Pharmacist Immunization Administration Requirements Includes CPR Certification

Administering Immunizations Under Drug Order or Prescription

Indiana law allows a pharmacist 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 via drug order or prescription.

Administering Immunizations for Influenza Under Drug Order, Prescription, or Protocol - Current law only allows for influenza immunizations to be given via protocol authority.  Effective July 1, 2011, shingles (herpes zoster) will also be able to be given via protocol authority.
 A pharmacist may administer an immunization for influenza to a group of individuals under a drug order, a prescription, or according to a protocol approved by a physician if the following requirements are met:

  • The physician specifies in the drug order, prescription, or protocol the group of individuals to whom the immunization may be administered;
  • The physician who writes the drug order, prescription, or protocol is licensed in Indiana and not employed by a pharmacy;
  • The pharmacist who administers the immunization is responsible for notifying the authorizing physician and the individual's primary care physician ("PCP") that the individual has received the immunization within 14 days of the immunization;
  • If the physician uses a protocol, the protocol may apply only to an individual or group of individuals who are at least:
    • 14 years of age but less than 18 years of age, if the parent or legal guardian is present at the time of immunization and the pharmacist receives their consent; or
    • 18 years of age.
  • The pharmacist must successfully complete a course of training in immunization that is provided by an ACPE accredited provider; and
  • The pharmacist must be certified in CPR and maintain this certification as required by that certifying body.