<?xml version='1.0' encoding='utf-8'?>
<section article="gho" article_name="Health Occupations" number="12-508" title_number="12" title_name="Pharmacists and Pharmacies" subtitle_number="5" subtitle_name="Practice of Pharmacy and Operation of Pharmacies">
  <level label="a">
    <level label="1">
      <text>Subject to paragraph (4) of this subsection, a pharmacist may order a vaccination for or administer a vaccination to an individual who is at least 3 years old if:</text>
      <level label="i">
        <text>The vaccine is:</text>
        <level label="1">
          <text>An influenza vaccine;</text>
        </level>
        <level label="2">
          <text>A COVID–19 vaccine; or</text>
        </level>
        <level label="3">
          <text>Used in response to a public health emergency;</text>
        </level>
      </level>
      <level label="ii">
        <text>The pharmacist has completed a practical training program of at least 20 hours that is approved by the Accreditation Council for Pharmacy Education and includes:</text>
        <level label="1">
          <text>Hands–on injection techniques;</text>
        </level>
        <level label="2">
          <text>Clinical evaluation of indications and contraindications of vaccines; and</text>
        </level>
        <level label="3">
          <text>The recognition and treatment of emergency reactions to vaccines;</text>
        </level>
      </level>
      <level label="iii">
        <text>The pharmacist has a current certificate in basic cardiopulmonary resuscitation;</text>
      </level>
      <level label="iv">
        <text>The pharmacist has completed a minimum of 2 hours of continuing pharmaceutical education related to immunizations that is approved by the Accreditation Council for Pharmacy Education as part of the license renewal requirements under § 12–309 of this title;</text>
      </level>
      <level label="v">
        <text>The pharmacist complies with the record–keeping and reporting requirements in paragraph (5) of this subsection and any corresponding regulations adopted by the Board; and</text>
      </level>
      <level label="vi">
        <text>If the vaccination is administered to an individual under the age of 18 years, or ordered for administration by an adult caregiver to an individual under the age of 18 years, the pharmacist informs the child vaccination patient and adult caregiver who is accompanying the child of the importance of well–child visits with a pediatric primary care provider and refers the patient to a pediatric primary care provider when appropriate.</text>
      </level>
    </level>
    <level label="2">
      <text>Subject to paragraph (4) of this subsection, a pharmacist who has met the requirement of paragraph (1)(ii) through (vi) of this subsection may administer to an individual who is at least 7 years old a vaccination that is:</text>
      <level label="i">
        <text>Recommended by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices;</text>
      </level>
      <level label="ii">
        <text>Approved or authorized by the U.S. Food and Drug Administration; or</text>
      </level>
      <level label="iii">
        <text>Recommended by the Secretary of Health in accordance with § 18–112 of the Health – General Article.</text>
      </level>
    </level>
    <level label="3">
      <text>Subject to paragraph (4) of this subsection, a pharmacist who has met the requirement of paragraph (1)(ii), (iii), and (iv) of this subsection may administer to an adult a vaccination that is recommended in the Centers for Disease Control and Prevention’s Health Information for International Travel.</text>
    </level>
    <level label="4">
      <text>A pharmacist shall administer a vaccination under paragraph (1), (2), or (3) of this subsection under a written protocol that:</text>
      <level label="i">
        <text>Is vaccine specific; and</text>
      </level>
      <level label="ii">
        <text>Meets criteria established by the Department, in consultation with the Board, the Board of Physicians, and the Board of Nursing, in regulation.</text>
      </level>
    </level>
    <level label="5">
      <text>A pharmacist shall:</text>
      <level label="i">
        <text>Report all vaccinations administered or ordered by the pharmacist to the ImmuNet Program established under § 18–109 of the Health – General Article;</text>
      </level>
      <level label="ii">
        <text>If the vaccination has been administered in accordance with a prescription, document at least one effort to inform the individual’s authorized prescriber that the vaccination has been administered; and</text>
      </level>
      <level label="iii">
        <text>Except for an influenza vaccination administered under paragraph (1) of this subsection, if the authorized prescriber is not the individual’s primary care provider or if the vaccination has not been administered in accordance with a prescription, document at least one effort to inform the individual’s primary care provider or other usual source of care that the vaccination has been administered.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>The Board shall:</text>
    <level label="1">
      <text>Set reasonable fees for the administration of vaccinations under this section; and</text>
    </level>
    <level label="2">
      <text>Adopt regulations that require a pharmacist to submit a registration form to the Board that includes verification that the pharmacist:</text>
      <level label="i">
        <text>Has successfully completed a certification course approved by the Board; and</text>
      </level>
      <level label="ii">
        <text>Is certified in basic cardiopulmonary resuscitation and obtained the certification through in–person classroom instruction.</text>
      </level>
    </level>
  </level>
</section>
