Which entity determines the specific vaccines that a pharmacist may administer?

The determination of which specific vaccines a pharmacist may administer is primarily governed by state laws and regulations. Each state has the authority to establish its own set of rules regarding the practice of pharmacy, including immunization delivery. This means that the scope of practice for pharmacists can vary significantly from one state to another, reflecting local health needs, legislative priorities, and the professional landscape.

While the Food and Drug Administration (FDA) is responsible for the approval and regulation of vaccines, it does not dictate which healthcare providers, including pharmacists, can administer specific vaccines. Similarly, while local health departments may influence public health initiatives and vaccination programs, they do not set the legal framework for the practice of pharmacy itself.

The Advisory Committee on Immunization Practices (ACIP) provides guidance on vaccine recommendations and schedules, but these recommendations do not have the force of law. Instead, they inform healthcare providers, including pharmacists, but ultimately, it is the state laws and regulations that determine the authority and scope of practice related to immunizations for pharmacists.