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Oregon Pharmacy Immunization Protocols
Note to pharmacists:

The following Pharmacy Protocols for Immunization are reviewed yearly. Generally, updates are made as new recommendations are published by the Advisory Committee on Immunization Practices (ACIP).


Per ORS 855-018-0280 (6), pharmacists must provide an Adolescent Well Visit Flyer to those 11―18 years of age.

English (pdf)          Spanish (pdf)

Meningococcal vaccine serogroup B

This order authorizes administration of serogroup B meningococcal vaccine as noted below:

  • Recombinant Meningococcal serogroup B vaccines are approved for high-risk individuals ages 10–25 years.
  • For emergency or outbreak control as identified by the Oregon Health Authority, Immunization Program Health Director.
  • Bexsero® (Novartis); 2-dose series at days 0 and ≥1 month
  • Trumenba™ (Pfizer); 3-dose series at days 0, 2 months, and 6 months
 This order authorizes vaccination of such persons ≥11 years of age. Refer younger clients to their private providers.

The national Advisory Committee on Immunization Practices (ACIP) will make general recommendations for use of this vaccine during its June 2015 meeting. A revised protocol will be written shortly thereafter.


Regarding Zostavax® and Adults age 50 and older:

Update based upon the August 22, 2014 MMWR

On August 22, 2014 ACIP made the following determinations:

  1. Not to recommend Zostavax for persons <60 years of age.
  2. The burden of herpes zoster increases with age, especially after age 60.
  3. Adults receiving herpes zoster vaccine before age 60 years might not be protected when the risks for herpes zoster and its complications are the highest.
  4. Vaccination at age 60 years would prevent the most shingles cases (26,147 per 1 million persons).
  5. The protection of herpes zoster vaccine wanes within the first 5 years after vaccination.
  6. Booster doses have not been studied.
  7. The CDC is actively monitoring data on duration of vaccine protection in adults vaccinated at age ≥60 years. As additional data become available, ACIP will reevaluate the optimal age for vaccination and the need for revaccination.
  8. Zostavax is covered by some Medicare Part D policies for patients ≥65 years of age. Oregon Medicaid covers zoster vaccine for those age 60 and older. Other insurance companies may not cover the cost of Zostavax, especially for indications (e.g., <60 years of age) that lie outside of ACIP recommendations.

Certified immunizing pharmacists in the state of Oregon are now eligible to apply for the Uniform Stamp and Yellow Fever Center Agreement. More information on administering Yellow Fever and other travel vaccines can be found on the Yellow Fever resource page.


Please read through all the protocols carefully. If you decide to change any part of them, your changes must be submitted in writing to Jeanine Whitney and approved by the OHA Immunization Program.

If you have any questions about these revised protocols, please call Jeanine Whitney at (971) 673-0281.


These issues are PDF files that require Adobe Reader software to be read and printed.

Vaccine/biologic  Date of Last Revision
Haemophilus Influenzae B (Hib) 12/11 (184K)
Hepatitis A 12/11 (167K)
Hepatitis B 12/11 (168K)
HPV 06/15 (203K)
Influenza, Inactivated 08/15 (504K) New!!
Influenza, Live Attenuated 09/15 (763K)  New!!
Japanese Encephalitis  12/13 (169K)
MMR 12/13 (203K)
Meningococcal 05/13 (319K)
Meningococcal B 11/15 (127K) NEW!
Pneumococcal vaccines 10/15 (389K) New!!!
Polio 12/12 (151K)
Polio for Travelers (Interim)​ 07/15 (233K)  New!!!
Rabies 04/13 (130K)
Twinrix (combined hep A and hep B) 12/12 (157K)
Tdap and Td  02/13 (203K)  
Typhoid 07/15 (220K)  New!!!
Varicella 07/12 (183K)
Yellow Fever  03/12 (132K)
Zoster (Shingles) 12/11 (145K)
Guidelines for Treatment of Severe Adverse Events 02/15 (183K) 
Adverse Events E-kit Checklist​ ​02/15 (23K)
Recommended Sites for Simultaneous Vaccine Administration 12/11 (222K)
Table of Contents 11/15 (84K)  New!!!
Multiple signature page 01/12 (56K)