Maryland Statutes
Subtitle 5 - Practice of Pharmacy and Operation of Pharmacies
Section 12-508 - Administration of Vaccinations

(a)    (1)    Subject to subsection (c) of this section, a pharmacist may administer an influenza vaccination to an individual who is at least 9 years old, in accordance with regulations adopted by the Board, in consultation with the Department.
        (2)    Subject to subsection (c) of this section, a pharmacist may administer a vaccination that is listed in the Centers for Disease Control and Prevention’s Recommended Immunization Schedule to an individual who:
            (i)    Is at least 11 years old but under the age of 18 years; and
            (ii)    Has a prescription from an authorized prescriber.
        (3)    (i)    Subject to subparagraph (ii) of this paragraph, a pharmacist may administer to an adult a vaccination that is:
                1.    Listed in the Centers for Disease Control and Prevention’s Recommended Immunization Schedule; or
                2.    Recommended in the Centers for Disease Control and Prevention’s Health Information for International Travel.
            (ii)    A pharmacist shall administer a vaccination under subparagraph (i) of this paragraph under a written protocol that:
                1.    Is vaccine specific; and
                2.    Meets criteria established by the Department, in consultation with the Board, the Board of Physicians, and the Board of Nursing, in regulation.
        (4)    A pharmacist shall:
            (i)    Report all vaccinations administered by the pharmacist to the ImmuNet Program established under § 18–109 of the Health – General Article;
            (ii)    If the vaccination has been administered in accordance with a prescription, document at least one effort to inform the individual’s authorized prescriber that the vaccination has been administered; and
            (iii)    For a vaccination administered under paragraph (2) or (3) of this subsection, if the authorized prescriber is not the individual’s primary care provider or if the vaccination has not been administered in accordance with a prescription, document at least one effort to inform the individual’s primary care provider or other usual source of care that the vaccination has been administered.
    (b)    The Board shall:
        (1)    Set reasonable fees for the administration of vaccinations under this section; and
        (2)    Adopt regulations that require a pharmacist to submit a registration form to the Board that includes verification that the pharmacist:
            (i)    Has successfully completed a certification course approved by the Board that included instruction in the guidelines and recommendations of the Centers for Disease Control and Prevention regarding vaccinations; and
            (ii)    Is certified in basic cardiopulmonary resuscitation and obtained the certification through in–person classroom instruction.
    (c)    From July 1, 2021, to June 30, 2023, inclusive, a pharmacist may administer a vaccine to an individual who is at least 3 years old but under the age of 18 years if:
        (1)    The vaccine is approved by the U.S. Food and Drug Administration;
        (2)    The vaccination is ordered and administered in accordance with the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices immunization schedules;
        (3)    The pharmacist has completed a practical training program of at least 20 hours that is approved by the Accreditation Council for Pharmacy Education and includes:
            (i)    Hands–on injection techniques;
            (ii)    Clinical evaluation of indications and contraindications of vaccines; and
            (iii)    The recognition and treatment of emergency reactions to vaccines;
        (4)    The pharmacist has a current certificate in basic cardiopulmonary resuscitation;
        (5)    The pharmacist has completed a minimum of 2 hours of continuing pharmaceutical education related to immunizations that is approved by the Accreditation Council for Pharmacy Education as part of the license renewal requirements under § 12–309 of this title;
        (6)    The pharmacist complies with the record–keeping and reporting requirements in subsection (a)(4) of this section and the corresponding regulations; and
        (7)    The pharmacist informs each child vaccination patient and adult caregiver who is accompanying the child of the importance of well–child visits with a pediatric primary care provider and refers the patient to a pediatric primary care provider when appropriate.