Ohio Revised Code
Chapter 4729 | Pharmacists; Dangerous Drugs
Section 4729.41 | Authority to Administer Immunizations.

Effective: May 14, 2021
Latest Legislation: House Bill 6 - 134th General Assembly
(A)(1) A pharmacist licensed under this chapter who meets the requirements of division (B) of this section, and a pharmacy intern licensed under this chapter who meets the requirements of division (B) of this section and is working under the direct supervision of a pharmacist who meets the requirements of that division, may do any of the following:
(a) In the case of an individual who is seven years of age or older but not more than thirteen years of age, administer to the individual an immunization for any of the following:
(i) Influenza;
(ii) COVID-19;
(iii) Any other disease, but only pursuant to a prescription.
(b) In the case of an individual who is thirteen years of age or older, administer to the individual an immunization for any disease, including an immunization for influenza or COVID-19.
(2) As part of engaging in the administration of immunizations or supervising a pharmacy intern's administration of immunizations, a pharmacist may administer epinephrine or diphenhydramine, or both, to individuals in emergency situations resulting from adverse reactions to the immunizations administered by the pharmacist or pharmacy intern.
(B) For a pharmacist or pharmacy intern to be authorized to engage in the administration of immunizations, the pharmacist or pharmacy intern shall do all of the following:
(1) Successfully complete a course in the administration of immunizations that meets the requirements established in rules adopted under this section for such courses;
(2) Receive and maintain certification to perform basic life-support procedures by successfully completing a basic life-support training course that is certified by the American red cross or American heart association or approved by the state board of pharmacy;
(3) Practice in accordance with a protocol that meets the requirements of division (C) of this section.
(C) All of the following apply with respect to the protocol required by division (B)(3) of this section:
(1) The protocol shall be established by a physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery.
(2) The protocol shall specify a definitive set of treatment guidelines and the locations at which a pharmacist or pharmacy intern may engage in the administration of immunizations.
(3) The protocol shall satisfy the requirements established in rules adopted under this section for protocols.
(4) The protocol shall include provisions for implementation of the following requirements:
(a) The pharmacist or pharmacy intern who administers an immunization shall observe the individual who receives the immunization to determine whether the individual has an adverse reaction to the immunization. The length of time and location of the observation shall comply with the rules adopted under this section establishing requirements for protocols. The protocol shall specify procedures to be followed by a pharmacist when administering epinephrine, diphenhydramine, or both, to an individual who has an adverse reaction to an immunization administered by the pharmacist or a pharmacy intern.
(b) For each immunization administered to an individual by a pharmacist or pharmacy intern, other than an immunization for influenza administered to an individual eighteen years of age or older, the pharmacist or pharmacy intern shall notify the individual's primary care provider or, if the individual has no primary care provider, the board of health of the health district in which the individual resides or the authority having the duties of a board of health for that district under section 3709.05 of the Revised Code. The notice shall be given not later than thirty days after the immunization is administered.
(c) For each immunization administered by a pharmacist or pharmacy intern to an individual younger than eighteen years of age, the pharmacist or a pharmacy intern shall obtain permission from the individual's parent or legal guardian in accordance with the procedures specified in rules adopted under this section.
(D)(1) No pharmacist shall do either of the following:
(a) Engage in the administration of immunizations unless the requirements of division (B) of this section have been met;
(b) Delegate to any person the pharmacist's authority to engage in or supervise the administration of immunizations.
(2) No pharmacy intern shall engage in the administration of immunizations unless the requirements of division (B) of this section have been met.
(E)(1) The state board of pharmacy shall adopt rules to implement this section. The rules shall be adopted in accordance with Chapter 119. of the Revised Code and shall include the following:
(a) Requirements for courses in administration of immunizations, including requirements that are consistent with any standards established for such courses by the centers for disease control and prevention;
(b) Requirements for protocols to be followed by pharmacists and pharmacy interns in engaging in the administration of immunizations;
(c) Procedures to be followed by pharmacists and pharmacy interns in obtaining from the individual's parent or legal guardian permission to administer immunizations to an individual younger than eighteen years of age.
(2) Prior to adopting rules regarding requirements for protocols to be followed by pharmacists and pharmacy interns in engaging in the administration of immunizations, the state board of pharmacy shall consult with the state medical board and the board of nursing.
Last updated June 2, 2021 at 3:25 PM

Structure Ohio Revised Code

Ohio Revised Code

Title 47 | Occupations-Professions

Chapter 4729 | Pharmacists; Dangerous Drugs

Section 4729.01 | Pharmacists, Dangerous Drugs Definitions.

Section 4729.02 | State Board of Pharmacy.

Section 4729.021 | Licensing and Registration of Home Medical Assistance Services Providers.

Section 4729.03 | Organization.

Section 4729.04 | Executive Director of Board - Duties.

Section 4729.041 | Amount of Salvia Divinorum or Salvinorin a Required for Impaired Operation.

Section 4729.05 | Meetings of Board.

Section 4729.06 | Records - Seals.

Section 4729.07 | License Application - Examination.

Section 4729.071 | License Applicant to Comply With Rc Chapter 4776.

Section 4729.08 | License Qualifications.

Section 4729.09 | Reciprocity.

Section 4729.10 | Rules.

Section 4729.11 | Establishing Pharmacy Internship Program.

Section 4729.12 | Licenses; Renewal.

Section 4729.13 | Failure to Renew License.

Section 4729.15 | State Board of Pharmacy - Fees.

Section 4729.16 | Disciplinary Actions.

Section 4729.161 | Offering Services Through Authorized Business Entity.

Section 4729.162 | Adoption of Rules Regarding Review of Patient Information Available Through Drug Database.

Section 4729.17 | Single Member May Hold Hearing.

Section 4729.171 | Designation of Hearing Examiners.

Section 4729.18 | Standards for Approving and Designating Physicians and Facilities as Treatment Providers for Pharmacists With Substance Abuse Problems.

Section 4729.19 | Cooperation in Investigation.

Section 4729.20 | Dispensing for Purposes of Medication Synchronization.

Section 4729.23 | Confidential Information; Investigations and Inspections.

Section 4729.24 | Authority of Board to Take Depositions, Issue Subpoenas, Etc.

Section 4729.25 | Enforcement.

Section 4729.26 | Administrative Rules.

Section 4729.27 | Pharmacist Must Be in Full and Actual Charge of Pharmacy.

Section 4729.28 | Unauthorized Practice.

Section 4729.281 | Conditions for Refill of Prescription.

Section 4729.282 | Dispensing of Drugs Pursuant to Prescriptions Made Without Examination and Ept Prescriptions.

Section 4729.283 | Dispensing Naltrexone Without Prescription.

Section 4729.284 | Pharmacist Dispensing Nicotine Replacement Therapy.

Section 4729.285 | Telehealth Services.

Section 4729.29 | Exemptions.

Section 4729.291 | Drugs Personally Furnished by Prescriber.

Section 4729.292 | On-Site Inspection of Opioid Treatment Programs.

Section 4729.30 | Sale of Paris Green.

Section 4729.31 | Exceptions.

Section 4729.32 | Requirements for Sale of Denatured or Wood Alcohol in Five Gallon Lots or More.

Section 4729.33 | Requirements for Sale of Denatured or Wood Alcohol in Less Than Five Gallon Lots.

Section 4729.34 | Advertising.

Section 4729.35 | Violations Deemed Public Nuisance.

Section 4729.36 | Advertisements.

Section 4729.361 | Disclosing Price Information.

Section 4729.37 | Filling Prescriptions - Records.

Section 4729.38 | Selecting Generically Equivalent Drugs or Interchangeable Biological Products.

Section 4729.381 | Licensed Pharmacist - Immunity.

Section 4729.382 | Pharmacist's Authority to Dispense an Epinephrine Autoinjector by Substitution.

Section 4729.39 | Consult Agreement With Physicians.

Section 4729.40 | Authority for Pharmacists to Convert Prescriptions Authorizing Refills Under Certain Circumstances.

Section 4729.41 | Authority to Administer Immunizations.

Section 4729.42 | Authority to Order, Administer Covid-19 Diagnostic Tests.

Section 4729.43 | Delivery of Certain Non-Self-Injectable Cancer Drugs Prohibited.

Section 4729.44 | Dispensing Overdose Reversal Drugs.

Section 4729.45 | Administration of Injections.

Section 4729.46 | Prescriptions for Opioid Analgesics to Be Used on an Outpatient Basis.

Section 4729.47 | Authority to Dispense Epinephrine Without a Prescription.

Section 4729.48 | Cost-Sharing Amount in Excess of Charge; Notice to Patient.

Section 4729.49 | Terminal Distributor Contracts With 340b Program Participants.

Section 4729.50 | Contracts With Private Entities to Process Applications.

Section 4729.51 | Selling, Purchasing, Distributing, or Delivering Dangerous or Investigational Drugs.

Section 4729.511 | Overdose Reversal Drug Distributor; Priorities.

Section 4729.513 | Donation of Inhalers and Epinephrine Autoinjectors.

Section 4729.514 | Procurement of Overdose Reversal Drugs by Service Entity.

Section 4729.515 | Distribution of Overdose Reversal Drugs for Use in Emergencies; Through Automated Mechanism.

Section 4729.52 | Licenses for Wholesale Distributors and Manufacturers of Dangerous Drugs, Outsourcing Facilities, Third-Party Logistics Providers, and Repackagers; Application; Issuance; Renewal; Fees.

Section 4729.53 | Registration Requirements.

Section 4729.531 | Limited License to Animal Shelters for Use of Drugs for Euthanizing Animals.

Section 4729.532 | Performing Euthanasia by Means of Lethal Injection on Animal.

Section 4729.533 | Chemical Capture Classification to Limited License.

Section 4729.534 | Chemical Capture - Certified Officers; Curricula; Immunity.

Section 4729.535 | Chemical Capture - Prohibitions.

Section 4729.54 | Terminal Distributor Licenses.

Section 4729.541 | Exemption From Licensure as Terminal Distributor of Dangerous Drugs.

Section 4729.542 | Chemical Capture Classification - Possession and Use of Dangerous Drugs.

Section 4729.55 | Terminal Distributor License Requirements.

Section 4729.551 | Licensing of Retail Sellers.

Section 4729.552 | License as a Category III Terminal Distributor of Dangerous Drugs With a Pain Management Clinic Classification.

Section 4729.553 | Office-Based Opioid Treatment; Licensure.

Section 4729.56 | Disciplinary Actions.

Section 4729.561 | Suspension of License Without Hearing.

Section 4729.57 | Disciplinary Actions - Terminal Distributor.

Section 4729.571 | Suspension of Terminal Distributor's License Without Hearing.

Section 4729.58 | Renewals.

Section 4729.59 | Maintenance of Register and Roster of Licensees.

Section 4729.60 | Verification of License Prior to Transactions.

Section 4729.61 | False or Fraudulent Licenses.

Section 4729.62 | Surrendering License.

Section 4729.64 | Injunctions.

Section 4729.65 | Depositing Receipts.

Section 4729.67 | Effect of Child Support Default on License or Certificate.

Section 4729.68 | Completion of Diabetes Education Program.

Section 4729.69 | Establishment and Administration of Drug Take-Back Program.

Section 4729.691 | Information Regarding Drug Take-Back Programs.

Section 4729.70 | Establishing and Implementing Medical Gases Safety Program.

Section 4729.75 | Drug Database May Be Established by Board of Pharmacy.

Section 4729.76 | Duties of Administrator of Drug Database.

Section 4729.77 | Drug Database Information to Be Supplied by Terminal Distributors.

Section 4729.771 | Medical Marijuana Dispensaries.

Section 4729.772 | Information for Drug Database From Other Sources.

Section 4729.78 | Drug Database Information Reporting.

Section 4729.79 | Information to Be Provided by Licensees Who Personally Furnish Drugs to Patients.

Section 4729.80 | Information Provided From Drug Database - Record of Requests - Confidentiality.

Section 4729.81 | Board Review of Drug Database for Violations of Law.

Section 4729.82 | Retention and Purging of Drug Database Information.

Section 4729.83 | No Charges to Be Imposed to Establish or Maintain Drug Database; Acceptance of Grants, Gifts, or Donations.

Section 4729.84 | Board to Adopt Drug Database Rules.

Section 4729.85 | Drug Database Reports.

Section 4729.86 | Applicable Additional Provisions Regarding Drug Database.

Section 4729.861 | Restriction of Database Use; Notification of Licensor.

Section 4729.87 | Compliance With Law Regarding Sanctions for Human Trafficking.

Section 4729.88 | Epinephrine Autoinjectors.

Section 4729.89 | Investigational Drugs.

Section 4729.90 | Applicants for Registration as Registered Pharmacy Technician.

Section 4729.901 | Form of Application.

Section 4729.902 | Registration Renewal.

Section 4729.91 | Permissible Activities for Registered Pharmacy Technician.

Section 4729.92 | Applicant for Registration as a Pharmacy Technician Trainee.

Section 4729.921 | Registration as a Pharmacy Technician Trainee.

Section 4729.93 | Permissible Activities for Trainee.

Section 4729.94 | Rules.

Section 4729.95 | Violations.

Section 4729.96 | Sanctions.

Section 4729.99 | Penalty.

Section 4729.991 | Penalties - Chemical Capture Violations.