Skip to main content
U.S. flag

An official website of the United States government

Here’s how you know

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

  • About HHS
  • Programs & Services
  • Grants & Contracts
  • Laws & Regulations
  • Radical Transparency
  • Big Wins
  • About Us
  • Featured Priorities
  • National Vaccine Advisory Committee
  • Vaccines National Strategic Plan
Breadcrumb
  1. HHS
  2. Vaccines and Immunizations
  3. U.S. National Vaccine Plan
  4. Annual Report 2013
  5. Goal 4: Ensure a Stable Supply of, Access to, and Better Use
  6. Integrating Pharmacies into Public Health Approach to Vaccination
  • National Vaccine Plan (NVP)
    • Goal 1: Develop New and Improved Vaccines
    • Goal 2: Enhance the Vaccine Safety System
    • Goal 3: Support Communications to Enhance Informed Vaccine Decision Making
    • Goal 4: Ensure a Stable Supply of, Access to, & Better Use of Recommended Vaccines in the United States
    • Goal 5: Increase Global Prevention of Death & Disease through Safe & Effective Vaccination

Integrating Pharmacies into a Public Health Approach to Vaccination

Dr. Joshua Sharfstein
David Blythe, MD, MPH, Maryland Department of Health and Mental Hygiene
Laura Herrera, MD, MPH, Maryland Department of Health and Mental Hygiene
Joshua M. Sharfstein, MD, Secretary, Maryland Department of Health and Mental Hygiene
 

Pharmacists providing vaccinations can be an important way to reduce barriers and increase access to vaccinations.  For nearly 10 years, Maryland pharmacists have had the authority to administer some vaccinations; in particular, influenza vaccinations and pneumococcal and shingles vaccinations to adults. In response to the 2009 H1N1 pandemic, the authority was expanded so that Maryland pharmacists could administer influenza vaccination to anyone 9 years old and older.

This option has substantially expanded access to vaccination.  Our overall influenza vaccination coverage rates are increasing, and, per national data from the Centers for Disease Control and Prevention (CDC), around one in five of all vaccinated adults in the United States now get their vaccination at a pharmacy.  Pharmacies are the most common place to get influenza vaccination outside of doctors’ offices and other medical facilities.

At the same time, it is critical for information to be accessible in multiple medical settings, and for primary care clinicians to have information about the vaccination status of their patients.

Recognizing the important role that pharmacists can play in providing vaccines safely and conveniently, and mindful of adolescent and adult vaccination rates below the Healthy People 2020 goals, in 2013, the Maryland legislature passed and Governor Martin O’Malley signed legislation expanded the ability of pharmacists to vaccinate.  The measure allows pharmacists that have been trained and certified to vaccinate to administer all CDC recommended vaccinations to adolescents with a prescription and to adults without a prescription but in accordance with a protocol.  It also requires pharmacists to notify an individual’s primary care provider of the vaccination.

In 2009, there were about 500 Maryland pharmacists trained and certified to provide vaccinations.  Today, there are over 3,000 pharmacists from all across the state trained and certified to provide vaccinations.  We expect that number to increase even more throughout the coming years, as the new law went into effect this October.

Recognizing the importance of primary care, one other feature of the new Maryland law is that pharmacists administering vaccinations are required to notify primary clinicians and report those vaccinations to ImmuNet, the Maryland immunization registry.  ImmuNet has the capacity to receive those records directly electronically from pharmacy information systems.  Currently, four large pharmacy chains representing 379 sites throughout the state - and thousands of immunizations annually—are reporting directly electronically from their existing pharmacy information systems into ImmuNet.

Primary care clinicians can then obtain information directly from pharmacies as well as through the registry.

This reporting should ultimately lead to better coordination of care and vaccination services, fewer duplicate vaccinations, and better provision of recommended vaccines.

Content created by Office of Infectious Disease and HIV/AIDS Policy (OIDP)
Content last reviewed March 28, 2016
Back to top

Subscribe to Email Updates

Receive the latest updates from the Secretary and Press Releases.

Subscribe
  • Contact HHS
  • Careers
  • HHS FAQs
  • Nondiscrimination Notice
  • Press Room
  • HHS Archive
  • Accessibility Statement
  • Privacy Policy
  • Budget/Performance
  • Inspector General
  • Web Site Disclaimers
  • EEO/No Fear Act
  • FOIA
  • The White House
  • USA.gov
  • Vulnerability Disclosure Policy
HHS Logo

HHS Headquarters

200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll Free Call Center: 1-877-696-6775​

Follow HHS

Follow Secretary Kennedy