Standing Orders for Administering Pneumococcal Vaccine to Adults Information for pharmacists adminis 2025

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Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine. G0010 administration of Hepatitis B vaccine.
Standing orders authorize nurses, pharmacists, and other appropriately trained healthcare personnel, where allowed by state law, to assess a patients immunization status and administer vaccinations ing to a protocol approved by a medical director in a healthcare setting, a physician, or another autho- rized
For intramuscular injection only. Each 0.5 mL dose is to be injected intramuscularly using a sterile needle attached to the supplied prefilled syringe. The preferred sites for injection are the anterolateral aspect of the thigh in infants and the deltoid muscle of the upper arm in toddlers, children and adults.
All adults 65 and older need two pneumococcal shots: the pneumococcal conjugate vaccine (PCV13) and the pneumococcal polysaccharide vaccine (PPSV23). Some adults who are 19 to 64 will need two pneumococcal shots - both PCV13 and PPSV23.
CDC recommends pneumococcal vaccination for children younger than 5 years and adults 50 years or older. CDC also recommends pneumococcal vaccination for children and adults at increased risk for pneumococcal disease.
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Vaccines should be administered through the appropriate route (intramuscular (IM), subcutaneous (SQ), oral, and intranasal), and administered to the right site on the child. See Administering Vaccines: Dose, Route, Site, and Needle Size.
Administer PNEUMOVAX 23 intramuscularly or subcutaneously into the deltoid muscle or lateral mid-thigh. Do not inject intravascularly or intradermally. Administer a single 0.5-mL dose of PNEUMOVAX 23 using a sterile needle and syringe.
Administer pneumococcal polysaccharide vaccine (PPSV23) intramuscularly or subcutaneously. Administer pneumococcal conjugate vaccines (PCV15, PCV20) intramuscularly. For infants and young children, use the vastus lateralis muscle in the anterolateral thigh. For older children and adults, use the deltoid muscle.

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