Drug Administration

Question 1

Requirements to get immunization certification

Answer 1

Complete APhA immunization training course within the last 3 years
Get CPR certified
Be currently licensed and registered in NYS

(this also applies to out-of-state/endorsement pharmacists who are trying to get licensed in NYS- if they were certified in another state they can immunize here)

Question 2

What will be on your license/intern permit saying you can immunize?

Answer 2

An I

Question 3

What vaccines can a pharmacist administer to patients ≥18?

Answer 3

Flu
Pneumococcal
Shingles
Hep A and B
HPV
MMRV
Meningococcal
COVID-19
Tdap
RSV
Monkeypox

Question 4

What vaccines can a pharmacist administer to pediatric patients (2-18 years old)

Answer 4

Flu

Question 5

What else is required to administer a vaccine? (do you need an order, etc.?)

Answer 5

Can give pursuant to a patient-specific or non-specific order and protocol

Question 6

Who can an RPh accept a patient-specific or patient non-specific order from immunizations from?

Answer 6

Physician or NP

Question 7

Vaccine reporting requirements: patient is <19

Answer 7

Report to NYSIIS for patients outside of NYC
Report to CIR for patients in NYC
Report to patient’s PCP within one month of immunization

Question 8

Vaccine reporting requirements: patient is ≥19

Answer 8

Report to NYSIIS for patients outside NYC
Report to CIR for patients in NYC
Report to patient’s PCP within one month of administration

Question 9

What happens if the patient has an anaphylactic reaction?

Answer 9

Pharmacists can give epinephrine

Question 10

Facility requirements for vaccine administration

Answer 10

Area for immunization that provides for a patient’s privacy that includes a visible posting of the most recent adult immunization schedule by ACIP and education materials

Question 11

Can RPhs/interns administer LAIs for mental health disorders?

Answer 11

Yes, as long as they have an I on their license/permit

Question 12

Do you need a prescription in order to give an LAI?

Answer 12

Yes

Question 13

Is there additional training needed to give an LAI?

Answer 13

No, just make sure to take CE related to treating patients in this area of medicine

Question 14

Is patient consent required for an intern to give an LAI to them?

Answer 14

Yes; if the patient says no, the RPh has to do it

Question 15

Criteria a patient needs to meet before they can get their LAI given by an RPh

Answer 15

First dose is given in medical office and they give the okay for maintenance treatment to begin

Question 16

When do you have to notify the patient’s prescriber that the LAI was given?

Answer 16

Within 5 days, but ideally, just let them know immediately

Question 17

When do you have to notify the patient’s prescriber that the LAI’s dose was missed?

Answer 17

Within 72 hours

Question 18

What should an RPh do if a patient experiences a life-threatening reaction to an LAI?

Answer 18

Give anaphylaxis treatment
Document the reaction
Call local emergency services and inform them of what anaphylaxis treatment was given
Inform the prescriber of the reaction

Question 19

Can RPhs give PEP treatment? If so, how many days’ supply?

Answer 19

Yes, they can give up to a 7 days’ supply pursuant to a non-patient specific order and protocol

Question 20

Naloxone: do you need a patient-specific order for this?

Answer 20

No, it’s currently under a standing order (as of August 2024); all pharmacies can dispense Narcan via a non-patient specific order

Question 21

Is a prescription required for Narcan?

Answer 21

No, it’s available OTC but there is an N-CAP program that will cover up to $40 in copays if you have a prescription for it

Question 22

Do you need to apply to NYSDOH to dispense Narcan?

Answer 22

No, at least not while the standing order is still in effect

Question 23

Pharmacists and dispensing insulin

Answer 23

Can dispense insulin and related supplies under a non-patient-specific order for a patient whose insulin prescription expired within the last 12 months

Question 24

Who has to write the insulin script in order for the patient to get it without a new script?

Answer 24

Physician or NP

Question 25

What does a pharmacist have to do first before dispensing insulin without a new script?

Answer 25

Make a good faith effort to get authorization from the prescriber for the patient-specific script but failed

Question 26

How much insulin can a pharmacist dispense?

Answer 26

A refill’s supply that doesn’t exceed 30 days pursuant to the original script

Question 27

When do you report to the prescriber about the fact you dispensed an emergency supply of insulin?

Answer 27

Within 72 hours