Vaccination of children in pharmacies: for whom, procedure, price

According to a HAS announcement published in June 2022, pharmacists are now authorized to vaccinate children and adolescents under the age of 16. For which vaccines? How are you ? Is a prescription needed? Parental consent? What price ? Will it be refunded? Terms and Conditions.

The Haute Autorité de Santé spoke out in favor of it in June 2022 Vaccination of children and adolescents under 16 years of age until pharmacistbut also through nurses and midwivesfor the group mandatory and/or recommended vaccinations included in the vaccination plan. In other words, People under the age of 16 can be vaccinated at a pharmacy. The goal: to simplify the vaccination course, improve the vaccination options and thus increase the vaccination coverage in France. What vaccines are given in pharmacies? Do we need a doctor’s prescription beforehand? How are things going on the day of the appointment? Do I need parental consent? Is the injection in a pharmacy reimbursable?

Who is allowed to vaccinate children in pharmacies?

Only full-time or assistant pharmacists as well as assistant pharmacists or assistant pharmacists are registered with theNational Order of Apothecaries be able to carry out vaccinations in accordance with Article L 5125-1-1A paragraph 9 of the CSP

Pharmacists are now licensed to maintain a list of vaccines (list below, excluding vaccine against Covid-19) for the people from 16 yearsaccording to procedures specific to each vaccine.

► The patient (or his parents) must take scheduled appointment in your local pharmacy, online (Doctolib…) or by phone.

► The patient does not require a doctor’s prescription because the pharmacist is entitled to prescribe the vaccine to be administered himself (for an initial injection, a booster shot, etc.)

► On the day of the appointment, the patient comes to the pharmacy for the vaccination.

► Once the injection is complete, the pharmacist enters the vaccination record in the health record, the vaccination certificate or the common medical record (DMP) of the vaccinated person. He gives his first and last name, the name of the vaccine administered, the date of administration, the batch number of the vaccine. In the absence of a DMP and subject to the consent of the vaccinated person, the pharmacist sends this information to their treating physician via Secure Health Messaging.

What vaccines can pharmacies produce?

Licensed pharmacists are authorized to administer vaccinations mandatory or recommended of the vaccination schedule for children and adolescents under the age of 16:

  • BCG (except in immunocompromised children)
  • Diphtheria-tetanus-poliomyelitis
  • Haemophilus influenzae type b (HIB)
  • Hepatitis B
  • whooping cough
  • pneumococci
  • meningococci B
  • meningococci C
  • ACYW meningococci
  • Measles, mumps, and rubella (MMR): except in immunocompromised children
  • Human papillomavirus (HPV)
  • varicella
  • flu

Is parental consent required for vaccination in pharmacies?

The consent of both parents is not required., only the consent of one of the two or a legal representative is sufficient. Therefore, in order to authorize the vaccination of their child, parents must complete a parental authorization. If a minor under the age of 16 comes alone on the day of the appointment, he must do so provide parental approval Vaccination completed and signed by at least one of the two parents to be vaccinated.

What are the contraindications to vaccination of children in pharmacies?

Pharmacists cannot prescribe and administer a live vaccine:

  • in immunocompromised peoplewhich must remain a competence reserved exclusively for physicians.
  • in children under 2 years of agewhose vaccination protection is satisfactory
Newborns (birth – 28 days) and infants (29 days – 23 months) Children (24 months – 10 years) and adolescents (11 – 15 years)
prescription administration prescription administration
pharmacist nope nope Yes Yes

This extension is subject to certain conditions. HAS recommends subjecting it to surveillancecertified training for professionals who have not followed specific vaccination modules for children.

How much do vaccines cost in pharmacies and what are the reimbursements?

The vaccines listed in the vaccination schedule are reimbursed by health insuranceusually with a doctor’s prescription at 65% and the remaining part from the mutual if the person is in possession of a ‘complementary health contract’ with a mutual. Some vaccines can be 100% supported from health insurance: the MMR vaccine, the seasonal flu vaccine for vulnerable populations. The injection of the vaccine (ie the vaccination and not the purchase of the vaccine) is paid for by the health insurance under the usual conditions (usually between 60 and 70% by the social security and the rest by the supplementary insurances).

Source : Statement for the development of vaccination competence in children, press release from 06/28/2022.

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