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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 January 31, 2023.

Until that time, with the approval of the Immunization Program’s medical director, OIP is extending the expiration date to January 31, 2023. 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 imm.info@dhsoha.state.or.us.

Protocols

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 imm.info@dhsoha.state.or.us.

Please read the Disclaimer.

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

Updated!
Vaccine/biologic Date of Last Revision
Guidelines for managing adverse eventsSeptember 2022
CholeraDecember 2022
COVID-19April 2023 Updated!
Hepatitis A &TwinrixOctober 2021
Hepatitis B
Pediatric Formulation
Adult Formulation

July 2020
September 2022
Hib and combo vaccinesNovember 2022
HPV vaccines (9vHPV)November 2022
Influenza (IIV 2022-23 - Interim)July 2022
Influenza (LAIV 2022-23 - Interim)
Aug 2022 
Japanese EncephalitisNovember 2022
Meningococcal A, C, W, Y and B
October 2022
MMR/MMRVApril 2023 Updated!
Pneumococcal VaccinesOctober 2022 
PolioJanuary 2023
Polio for Travelers December 2022
Rabies (inactivated)June 2022
TB and live vaccines November 2022
Tdap and Combo Vaccines (Tdap ≥7 yrs)
November 2021
TyphoidDecember 2022
Varicella-containing vaccinesSeptember 2021
Yellow fever (optional)March 2023 Updated!
Zoster (Shingrix)February 2022
Sites for Administration of VaccineNovember 2022
Table of ContentsApril 2023 Updated!
Multiple Signature PageApril 2019

Notices

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.