# Title 61 — State Board of Pharmacy

## Article 61-04 — Professional Practice

## Chapter 61-04-14 — Limited Prescriptive Authority for Immunizations

### § 61-04-14-01. Definitions.

For purposes of this chapter:
1. "ACIP" means the centers for disease control and prevention's advisory committee on
immunization practices.
2. "Authorized pharmacist" means a pharmacist who has successfully completed an appropriate
study or training pertaining to the administration of drugs and maintains continuing
competency according to the standard of care.
3. "Immunization" has the same meaning as, and may be used interchangeable with, the term
"vaccination".
4. "Statewide protocol" refers to protocols developed by the board for the purpose of an
authorized pharmacist ordering and administrating immunizations.
History: Effective January 1, 2022.
General Authority: NDCC 28-32-02, 43-15-10
Law Implemented: NDCC 23-01-42, 43-15-10(24)
### § 61-04-14-02. Ordering and administration of immunization.

1. Authorized immunizations. The immunizations authorized to be ordered and administered
pursuant to a statewide protocol to patients ages three or older must include an immunization
recommended by ACIP in its approved vaccination schedule, any other emergency
immunization in response to a public health emergency, and an immunization recommended
by the centers for disease control and prevention for international travel.
2. Authorized pharmacist. An authorized pharmacist shall meet the standards in section
3. Assessment. An authorized pharmacist shall assess a patient for appropriateness for receiving
a vaccination before ordering and administering a vaccine pursuant to the statewide protocol.
4. Verification and reporting. Before ordering and administration of an immunization pursuant to
a statewide protocol, the authorized pharmacist shall consult and review the statewide
immunization registry. The authorized pharmacist or the authorized pharmacist's designee
shall report any immunization ordered and administered to the state immunization registry.
The pharmacist may provide the patient with a record of the vaccine administered.
5. Records. The prescribing pharmacist shall maintain records of all immunizations ordered and
administered through the statewide protocol. Informed consent must be documented in
accordance with the statewide protocol. Records must be maintained at least five years from
date of administration.
History: Effective January 1, 2022.
General Authority: NDCC 28-32-02, 43-15-10
Law Implemented: NDCC 23-01-42, 43-15-10(24)
