome to PSSNY's Immunization Corner
NY City Department of Health has a dedicated webpage with information about obtaining a standing order within the five boroughs
IAC's Ask the Experts: Influenza and Ask the Experts: Pneumococcal web pages have been completely reviewed and updated by experts at CDC. (9.19.18)
Children's Flu Update (9.19.18)
- Pharmacists may immunize children aged 2-18 for flu.
- Need standing order specifically for pediatric vaccination and anaphylaxis. This must be issued by a physician or nurse practitioner in your county or an adjacent county. (Same as adult rule.)
- NYC pharmacies may obtain a standing order through the NY City Health Department if they are unable to obtain one on their own.
- Orientation is a requirement for obtaining the NYC DOH standing order. Sessions place 8/14/18 (register by Aug 10th) and 9/21/18 (register by Sept 19th). Sign up here: https://www.surveymonkey.com/r/PharmacyOrientation2018
- The NYC DOH standing order allows influenza immunization down to age 4 only.
- Must be certified in pediatric CPR in order to immunize children.
- In addition to the posting of the current ACIP immunization schedules, pharmacists who immunize children are required to post the following:
- New York City – report to Citywide Immunization Registry (CIR).
- All others – report to New York State Immunization Information System (NYSIIS).
- MUST report to CIR or NYSISS within 14 days of administration immunizations for 19 yrs old and younger. No consent or opt out for reporting for this age group.
- For patients over 19 years of age, obtain consent and report to CIR or NYSIIS.
- Pharmacists are now also required to report ALL vaccinations for all ages to the patient’s primary care provider electronically or via fax. Discuss importance of having a PCP and the option to receive vaccinations from the PCP.
- Consult the NY State Education Department’s FAQ page for more information
Vaccines for Children Program Update (9.20.18)
PSSNY is in contact with both the NY State Department of Health and the NY City Department of Health regarding the status of pharmacies and the Vaccines for Children program. Pharmacies may enroll as VFC providers, allowing vaccination of Medicaid covered and uninsured children. NY City pharmacies can sign up now for the VFC program for the 5 boroughs. Get the information here. PSSNY learned that enrollment procedures for the rest of the state are planned for a late September implementation. Trust that we will keep you informed with up-to-the-minute details for enrolling in these programs. Medicaid WILL NOT reimburse pharmacies for flu vaccine outside of the VFC program.
NYS Budget Updates for Immunizations–
- Authorizes pharmacists to administer flu vaccine to children aged 2-18. Note that pharmacists are required to report all vaccines for patients 19 years old or younger to CIR (New York City) or NYSIIS (rest of state) within 14 days of administration
- Clarifies the need to report all adult immunizations to both the patient’s primary care provider AND with patient consent to the state or citywide immunization registry
- Extends the sunset date for the immunization bill to July 1, 2020
- More details here: http://www.pssny.org/default.asp?page=ImmuUpdate2018
New York State Medicaid Update - April 2018 Volume 34 - Number 4
Shingrix – New vaccine available for Herpes Zoster, recombinant subunit vaccine, given as two separate intramuscular injections 2-6 months apart. CDC Shingrix facts: https://www.cdc.gov/vaccines/vpd/shingles/hcp/shingrix/recommendations.html
Which vaccines can we administer…
In order for a pharmacist to administer a vaccination without a prescription a non patient-specific standing order must be signed by a physician or certified nurse practitioner in the same or adjoining county as the pharmacy. The current standing order templates for pharmacist administered vaccines are linked below:
Who to Vaccinate…
HALO – Helps to make a decision about vaccinating a patient based on four factors, their Health condition, Age, Lifestyle, and Occupation
When to Vaccinate…
While you Vaccinate…
- Know your routes of administration and what needle size is most appropriate for your patient. A handy chart can be found here for adults and here for children.
- Each patient must receive a copy of the Vaccine Information Statement (VIS) corresponding to the vaccine that is being given, the following are links to the VIS sheets for pharmacist administered vaccines:
Additional Vaccine Information Statements as well as translations into multiple languages can be found at http://www.immunize.org/vis/
- Pharmacists must report all immunizations administered to the New York State Immunization Information System (NYSIIS) or, if vaccinating in New York City, the Citywide Immunization Registry (CIR) within 14 days of administration. If the patient is 19 years or older then reporting to registries is only done with patient’s consent. If the patient is less than 19 years of age reporting is mandatory with no consent needed and no option to opt out.
- New York Immunization Information System (NYSIIS)
- NYSIIS FAQ
- Citywide Immunization Registry (CIR)
- Recommend that Patients keep and carry a vaccination card in order to keep track of their vaccination history. Links to vaccination card templates can be found here and here.
- Notify patient’s primary care provider: http://www.immunize.org/catg.d/p3060.pdf
For more information:
Need to get certified?
St John's University Immunization Certification Program November 29,2019
APhA Pharmacy-Based Immunization Delivery