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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).

2018 Expiration Extension

With the approval of the Immunization Program Medical Director, we are extending the expiration date of all standing orders / pharmacy protocols until August 31, 2018. This will allow for a thorough review of all updated information. We will be posting the updated orders / protocols as they are approved, but will wait to post the updated table of contents until all of the new orders /protocols are posted.

We are hoping to post the first batch of updated orders / protocols in the next week. We will indicate the updated orders by adding a “new” tag and by the updated expiration date of July 31, 2019.

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 Jeanine Whitney and approved by the OHA Immunization Program.

If you have any questions about these revised protocols, please call Jeanine Whitney at (971) 227-0023.

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 events July 2018 New!!
Adverse Events E-kit Checklist and Report Form July 2018 New!!
Cholera July 2018 New!!
Diphtheria and Tetanus Toxoids July 2018 New!!
Haemophilus influenzae type b (Hib) July 2018 New!!
Hepatitis A &Twinrix Aug 2018 New!!
Hepatitis B &Twinrix July 2018 New!!
Human papillomavirus vaccine (HPV 9) July 2018 New!!
Influenza (IIV 2018-19) July 2018 New!!
Influenza (LAIV 2018-19) July 2018 New!!
Japanese Encephalitis  July 2018 New!!
Meningococcal A, C, W, Y July 2018 New!!
Meningococcal B Outbreak Only July 2018 New!!
MMR/MMRV July 2018 New!!
Mumps - Outbreak Only July 2018 New!!
Pneumococcal Vaccines July 2018 New!!
Polio July 2018 New!!
Polio for Travelers July 2018 New!!
Rabies (inactivated) July 2018 New!!
Shingrix July 2018 New!!
Typhoid July 2018 New!!
Varicella-containing vaccines July 2018 New!!
Yellow fever  July 2018 New!!
Sites for Administration of Vaccine July 2018 New!!
Vaccine Misadministration Guidelines July 2018 New!!
Table of Contents Aug 2018 New!!
Multiple Signature Page July 2018 New!!


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.

Regarding Zostavax® and Adults age 50 and older

Update based upon the August 22, 2014 MMWR

On August 22, 2014 ACIP made the following determinations:

  1. Not to recommend Zostavax for persons <60 years of age.
  2. The burden of herpes zoster increases with age, especially after age 60.
  3. Adults receiving herpes zoster vaccine before age 60 years might not be protected when the risks for herpes zoster and its complications are the highest.
  4. Vaccination at age 60 years would prevent the most shingles cases (26,147 per 1 million persons).
  5. The protection of herpes zoster vaccine wanes within the first 5 years after vaccination.
  6. Booster doses have not been studied.
  7. The CDC is actively monitoring data on duration of vaccine protection in adults vaccinated at age =60 years. As additional data become available, ACIP will reevaluate the optimal age for vaccination and the need for revaccination.
  8. Zostavax is covered by some Medicare Part D policies for patients =65 years of age. Oregon Medicaid covers zoster vaccine for those age 60 an

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