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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.


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 call Amanda Timmons at (971) 673-0312.

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 2021
CholeraMarch 2019
COVID-19January 2022 Updated!
Haemophilus influenzae type b (Hib)August 2020
Hepatitis A &TwinrixOctober 2021 Updated!
Hepatitis B
Pediatric Formulation
Adult Formulation

July 2020
September 2021
Human papillomavirus vaccine (HPV 9)September 2020
Influenza (IIV 2021-22 - Interim)October 2021 Updated!
Influenza (LAIV 2021-22 Interim)
October 2021 Updated!
Japanese EncephalitisApril 2020
Meningococcal A, C, W, Y and B
November 2020 
MMR/MMRVSeptember 2021
Pneumococcal VaccinesJune 2020
PolioAugust 2020
Polio for Travelers March 2019
Rabies (inactivated)March 2019
Shingrix September 2021
Tdap and Combo Vaccines
Use of Tdap in Persons ≥7 years of Age
November 2021 Updated!
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 ContentsNovember 2021 New!!
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.

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