Coronavirus Disease (COVID-19) Resources

TSBP Resources & Guidance

TSBP resources and guidance are compiled as they become available and are listed below.

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    Immunization Procedures

      9th Amendment to PREP Act
      Expands authority to dispense and administer COVID-19 therapeutics

      Effective September 14, 2021

      The latest amendment to the PREP Act (ninth amendment, effective September 14, 2021) expands the scope of authority for licensed pharmacists to order and administer and qualified pharmacy technicians and pharmacy interns to administer COVID-19 therapeutics subcutaneously, intramuscularly, or orally as authorized, approved, or licensed by the U.S. Food and Drug Administration (FDA).

      The amendment authorizes “[a] State-licensed pharmacist who orders and administers, and pharmacy interns and qualified pharmacy technicians who administer (if the pharmacy intern or technician acts under the supervision of such pharmacist and the pharmacy intern or technician is licensed or registered by his or her State board of pharmacy) FDA authorized, approved, or licensed COVID-19 therapeutics. Such State-licensed pharmacists and the State-licensed or registered interns or technicians under their supervision are qualified persons” if certain requirements are met as outlined by the amendment (Federal Register).

      Read the full amendment here.

      8th Amendment to PREP Act
      Allows Qualified Pharmacy Technicians to
      Administer Seasonal Influenza Vaccines

      Effective August 4, 2021

      The latest amendment to the PREP Act (eighth amendment, effective August 4, 2021) clarifies that “qualified pharmacy technicians are Qualified Persons covered by the Declaration, and [expands] the scope of authority for qualified pharmacy technicians to administer seasonal influenza vaccines to adults within the state where they are authorized to practice and for interns to administer seasonal influenza vaccines to adults consistent with other terms and conditions of the Declaration” (Federal Register).

      Read the full amendment here.

      The summary chart below has been updated to reflect this latest PREP Act amendment. It is specific to TSBP licenses and outlines how the PREP Act amendments to date affect vaccine-related duty permissions for pharmacists and pharmacy technicians.

      Click the chart below to view full-size in a new tab.
      You can also click here to download this chart automatically.

      vaccination chart thumbnail

      Additional amendments to PREP Act
      add additional categories of qualified immunizers

      Who can administer vaccines? The latest amendment to the PREP Act expands qualified persons that may administer COVID-19 vaccines. Read the full amendment here. - Effective March 11, 2021

      A summary chart provided by PHE.gov (Public Health Emergency, U. S. Department of Health & Human Services) outlines these updates for all healthcare providers. The full fact sheet including the chart can be found at PHE.gov here.

      Click the chart below to view full-size in a new tab.
      You can also click here to download this chart automatically.

      vaccination chart thumbnail

      Guidance on Vaccinating Phase 1A and 1B Populations

      Texas DSHS has issued guidance regarding vaccinating Phase 1A and 1B populations.
      Read the guidance here.

      Registration for COVID-19 Vaccinations

      Pharmacies must enroll in the Texas Department of State Health Services (DSHS) Immunization Program to be eligible to administer COVID-19 vaccines in Texas once they are available. The enrollment portal is now open. A vaccine for the coronavirus, in limited quantities initially, is expected as early as November. DSHS, our state’s public health department, will be responsible for distribution.

      Register here:

      Learn more about becoming a COVID-19 vaccine provider here:

      The CDC has a number of requirements, including that providers must administer vaccine regardless of a recipient’s ability to pay, provide a vaccination record to each recipient, store doses of vaccine under the proper conditions, and report the number of doses received, used and lost for any reason. All COVID-19 vaccine providers must log their vaccination activities in an online portal.

      In addition, be sure your pharmacy is registered with ImmTrac2, Texas’ Immunization Information System (IIS), and register your pharmacy on VaccineFinder.org if you offer immunizations.

      Guidance for PREP Act Coverage for Qualified Pharmacy Technicians
      and State-Authorized Pharmacy Interns for
      Childhood Vaccines, COVID-19 Vaccines, and COVID-19 Testing

      The U.S. Department of Health & Human Services has issued guidance under the PREP Act allowing pharmacy technicians to administer COVID-19 vaccines under certain conditions.

      Read the complete guidance statement here: www.hhs.gov/sites/default/files/prep-act-guidance.pdf

      Childhood Immunizations

      Pharmacists and pharmacist-interns acting under the supervision of a pharmacist are allowed to order and administer immunizations to children 3-18 years of age as authorized by the third amendment to the PREP Act under the following conditions:

      • The vaccine must have FDA approval or licensure;
      • The vaccine must be ordered and administered according to ACIP immunization schedules;
      • The licensed pharmacist must complete at least 20 hours of ACPE-approved practical training that includes hands-on injection technique, clinical evaluation of indications and contraindications, and recognition and treatment of adverse, emergency reactions to vaccines;
      • The licensed or registered pharmacy intern must also complete an ACPE-approved practical training program;
      • The administering pharmacist/intern must have a current certificate in basic cardiopulmonary resuscitation;
      • The administering pharmacist/intern must complete a minimum of 2 hours of ACPE-approved, immunization related continuing pharmacy education during each state licensing period;
      • The licensed pharmacist must comply with jurisdiction-based recordkeeping and reporting requirements, including informing the patient's primary-care provider, submitting immunization information to state/local IIS, complying with requirements for reporting adverse events, and complying to requirements for the provider to review the registry/records prior to administering a vaccine;
      • The licensed pharmacist must inform pediatric patients and accompanying adult caregivers of the importance of a well-child visit with a pediatrician or other licensed primary care provider and refer patients when appropriate.

      The amendment to the PREP Act authorizes state-licensed pharmacists (and pharmacy interns acting under their supervision to administer vaccines, if the pharmacy intern is licensed or registered by his or her state board of pharmacy) to order and administer vaccines to individuals ages three through 18 years, subject to several requirements including training, recordkeeping, and reporting. The vaccine must be approved or licensed by the Food and Drug Administration (FDA) and must be ordered and administered according to the CDC’s Advisory Committee on Immunization Practices (ACIP) immunization schedules. Learn more about CDC recommendations for childhood vaccines.

      HHS is expanding access to childhood vaccines to avoid preventable diseases in children, additional strains on the healthcare system, and any further increase in avoidable adverse health consequences—particularly if such complications coincide with an additional resurgence of COVID-19.

      COVID-19 Testing Guidance - June 10, 2020

      TSBP has issued guidance statements regarding prescriptions issued for hydroxychloroquine and dispensing drugs in compliance with Emergency Board Rule 291.30*. Read the statements here. - May 15, 2020

        *NOTE: Emergency Board Rule 291.30 expires July 17, 2020.

      Destruction of Drugs at LTC Facilities - March 24, 2020

      Monoclonal Antibody Treatment Information

      Sterile Compounding Guidance - March 13, 2020