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Published on Friday, April 14, 2023

APhA applauds HHS for extending PREP Act authorities for pharmacy personnel

The American Pharmacists Association (APhA) commends the U.S. Department of Health and Human Services (HHS) for announcing that they will ensure that patients can continue to get COVID-19–related care from their pharmacists. APhA is grateful that HHS listened to the concerns of APhA and others in the pharmacy community in expressing a need for HHS to clarify the role of pharmacists and pharmacy teams when the public health emergency expires on May 11, 2023. 

HHS Secretary Becerra announced that in the coming weeks, he will issue an amendment to the declaration under the Public Readiness and Emergency Preparedness (PREP) Act for medical countermeasures against COVID-19. 

Key changes that Secretary Becerra plans to make under the upcoming amended declaration include: 

  • Extending coverage for COVID-19 vaccines, seasonal influenza vaccines, and COVID-19 tests. PREP Act immunity from liability will be extended through December 2024 to pharmacists, pharmacy interns, and pharmacy technicians to administer COVID-19 and seasonal influenza vaccines (to those individuals three and over, consistent with other requirements), and COVID-19 tests, regardless of any USG agreement or emergency declaration.  
  • Extending coverage through December 2024 for Federal agreements. This includes all activities related to the provision of COVID-19 countermeasures that are 1) provided based on a Federal agreement (including the vaccines and treatments purchased and provided by the USG), or 2) directly conducted by the USG, including by Federal employees, contractors or volunteers.  
  • Ending of coverage for certain activities. Once products are no longer distributed under a USG agreement, PREP Act coverage will no longer extend to the following activities:  
  •  COVID-19 vaccination by non-traditional providers (e.g., recently retired providers and students); and  
  •  COVID-19 vaccinations across state lines by licensed providers and pharmacists and pharmacy interns.  
  • Ending of coverage for routine childhood vaccinations: Once there is no emergency in effect, PREP Act coverage will no longer extend to all routine childhood vaccinations by pharmacists, pharmacy interns, and pharmacy technicians.  

Some of the key features that will not change under the amended declaration include:  

  • No immediate impact on USG distributed COVID-19 countermeasures. As noted above, the amended PREP Act declaration will not have any immediate impact on COVID-19 vaccines, treatments, and tests currently distributed by the USG–either now or when the COVID-19 PHE ends on May 11.  
  • No change to coverage for certain prescribing and dispensing of COVID-19 oral antivirals. The PREP Act will continue to offer liability immunity for pharmacists, pharmacy technicians, and pharmacy interns dispensing COVID-19 treatments, in accordance with a U.S. Food and Drug Administration (FDA) authorization, such as the oral antiviral treatments Paxlovid and Lagevrio. In the case of Paxlovid, pharmacists are permitted to prescribe the treatment under certain circumstances. These oral antiviral treatments are available at over 40,000 provider locations, including over 35,000 retail pharmacies 
  • No change to the “Test to Treat” program. Pharmacists and other providers prescribing tests in the “Test to Treat” program will continue to receive liability protection under the PREP Act.  

With this clarification, patients will continue to receive these critical health care services throughout the country from pharmacists, who are the most accessible health care providers. 

While many of these temporary authorities will be extended we need Congress to pass H.R. 1770, the Equitable Community Access to Pharmacist Services Act (ECAPS), to establish a permanent payment pathway for these services under Medicare Part B. Take action today to ensure our nation’s seniors continue to have access to these vital pharmacist-provided patient care services! 

You can read APhA’s public letter to HHS regarding this subject here. APhA looks forward to continuing to work with HHS and the individual states in these actions. 


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