Immunization FAQ

COVID-19 Vaccine Information Update 8/30/2025)

As you know, pharmacist immunization authority to order/prescribe immunizations in WV is from the latest notice from the U.S. Department of Health and Human Services, CDC, including, but not limited to, CDC's recommended immunization schedule for adults and children and adolescents. On August 27, 2025, the FDA approved the 2025-2026 COVID-19 vaccines. There are significant changes in the labeling for these products this year.

Moderna-Spikevax:
- 65 years of age and older, or
- 6 months through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19
Moderna-mNEXSPIKE:
- 65 years of age and older, or
- 12 years through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19
Pfizer-Comirnaty:
- 65 years of age and older, or
- 5 years through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19.
Novavax:
- 65 years of age and older, or
- 12 years through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19

While these are the labeled indications, we do not have the CDC recommendations for these products. WV law permits a pharmacist to order/administer a vaccine based on CDC recommendations. Also, a pharmacist, pharmacy intern, and pharmacy technician (with training & registration if required), may administer a vaccine to an individual age 3 years and up per a prescription order from a prescriber. Therefore, if you receive a prescription for one of the COVID-19 vaccines, you are permitted to administer an age approprioate vaccine to those 3 years and up prior to receiving the CDC recommendations.

The Advisory Committee on Immunization Practices will be meeting September 18/19 and we will have the recommendations for the COVID-19 vaccines at this time. I will publish ASAP a comprehensive WVBOP immunization newsletter with this information once the meeting occurs, and the CDC officially makes the recommendation from the ACIP meeting. Remember, there is always information available on the website under “FAQs” and “Immunizations” at www.wvbop.com

Flu recommendations were finalized in June 2025 and remain nearly everyone 6 months and older.

What are the approved immunization training programs for pharmacists?

American Pharmacist Association (APhA)
University of Findlay School of Pharmacy
University of Florida College of Pharmacy
University of Connecticut
North Eastern University
Ohio Pharmacist Association
University of Kentucky College of Pharmacy
University of Wisconsin School of Pharmacy
CE Impact Pharmacy Immunization Training Program

2. What are Board approved immunization training programs for pharmacy technicians?

American Pharmacists Association
CEImpact – Immunization Administration Training for Pharmacy Technicians
FreeCE (PharmCon) – Pharmacy Technician Enhanced Training: Immunization
Michigan Pharmacists Association/Pharmacy Association, Inc.
Powell Health – Immunization Administration: Overview and Updates in the World of Immunizations
PTU Elite: Immunizations
Purdue University College of Pharmacy/Walmart – Immunization Training for the Pharmacy Technician
Kentucky Pharmacy Education and Research Foundation (KPERF) (formerly adminstered by Sullivan University) – Pharmacy Technician Immunization Administration Training

What are the approved CPR programs?

BLS course cards dated for completion on or after January 1, 2023, must have a hands-on component for successful renewal of the Immunizing Pharmacist Permit, Intern, or Pharmacy Technician.

American Red Cross
American Heart Association
American Health & Safety Institute (December 2013)
American CPR (December 2013)
National Safety Council (December 2013)
Emergency Care & Safety Institute –ECSI (August 2016)
ProTrainings (September 2020)
EnjoyCPR (December 2021)

What vaccines can a pharmacist order and/or administer?

West Virginia law permits pharmacists to order and administer all CDC/Advisory Committee on Immunization Practices (ACIP) recommended vaccines to persons ages 3 years and up based on the immunization schedule available here. For individuals ages 3 -17 years, the vaccine shall ONLY be administered provided the following are met:

with parental written, informed consent;
provided there are no contraindications to that person receiving that vaccine; and
after informing the patient and the adult caregiver accompanying the patient of the importance of a well-child visit with a pediatrician or other licensed primary-care provider and referral for patients as appropriate.

Pharmacists are also permitted to administer vaccines in accordance with a prescription order from a healthcare provider for a person age 3 years and up.

What vaccines can a Pharmacy technician and pharmacy interns may administer in WV?

Under 30-5-7(e) and per §15-12, for ages 3 years and up pharmacy interns and pharmacy technicians under direct supervision of a registered immunizing pharmacy may administer:

All CDC/Advisory Committee on Immunization Practices (ACIP) recommended vaccines to persons ages 3 years and up based on the immunization schedule available here. For individuals ages 3 -17 years, the vaccine shall ONLY be administered provided the following are met:

with parental written, informed consent;
provided there are no contraindications to that person receiving that vaccine; and
after informing the patient and the adult caregiver accompanying the patient of the importance of a well-child visit with a pediatrician or other licensed primary-care provider and referral for patients as appropriate.

The pharmacy technician must have completed Board of Pharmacy approved training for immunization administration, have valid CPR training, be registered with the Board of Pharmacy as a registered immunizing pharmacy technician, and complete 2 hours of continuing education related to immunizations each licensing renewal period.

How does a pharmacy technician register with the Board of Pharmacy to give immunizations?

Complete the following questions and email the attached documents with the email Subject “PT Immunization Registration” to boardofpharmacy@wv.gov.

We will update your profile. You will not receive a response from us, but please keep a copy of the email for your records. We are working on an update in the database where this will be displayed online soon.

Name
License #
Are you trained to be an Immunizing Pharmacy Technician? Y/N
Please attach proof of APhA Pharmacy Technician Immunization Training or other Board approved training certificate.*
Please attach proof of current Board approved CPR training.