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Pharmacy Protocols

Oregon Pharmacy Protocols for Immunization

Note to pharmacists:
The following Pharmacy Protocols for Immunization are reviewed yearly. Generally, updates are made as new recommendations are published by the Advisory Committee on Immunization Practices (ACIP).

An interim protocol is published when clinical guidance is needed but the Advisory Committee on Immunization Practices recommendations haven’t yet been published in the MMWR. The interim protocol will be replaced with a final protocol once the recommendations are published.

Some of the current model immunization and pharmacy protocols have expired. The Oregon Immunization Program (OIP) is in the process of reviewing these expired protocols for updates. OIP anticipates having this completed by August 31, 2022.

Until that time, with the approval of the Immunization Program’s medical director, OIP is extending the expiration date to August 31, 2022. OIP does not anticipate that the needed updates to these protocols are significant or that following the currently published protocols as written will cause any issues. Please direct any questions to


Please read through all the protocols carefully. If you decide to change any part of them, your changes must be submitted in writing to Amanda Timmons and approved by the OHA Immunization Program.

If you have any questions about these revised protocols, please contact

Please read the Disclaimer.

NOTE: These are PDF files that require Adobe Reader software to be read and printed.

Vaccine/biologic Date of Last Revision
Guidelines for managing adverse eventsSeptember 2022 Updated!
CholeraMay 2022
COVID-19September 2022 Updated!
Haemophilus influenzae type b (Hib)August 2020
Hepatitis A &TwinrixOctober 2021
Hepatitis B
Pediatric Formulation
Adult Formulation

July 2020
September 2022 Updated!
Human papillomavirus vaccine (HPV 9)September 2020
Influenza (IIV 2022-23 - Interim)July 2022 Updated!
Influenza (LAIV 2022-23 - Interim)
Aug 2022  Updated!
Japanese EncephalitisApril 2020
Meningococcal A, C, W, Y and B
November 2020 
MMR/MMRVSeptember 2021
Pneumococcal VaccinesMay 2022 
PolioAugust 2020
Polio for Travelers March 2019
Rabies (inactivated)June 2022
Shingrix February 2022
Tdap and Combo Vaccines
Use of Tdap in Persons ≥7 years of Age
November 2021
May 2019
TyphoidMarch 2019
Varicella-containing vaccinesSeptember 2021
Yellow fever March 2019
Sites for Administration of VaccineSeptember 2020 
Vaccine Misadministration Guidelines (optional)Pending
Table of ContentsSeptember 2022 Updated!
Multiple Signature PageApril 2019


Regarding Yellow Fever

Certified immunizing pharmacists in the state of Oregon are now eligible to apply for the Uniform Stamp and Yellow Fever Center Agreement. Get more information: Administering Yellow Fever and other travel vaccines.