Cal. Code Regs. Tit. 16, § 1746.4 - Pharmacists Initiating and Administering Vaccines

(a) A pharmacist initiating and/or administering any vaccine pursuant to section 4052 or 4052.8 of the Business and Professions Code shall follow the requirements specified in subdivisions (b) through (f) of this section.

(b) Training: A pharmacist who initiates and/or administers any vaccine shall keep documentation of:

(1) Completion of an approved immunization training program, and

(2) Basic life support certification.

This documentation shall be kept on site and available for inspection.

(c) Continuing Education: A pharmacist must complete one hour of continuing education focused on immunizations and vaccines from an approved provider once every two years.

(d) Notifications: At the request of a patient, a pharmacist shall notify each patient's primary care provider of any vaccine administered to the patient, or enter the appropriate information in a patient record system shared with the primary care provider, as permitted by the primary care provider. Primary care provider notification must take place within 14 days of the administration of any vaccine. If a patient does not have a primary care provider, or is unable to provide contact information for his or her primary care provider, the pharmacist shall advise the patient to consult an appropriate health care provider of the patient's choice. A pharmacist shall notify each pregnant patient's prenatal care provider, if known, of any vaccine administered to the patient within 14 days of the administration of any vaccine.

(e) Immunization Registry: A pharmacist shall report, in accordance with section 4052.8, subdivision (b)(3), of the Business and Professions Code, the information described in section 120440, subdivision (c), of the Health and Safety Code within 14 days of the administration of any vaccine. A pharmacist shall inform each patient or the patient's guardian of immunization record sharing preferences, detailed in section 120440, subdivision (e), of the Health and Safety Code.

(f) Documentation: For each vaccine administered by a pharmacist, a patient vaccine administration record shall be maintained in an automated data processing or manual record mode such that the information required under section 300 aa-25 of title 42 of the United States Code is readily retrievable during the pharmacy or facility's normal operating hours. A pharmacist shall provide each patient with a vaccine administration record, which fully documents the vaccines administered by the pharmacist. An example of an appropriate vaccine administration record is available on the Board of Pharmacy's website.

Notes

Cal. Code Regs. Tit. 16, § 1746.4

1. New section filed 8-25-2016; operative 8-25-2016 pursuant to Government Code section 11343.4(b)(3) (Register 2016, No. 35).
2. Amendment of subsections (c)-(d) filed 1-25-2022; operative 1-25-2022 pursuant to Government Code section 11343.4(b) (Register 2022, No. 4).

Note: Authority cited: Section 4005, Business and Professions Code. Reference: Sections 4052, 4052.8 and 4081, Business and Professions Code; Section 120440, Health and Safety Code; and Section 300 aa-25, Title 42, United States Code.

1. New section filed 8-25-2016; operative 8/25/2016 pursuant to Government Code section 11343.4(b)(3) (Register 2016, No. 35).
2. Amendment of subsections (c)-(d) filed 1-25-2022; operative 1/25/2022 pursuant to Government Code section 11343.4(b) (Register 2022, No. 4).