Pharmacist immunization services evolving for multiple-dose series.

OBJECTIVES: To discuss how pharmacists are prepared to deliver vaccines that require multiple doses in a series.
SUMMARY: Influenza, pneumococcal, and zoster vaccines are the most common vaccines that are administered in pharmacies. Routine recommendations often identify these vaccines to be administered 1 year apart. Other vaccines, and potential new vaccines, may require more immediate follow-up to complete a series. This article discusses if the reminder systems used by pharmacists are adequate for vaccine follow-up dosing. The Standards for Adult Immunization Practices and the Immunization Neighborhood discuss these issues. Medication synchronization policies may address a similar situation but may need to be refined to be applicable to immunizations.
CONCLUSION: Pharmacists need to anticipate an expanded immunization service. An ideal reminder system would be minimally different from current workflow but will ensure appropriate and timely follow-up for vaccine doses.