Pharmacists may order and administer certain drugs and immunizations under statewide protocols, but they must check the immunization registry before giving vaccines and the board may not approve protocols for abortion-inducing drugs.
1. A pharmacist may, pursuant to statewide protocols developed and approved by the board in consultation with the department of health and human services, order and administer prescription drugs, products, tests, or treatments. Each protocol, as established by rule, may define the prescription drugs, products, tests, or treatments allowed to be ordered and administered, any training or qualification required to implement the protocol, and any additional requirements deemed appropriate by the board. The board shall not develop or approve a statewide protocol permitting a pharmacist to order and administer any drug intended to induce an abortion as defined in section 146.1. 2. A pharmacist may, pursuant to statewide protocols developed and approved by the board in consultation with the department of health and human services and consistent with subsection 3, order and administer an immunization or vaccination. Each protocol, as established by rule, may define the immunization or vaccination allowed to be ordered and administered, any training or qualification required to implement the protocol, and any additional requirements deemed appropriate by the board. a. A pharmacist may order and administer the following to patients ages eighteen years and older: (1) An immunization or vaccination recommended by the United States centers for disease control and prevention advisory committee on immunization practices in its approved vaccination schedule for adults. (2) An immunization or vaccination recommended by the United States centers for disease control and prevention for international travel. (3) A Tdap (tetanus, diphtheria, acellular pertussis) vaccination in a booster application. (4) Other emergency immunizations or vaccinations in response to a public health emergency. (5) An immunization or vaccination for COVID-19 as defined in section 686D.2. b. A pharmacist may order and administer the following to patients ages six months and older: (1) An immunization or vaccination for influenza. (2) Other emergency immunizations or vaccines in response to a public health emergency. c. A pharmacist may, pursuant to statewide protocols developed by the board in consultation with the department of health and human services and consistent with subsection 3, order and administer the final two doses in a course of vaccinations for HPV to patients ages eleven years and older. d. Prior to the ordering and administration of an immunization or vaccination authorized by this subsection, pursuant to statewide protocols, a licensed pharmacist shall consult and review the statewide immunization registry or health information network. The board shall adopt rules requiring the reporting of the administration of immunizations and vaccinations authorized by this subsection to a patient’s primary health care provider, primary physician, and a statewide immunization registry or health information network. 3. Notwithstanding any provision of law to the contrary, a pharmacist may develop policies, procedures, and protocols to carry out the practices identified in section 155A.8, subsection 2. 2018 Acts, ch 1142, §7; 2021 Acts, ch 103, §1, 2; 2023 Acts, ch 19, §273 – 276; 2023 Acts, ch 86, §24; 2024 Acts, ch 1056, §22 – 24