Immunization Information

Vaccine Authority

	PREP Act Authority (Expires December 31, 2029)			HB1993 Authority (Effective November 14, 2024)
	Pharmacists	Interns	Technicians	Pharmacists	Interns	Technicians
Influenza and COVID-19 Vaccines (ages 3 and older)	Order & Administer	Administer	Administer	≥5 years old - COVID-19 and flu vaccines	≥5 years old - COVID-19 and flu vaccines	≥13 years old - COVID-19 and flu vaccines
COVID-19 Tests	Order & Administer	Administer	Administer	Order & Administer	Administer	Administer
All ACIP Vaccines	Not addressed			Administer to ≥8 years old	Administer to ≥8 years old	Not permissible
Protocol Physician Required?	Not for COVID-19 and influenza vaccines, which can be ordered by a pharmacist			Yes, for all vaccines
COVID-19 Tests	Order & Administer	Administer	Administer	Order & Administer	Administer	Administer
Influenza, RSV, and Streptococcal Tests	Not Addressed			Order & Administer	Administer	Administer

**PREP Act Authority compared to HB1993**

Until the PREP Act expires, the PREP Act preempts any state law that prohibits pharmacists, interns and technicians from administering covered countermeasures including COVID-19 vaccines, influenza or COVID-19 tests. For example, in the case of influenza and COVID-19 vaccines, qualified pharmacists, interns and technicians are allowed to vaccine those 3 years and older, even though it is not granted under HB1993.

Act 77 of 2024 (HB1993) has additional reporting and consent requirements that pharmacies need to be aware of.

After administration, the pharmacy must notify the patient's primary car provider within 48 hours and report administration to PIERS within 72 hours.
For those under 18 years old, parental consent must be obtained by the pharmacy prior to vaccination and the parent/caregiver must be informed about the importance of a well-child visit. Parents/caregivers should also be referred to a pediatrician or primary care provider after administering an influenza or COVID-19 vaccine.

Information on CLIA Waived Lab Testing Authority

Information on the POCT/CLIA Waiver Process

Additional questions can be sent to PPA at ppa@papharmacists.com. Of note, the Pennsylvania Pharmacists Association cannot answer clinical questions.

Relevant Regulations

Act 77 of 2024 - PHARMACY AUDIT INTEGRITY AND TRANSPARENCY ACT - OMNIBUS AMENDMENTS

HHS PREP Act - 12th Amendment to Declaration Under the Public Readiness and Emergency Preparedness Act for Medical Countermeasures Against COVID-19

Act 80 of 2022 - PHARMACY ACT - AUTHORITY TO ADMINISTER INJECTABLE MEDICATIONS, BIOLOGICALS AND IMMUNIZATIONS AND ABROGATING INCONSISTENT REGULATIONS

Who Can Vaccinate?

Pharmacists
Student Pharmacists (under direct supervision of a pharmacist and have proper training)
Pharmacy Technicians (under direct supervision of a pharmacist and have proper training)
Delegation of authority from pharmacist to CRNP, PA, RN, LPN only