COVID-19 VACCINATION INFORMATION

 

Board staff have consolidated COVID-19 vaccine related items posted on our homepage and organized them below by topic. Select a topic to be taken to that section:

1) Vaccine Administration Authorization

2) NC DHHS's COVID-19 Vaccine Management System (CVMS) Provider Enrollment Portal

3) COVID-19 Vaccination Training Opportunities / Immunization Certificate Programs / CE for Pharmacists and Technicians

4) Other Vaccine Related Resources for Pharmacy Practitioners

 


 

 

1) VACCINE ADMINISTRATION AUTHORIZATION

 

THURSDAY, FEBRUARY 25, 2021

STATE HEALTH DIRECTOR TILSON ISSUES REVISED STANDING ORDER FOR COVID-19 VACCINE ADMINISTRATION.  State Health Director Betsey Tilson has issued a revised state standing order for COVID-19 vaccine administration.  The revised order (found here:  https://files.nc.gov/covid/documents/guidance/vaccinations/Statewide-COVID-19-Vaccine-Standing-Order.pdf) specifically includes “covered person[s] under the federal PREP Act” who are functioning as vaccinators.  Accordingly, pharmacists exercising authority conferred by US DHHS PREP Act declarations may use the state standing order to administer COVID-19 vaccines. And pharmacists may supervise PREP Act-authorized qualified pharmacy technicians administering COVID-19 vaccines when using the state standing order. Board of Pharmacy staff are grateful to NC DHHS staff for issuing this revised standing order, which clarifies and simplifies COVID-19 vaccine administration authority. 

 


 

FRIDAY, JANUARY 29, 2021

UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ISSUES NEW PREP ACT DECLARATION AUTHORIZING QUALIFIED HEALTHCARE PROVIDERS TO PRESCRIBE, DISPENSE, OR ADMINISTER COVID-19 VACCINES IN ANY STATE.  On January 28, 2021, US DHHS issued the latest in a series of declarations under the PREP Act.  This latest declaration (https://www.phe.gov/Preparedness/legal/prepact/Pages/COVID-Amendment5.aspx) authorizes “any healthcare professional . . . who holds an active license or certification permitting the person to prescribe, dispense, and/or administer vaccines under the law of any State” to “prescribe, dispense or and/or administer COVID-19 vaccines in any State” as “long as the license or certification of the healthcare professional has not been suspended or restricted by any licensing authority, surrendered while under suspension, discipline or investigation by a licensing authority or surrendered following an arrest, and the individual is not on the List of Excluded Individuals/Entities maintained by the Office of Inspector General.”

Accordingly, pharmacists, qualified pharmacy interns, and qualified pharmacy technicians licensed or certified in other states – and whose licenses or certifications are not suspended, restricted, or surrendered – may prescribe or dispense (in the case of pharmacists) or administer (in the case of pharmacists, qualified interns, and qualified technicians) COVID-19 vaccines in North Carolina.  Conversely, North Carolina pharmacists, qualified interns, and qualified pharmacy technicians may do so in other states. 

Scroll down below for more information on the training requirements for vaccinating pharmacists, interns, and technicians – as well as more information on appropriate supervision of vaccinating interns and technicians.

 


 

TUESDAY, DECEMBER 29, 2020

STATE HEALTH DIRECTOR SIGNS STANDING ORDER AUTHORIZING IMMUNIZING PHARMACISTS IN NC TO ADMINISTER COVID-19 VACCINES. North Carolina State Health Director, Dr. Elizabeth Tilson, signed a standing order authorizing immunizing pharmacists in NC to administer the COVID-19 vaccines in order to reduce the morbidity and mortality of COVID-19. This standing order authorizes pharmacists licensed by the North Carolina Board of Pharmacy and practicing in North Carolina to administer FDA-authorized or FDA-licensed COVID-19 vaccines to eligible recipients.  The standing order spells out the eligible recipients, proper procedure, and reporting requirements: http://www.ncbop.org/pdf/COVID19StatewideStandingImmunizingPharmacists12_27_20signed.pdf.

Immunizing pharmacists must meet the qualifications listed in N.C.G.S. 90-85.3:
-completion of an immunization certification course
-current provider-level CPR
-immunization specific continuing education
-training on how to participate in the North Carolina Immunization Registry

Additional information:

This statewide standing order is state law, and it is an authorization for pharmacists to administer the COVID-19 vaccines in addition to the Federal DHHS’ Declarations under the PREP ACT authorizing administration of COVID-19 vaccines by pharmacists, pharmacy technicians, and pharmacy student interns. http://www.ncbop.org/PDF/PREPActTechnicianVaccination102220.pdf.

 


 

TUESDAY, DECEMBER 8, 2020

SUPERVISION OF PHARMACY INTERNS AND QUALIFIED PHARMACY TECHNICIANS ADMINISTERING VACCINES OR ASSISTING WITH VACCINATION EFFORTS DURING THE COVID-19 PUBLIC HEALTH EMERGENCY.   As pharmacists know, under North Carolina law pharmacy interns may administer vaccines under the supervision of a pharmacist.  21 NCAC 46. 2507.  Under the United States Department of Health and Human Services’ PREP Act declarations, pharmacy interns and qualified pharmacy technicians may administer vaccines under the supervision of a pharmacist.  http://www.ncbop.org/PDF/COVID19PREPActVaccinationAug2020.pdf;  http://www.ncbop.org/PDF/PREPActCOVIDVaccination090920.pdf; http://www.ncbop.org/PDF/PREPActTechnicianVaccination102220.pdf.

Board staff have received a number of inquiries concerning what constitutes proper supervision of a pharmacy intern or qualified pharmacy technician who is administering vaccines or otherwise assisting with a vaccination effort.  To facilitate the safe, rapid deployment of pharmacy personnel to administer vaccines during the COVID-19 public health emergency, the Board’s Executive Director has exercised authority delegated to him in the Board’s Emergency Services Waiver to waive enforcement of Rule .2507’s requirement that supervision be “direct [and] in-person,” and that the supervision be provided only by a pharmacist.  However, pharmacy interns and qualified pharmacy technicians must be supervised by a pharmacist or certain other health care providers who are present at the same facility and available to assist, and ultimate supervision must be provided by a pharmacist who is responsible for the administration.

Accordingly, a waiver is granted as follows:  Supervision of a pharmacy intern or qualified pharmacy technician who is administering vaccines or otherwise assisting with a vaccination effort shall be deemed adequate if either:  (a) a supervising pharmacist is on site and readily available to assist as needed; or (b) another licensed health care provider authorized to administer vaccines is on site and readily available to assist as needed, and a supervising pharmacist is readily available by phone or other telecommunications method for consultation as needed. 

The decision whether and how to implement a supervision alternative described above lies with the responsible pharmacist-manager.

 


 

WEDNESDAY, NOVEMBER 18, 2020

QUALIFIED PHARMACY TECHNICIANS MAY ADMINISTER ACIP-RECOMMENDED PEDIATRIC VACCINES AND COVID-19 VACCINES UNDER PHARMACIST SUPERVISION REGARDLESS OF WHO ORDERED THE VACCINE.   Pharmacists are aware that US DHHS has issued a declaration under the PREP Act authorizing qualified pharmacy technicians to administer ACIP-recommended pediatric vaccines and COVID-19 vaccines under the supervision of a qualified pharmacist: http://www.ncbop.org/PDF/PREPActTechnicianVaccination102220.pdf.

Board staff have been asked whether, under the PREP Act declaration, a qualified pharmacy technician may only administer a vaccine that a qualified pharmacist has ordered.  The answer is no.  The PREP Act declaration permits a qualified pharmacy technician to administer these vaccines under the supervision of a qualified pharmacist.  The authority is not conditioned on the identity of the health care provider who ordered or prescribed the vaccine.  So long as a valid order for the vaccine exists – by way of pharmacist order, physician order, state-authorized standing order, or other legal order – and the qualified technician is supervised by a pharmacist, the technician may administer the vaccine. 

More information about technician authority to administer these vaccines is found in the guidance document linked above. 

 


 

 

THURSDAY, OCTOBER 22, 2020

UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ISSUES DECLARATION UNDER PUBLIC READINESS AND EMERGENCY PREPAREDNESS ("PREP") ACT AUTHORIZING QUALIFIED PHARMACY TECHNICIANS TO ADMINISTER ACIP-RECOMMENDED VACCINES TO PEDIATRIC PATIENTS AND FDA-APPROVED COVID-19 VACCINES TO PATIENTS AGED THREE YEARS AND OLDER DURING THE PUBLIC HEALTH EMERGENCY.  On October 21, 2020, USDHHS issued another declaration under the PREP Act authorizing “qualified pharmacy technicians” to administer ACIP-recommended vaccines to patients ages three (3) to eighteen (18) and FDA-approved COVID-19 vaccines to patients ages three (3) years or older under the supervision of a qualified pharmacist.  (https://www.hhs.gov/sites/default/files/prep-act-guidance.pdfNote:  This declaration also clarified the ability of qualified pharmacy interns to administer such vaccines, but, for purposes of North Carolina, those clarifications do not change pharmacy intern administration authority as discussed in the two Board guidance documents linked above.  Board of Pharmacy guidance on implementing this declaration here: http://www.ncbop.org/PDF/PREPActTechnicianVaccination102220.pdf.

For prior guidance on implementing USDHHS declarations authorizing pharmacists to order and administer ACIP-recommended pediatric vaccines and COVID-19 vaccines see there --  http://www.ncbop.org/PDF/COVID19PREPActVaccinationAug2020.pdf -- and here --  
http://www.ncbop.org/PDF/PREPActCOVIDVaccination090920.pdf

 


 

WEDNESDAY, AUGUST 26, 2020

PHARMACISTS EXERCISING U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES-GRANTED AUTHORITY TO ORDER AND ADMINISTER PEDIATRIC VACCINES.  As detailed in the August 20, 2020 Board of Pharmacy update, the U.S. Department of Health and Human Services issued a declaration under the PREP Act authorizing pharmacists to order and administer certain vaccines to patients ages three (3) to eighteen (18).  More detail about that grant of authority and its intersection with North Carolina law is found here:  http://www.ncbop.org/PDF/COVID19PREPActVaccinationAug2020.pdf. Some pharmacists have asked, when ordering and administering vaccines under this grant of authority, who the documented prescriber should be.  The answer is the pharmacist exercising this authority.  Again, HHS authorized pharmacists to order and administer these vaccines, notwithstanding any state law to the contrary. 

 


 

THURSDAY, AUGUST 20, 2020

UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ISSUES DECLARATION UNDER PUBLIC READINESS AND EMERGENCY PREPAREDNESS ("PREP") ACT AUTHORIZING PHARMACISTS TO ORDER AND ADMINISTER VACCINES TO PATIENTS AGED THREE THROUGH 18 YEARS DURING THE COVID-19 HEALTH EMERGENCY. On August 19, 2020 the U.S. Department of Health and Human Services issued a declaration (https://www.hhs.gov/sites/default/files/third-amendment-declaration.pdf) authorizing pharmacists "to order and administer," and a “supervised pharmacy intern” “to administer” certain vaccines to patients ages three (3) to eighteen (18) during the federally-declared COVID-19 public health emergency. The purpose of this declaration is to mitigate a potential “decrease in rates of routine childhood vaccinations . . . due to changes in healthcare access, social distancing, and other COVID-19 mitigation strategies.” This update describes the conditions under which pharmacists and pharmacy interns may exercise that authority, and how these conditions differ from existing North Carolina law: http://www.ncbop.org/PDF/COVID19PREPActVaccinationAug2020.pdf.

 

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2) NC DEPARTMENT OF HEALTH & HUMAN SERVICES COVID-19 VACCINE MANAGEMENT SYSTEM (CVMS) PROVIDER ENROLLMENT PORTAL

 

FRIDAY, JANUARY 15, 2021

FROM THE NC DEPARTMENT OF HEALTH & HUMAN SERVICES:  COVID-19 VACCINE MANAGEMENT SYSTEM (CVMS) PROVIDER ENROLLMENT PORTAL

We have received an influx of applications since the COVID-19 Vaccine Management System (CVMS) Provider Enrollment Portal opened to providers on January 11, 2021 and thank you for your enthusiasm around COVID-19 vaccine administration. Given the number of applicants, we want to provide insight into how providers are currently being approved for enrollment. 

Please understand that while qualified providers are welcome to enroll, applications will be reviewed in an order aligned with the prioritization phases, and the timeline for approval will vary. The table below highlights the six prioritization groups as well as target timing for enrollment decisions.

Provider Type 

Target Approval Timing 

(1) Hospitals, Health Systems, LHDs 

November / December 

(2) FQHCs, LTC Pharmacies, LHD Identified Partners, Correction Health, Mass Vaccinators   

December / January 

(3) Family Medicine/Internal Medicine, Medical Directors SNF, Occupational Health 

January / February 

(4) Retail Pharmacy, Pediatric Primary Care, Independent Practice Specialty 

February / March 

(5) Other Providers (e.g. Dental, Optometry) 

TBD pending executive authorization to administer COVID-19 vaccines 

(6) Other Entities (e.g. Labs, Colleges, Universities) 

TBD 

 

We ask for your patience as we review the thousands of provider applications. Please also remember that provider enrollment approval does not guarantee vaccine allocation. We will update you as we receive more information on the timing and prioritization of enrollment applications.  

Thank you for your continued support,   
NC Immunization Branch  

 


 

MONDAY, JANUARY 11, 2021

From the NC Department of Health and Human Services:

We are writing to inform you that starting today (1/11/21), North Carolina’s COVID-19 Vaccine Management System (CVMS) Provider Enrollment Portal is open.  Please share this message with any providers you are aware are eligible and interested in administering the COVID-19 vaccine.

Any provider enrolling through the portal will be reviewed and considered for approval by the NC Immunization Branch to administer the COVID-19 vaccine. Enrollment can be initiated here: https://covid-enroll.ncdhhs.gov/s/login/?ec=302&startURL=%2Fs%2F.

As a reminder, COVID-19 vaccine providers must be qualified under the CDC agreement to prescribe COVID-19 vaccines and authorized under the appropriate NC licensing authority. Enrolled COVID-19 vaccine providers must be credentialed/licensed in North Carolina. Please understand that while currently qualified providers are welcome to enroll, requests will be addressed in an order aligned with the prioritization phases and the timeline for approval will vary. The State will continuously reassess enrollment prioritization based on needs.

Please visit the North Carolina Immunization Branch COVID-19 training website for Provider Enrollment Portal training content: https://immunize.nc.gov/providers/covid-19training.htm. The available modules are captured in the screenshot below.  

NCDHHS COVID Response  
  
Additional trainings related to CVMS can also be found on https://immunize.nc.gov/providers/covid-19training.htm. Please note, any trainings you elect to review at this time are subject to be refreshed by the time you become an approved provider. You may need to revisit trainings depending on approval timelines.

Thank you for your continued support,

NC Immunization Branch    

 


 

UPDATE SATURDAY, JANUARY 9, 2021 - CVMS OFFICE HOURS SCHEDULED DAILY. SEE BELOW FOR TIMES.

TRAINING ON USE OF THE COVID-19 VACCINE MANAGEMENT SYSTEM (CVMS).  As further detailed in State Health Director Betsey Tilson’s standing order for pharmacist administration of COVID-19 vaccines -- http://www.ncbop.org/PDF/COVID19VaccineNCPharmacyProtocol122720.pdf -- after administration of a COVID-19 vaccine, the pharmacy must “record COVID-19 vaccination in the pharmacy record within 24 hours and record all required data elements in the COVID-19 Vaccine Management System.”  NC DHHS has announced training sessions on CVMS use and office hours for questions:

Training Session Descriptions:
CVMS Office Hours
Description: Open hours to support CVMS. Subjects that can be covered:

COVID-19 Vaccination Office Hours are scheduled and available for you to attend on Monday - Friday from 7:30AM – 5:00PM ET and Saturday and Sunday from 10:00AM – 12:00PM ET.   

Dr. Amanda Fuller Moore will kick off the office hour session each weekday morning from 7:30-8:10AM ET. For general CVMS questions, the line will remain open weekdays until 5:00PM ET.   

The purpose of the office hours is to give you the opportunity to ask questions on an open line with live help. You can join the office hours via Microsoft Teams or via the dial in provided below any time during the day.  

Dates  

Time  

Microsoft Teams Link  

Microsoft Teams Dial In  

Monday - Friday  

7:30AM – 5:00PM ET  

Click here to join the meeting  

+1 984-204-1487,,871816988#     
United States, Raleigh   
Phone Conference ID: 871 816 988#   
  

Saturday - Sunday  

10:00AM – 12:00PM ET  

Click here to join the meeting   

+1 984-204-1487,,630426885#     
United States, Raleigh   
Phone Conference ID: 630 426 885#   

 

 

 

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3) COVID-19 VACCINATION TRAINING OPPORTUNITIES FOR PHARMACISTS AND TECHNICIANS

    

FEBRUARY 19, 2021 AND MARCH 19, 2021

North Carolina Association of Pharmacists - APhA's Pharmacy-Based Immunization Delivery Certificate Training Program will be held Friday, February 19, 2021 and Friday, March 19, 2021: 9:00 am - 5:00pm. These programs will be held in a VIRTUAL LEARNING FORMAT VIA ZOOM MEETING. There is a self-study component to complete prior to the live webinar(s). For details and to register for either date, please visit https://www.ncpharmacists.org.

 

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WEDNESDAY, MARCH 10, 2021: APhA/WSU PHARMACY-BASED IMMUNIZATION ADMINISTRATION CERTIFICATE PROGRAM FOR TECHNICIANS

Event Date: March 10, 2021 | Time: 8:30 AM - 12:30 PM
Facility: Campbell University
Credits Offered: ACPE Knowledge-based-Contact - 4.00
ACPE Knowledge-based-Non Contact - 2.00
Topic: The live portion is conducted in person. This course is for pharmacy technicians only.
Fees: Pharmacy Technician: $225.00

Click here for more information and to register: https://cmetracker.net/CAMPBELL/Catalog

Samantha Clinton, CPhT, CQEP, HMCC
Assistant Director of Continuing Professional Education
Campbell University College of Pharmacy & Health Sciences
910.814.4784 (office)
clintons@campbell.edu

 

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WEDNESDAY, MARCH 31, 2021: APHA's PHARMACY-BASED IMMUNIZATION DELIVERY CERTIFICATE TRAINING PROGRAM FOR PHARMACISTS

The live, in person portion of this program will be held Wednesday, March 31, 2021, 9:00AM - 5:00PM
Campbell University, Buies Creek, NC
Registration Fee: $395

If you are interested in becoming an immunizing pharmacist, this course will certify you.
**This course is not approved for pharmacy technicians.


Click here for more information and to register: https://cmetracker.net/CAMPBELL/Catalog

Samantha Clinton, CPhT, CQEP, HMCC
Assistant Director of Continuing Professional Education
Campbell University College of Pharmacy & Health Sciences
910.814.4784 (office)
clintons@campbell.edu

 

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COVID-19 Vaccination in North Carolina Parts 1 and 2 on-demand videos are now available on our website  https://cmetracker.net/CAMPBELL/Catalog

Follow the instructions provided at registration to view the videos. Be sure to record the activity code and claim credit at the following link.

HOW TO CLAIM CE CREDIT:
The activity code to claim credit is provided at the end of the presentation. Record the code and sign in here: https://cmetracker.net/CAMPBELL/Catalog
Credit Instructions: https://cmetracker.net/CAMPBELL/Files/EventMaterials/3239.pdf
Slides: https://cmetracker.net/CAMPBELL/Files/EventMaterials/3211.pdf

Contact: Samantha Clinton, CPhT, CQEP, HMCC
Assistant Director of Continuing Professional Education
Campbell University College of Pharmacy & Health Sciences
910.814.4784 | clintons@campbell.edu

Description: This two-part continuing pharmacy education course has been developed in partnership with the North Carolina Board of Pharmacy to provide education and guidance for pharmacists and pharmacy technicians on the novel COVID-19 virus, COVID- 19 vaccines in development and currently available, COVID-19 vaccine distribution plans in North Carolina, vaccine administration strategy, and federal and state regulatory issues governing pharmacist, pharmacy intern, and pharmacy technician administration of COVID-19 vaccines. 

 

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FEBRUARY 20, 2021 AND MARCH 20, 2021

APhA AND UNC ESHELMAN SCHOOL OF PHARMACY HOSTING PHARMACY-BASED IMMUNIZATION DELIVERY CERTIFICATE PROGRAMS FEBRUARY 20 AND MARCH 20

February 20, 2021
8a-5p
Chapel Hill, NC or Online
Registration Fee: $350
https://pharmacy-ncu.learningexpressce.com/index.cfm?fa=view&eventID=19683


March 20, 2021
8a-5p
Chapel Hill, NC or Online
Registration Fee: $350
https://pharmacy-ncu.learningexpressce.com/index.cfm?fa=view&eventID=19684  

 

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4) OTHER VACCINE RELATED TOPICS AND RESOURCES FOR PRACTITIONERS

 

WEDNESDAY, JANUARY 27, 2021

PHARMACY TECHNICIANS QUALIFIED TO ADMINISTER VACCINES UNDER THE FEDERAL PREP ACT SHOULD UPDATE THEIR STATUS THROUGH THE BOARD’S LICENSING PORTAL.  The U.S. Department of Health and Human Services has issued a declaration under the PREP Act authorizing qualified pharmacy technicians to administer ACIP-recommended pediatric vaccines and COVID-19 vaccines under the supervision of a qualified pharmacist:  http://www.ncbop.org/PDF/PREPActTechnicianVaccination102220.pdf  Technicians who have completed the required training to administer vaccines under this declaration should log on to their profile through the Board’s Licensing Portal and update their status as vaccinators. 

Once logged in to the technician’s profile, click on the “Pharmacy Technician” tile, then a “Vaccinator” tile will appear on the next page.  A technician now qualified to administer vaccines should hover over that tile, note the attestation, and then click to turn the tile green and indicate vaccinator status.

Click on the Pharmacy Technician tile:

Licensure Gateway Technician Tile


Then, click on the vaccinator tile to indicate a technician is vaccinating:

Licensure Gateway Vaccinator Status Technicians


 

 

MONDAY, JANUARY 4, 2021

NC DIVISION OF PUBLIC HEALTH SEEKING HELP WITH VACCINE COORDINATION. The North Carolina Division of Public Health has reached out to the Board of Pharmacy and is asking for personnel to help assist the Local Health Departments across North Carolina as they begin offering vaccinations to their community. Many of these Local Health Departments have well organized plans that they are preparing to execute in order to vaccinate their community while also continuing their critical daily duties and support ongoing COVID-19 pandemic responsibilities like contact tracing and outbreak identification.

NC pharmacists interested in an opportunity to volunteer and help North Carolinians protect themselves from COVID-19 should complete the survey below from North Carolina Division of Public Health.  Their staffing team will reach out to you to match your willingness to serve with the Local Health Departments requesting assistance. This effort will be coordinated by state employees so please continue to monitor your e-mail for follow-up coordination from someone who will have an e-mail address (firstname.lastname)@dhhs.nc.gov

Please complete this brief survey to indicate your availability/interest in helping—all data goes to North Carolina Division of Public Health staff and is not shared publicly:  https://nc.readyop.com/fs/4d5I/ddb4

Questions, please contact:

Christine Mullarkey Campbell 
Emergency Management Planner
Division of Public Health, Public Health Preparedness and Response
North Carolina Department of Health and Human Services
 
Office 919-546-1834
christine.mullarkey@dhhs.nc.gov

For additional information about North Carolina’s COVID-19 Vaccination Efforts, please follow this link.

 


 

MONDAY, OCTOBER 12, 2020

PHARMACISTS UPDATING THEIR IMMUNIZER STATUS. Many Pharmacists are updating their immunizer status in order to administer vaccines.

Note:  A pharmacist who completed an immunization certification course, but has not been administering vaccines does not need to retake the course.  The immunizing pharmacist must have a current provider-level CPR certification prior to administering vaccines, must begin obtaining required biennial immunization-specific CE, and must obtain training to participate in North Carolina Immunization Registry as required by the immunizing pharmacist statute.

Here’s how to update the Board that you are a certified vaccinator:

  • Log in on the Licensure Gateway page with your username and password
  • Once logged in, scroll to the bottom of the page and click on the Pharmacist tile
  • On the next page, under License Options, there is a tile for Vaccinator.  If it’s white, then that means we don’t have you listed as a vaccinator in our database.  If it’s green, then we do have you listed as a vaccinator.  To change the color of the box, click on it.

Pharmacist Vaccinator Status Update in Licensure Gateway

 

 

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