HB 2628
Initials AG Page 1 Health & Human Services
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-seventh Legislature
First Regular Session
HB 2628: pharmacists; emergency medication; administration
Sponsor: Representative Weninger, LD 13
Committee on Health & Human Services
Overview
Allows an authorized pharmacist to order and administer emergency medication to manage
an acute allergic reaction to the medication that was administered at the pharmacy. Outlines
procedures for pharmacists who administer emergency medication.
History
The State Board of Pharmacy (Board) regulates the practice of pharmacy to protect the
health, safety and welfare of Arizona citizens.
A pharmacist who administers an immunization, vaccine or emergency medication must:
1) notify the person's identified primary care provider or physician within 48-hours after
administering the immunization, vaccine or emergency medication, as prescribed by
the Board by rule;
2) report information to the Arizona State Immunization Information System
established by the Department of Health Services;
3) maintain a record of the immunization;
4) notify the person's identified primary care provider or physician, within 24-hours
after occurrence, any adverse reaction that is reported to or witnessed by the
pharmacist and that is listed by the vaccine manufacturer as a contraindication to
further doses of the vaccine;
5) notify the vaccine adverse event reporting system in accordance with the United
States Centers for Disease Control and Prevention's (CDC) Advisory Committee
recommendations;
6) provide vaccine information materials to those requesting immunizations or vaccines
and, for persons under 18 years of age, provide educational materials to the person's
parent or guardian about the importance of pediatric preventive health care visits as
recommended by the American Academy of Pediatrics; and
7) follow the standard operating procedures adopted by the pharmacy or other
institution where the immunization, vaccine or emergency medication is administered
that are based on the vaccine administration protocols and immunization practices
published in the CDC Morbidity and Mortality weekly report (A.R.S. § 32-1974).
The Board must adopt rules for ordering and administering vaccines, immunizations and
emergency medications regarding: 1) recordkeeping and reporting requirements; and 2)
requirements and qualifications for pharmacist authorization (A.R.S. § 32-1974).
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note HB 2628
Initials AG Page 2 Health & Human Services
Provisions
1. Allows an authorized pharmacist to order and administer emergency medication to
manage an acute allergic reaction to the medication that was administered at the
pharmacy. (Sec. 1)
2. Requires a pharmacist who administers emergency medication to:
a) notify the person's identified primary care provider or physician within 48-hours after
administering the emergency medication as prescribed by Board rule; and
b) follow the standard operating procedures adopted by the pharmacy or other
institution where the emergency medication is administered , including any
emergency management policies and procedures. (Sec. 1)
3. Requires a pharmacist to make a reasonable effort to identify the person's primary care
provider or physician by the following methods:
a) checking pharmacy records; and
b) requesting the information from the person or, in the case of a minor, the person's
parent or guardian. (Sec. 1)
4. Clarifies that this does not establish a cause of action against a patient's primary care
provider or physician for any adverse reaction, complication or negative outcome arising
from the administration of any emergency medication by a pharmacist to the patient if
the medication is administered without a prescription order written by the primary care
provider or physician. (Sec. 1)
5. Defines emergency medication to be emergency epinephrine, corticosteroids, albuterol,
oxygen and antihistamines. (Sec. 1)