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New COVID Shot Rules in NY Require Prescriptions, Complicate Access

UPDATE: New York pharmacies are facing significant challenges as they prepare to administer the latest COVID-19 vaccines, now requiring prescriptions from healthcare providers. This change, confirmed by CVS and Walgreens, complicates access at a time when the U.S. Food and Drug Administration has just approved vaccines targeting evolving strains of the virus.

As of now, only patients over 65 years and younger individuals with specific underlying health conditions are eligible for the newly approved shots. Despite the federal government asserting that vaccines remain accessible, many local providers are still determining their policies, adding to the confusion.

New York pharmacies must now secure a non-patient-specific prescription, or “standing order,” for each vaccine. This order can be issued by the city health department or select medical providers. However, with the Advisory Committee on Immunization Practices (ACIP) yet to provide its annual guidance on COVID shots, many pharmacies, including Mount Carmel Pharmacy in the Bronx, are delaying their vaccine offerings. Pharmacist Roger Paganelli stated, “We need that guidance to be able to get those shots in those arms.”

The ACIP is scheduled to meet on September 18 to discuss COVID vaccines, but until then, the uncertainty continues. In a statement, Emily Hilliard from the U.S. Department of Health and Human Services emphasized that the vaccine is available to anyone who consults with their healthcare provider.

Parents across New York are particularly concerned, as many are eager to vaccinate their children against COVID but are left without clear guidance from pediatricians. Brooklyn parent Emily Hoffman expressed frustration over the lack of information for her 3-year-old, who is exposed to various illnesses at preschool. “This has been a hot topic in parent group chats,” she shared.

Additionally, the ongoing confusion about vaccine access coincides with rising COVID-19 cases in the U.S., as reported by the CDC. Although New York’s wastewater analysis shows low COVID detection rates, the state’s health departments are still evaluating their response strategies.

The city health department has stated, “No new data has been presented in recent months that raises any concerns about the safety of the COVID-19 vaccines,” indicating a commitment to following the science. However, both city and state health officials have not clarified whether they will issue standing orders without ACIP guidance.

Doctors are also navigating the shifting landscape of COVID shot regulations. Many are hesitant to stock vaccines without assurance of insurance reimbursement. Dr. Jessica Sessions, a pediatrician in Manhattan, and Dr. Philippa Gordon, a recently retired pediatrician, expressed concerns over whether they should order large supplies amid the uncertainty.

According to the latest CDC data, only 15% of New York children were up-to-date on their COVID vaccinations as of April. The American Academy of Pediatrics has classified children aged six months to two years as “high risk” and recommends they stay updated on their shots.

As New Yorkers await clearer guidance from health authorities, the urgency for accessible vaccinations has never been more critical. Parents, healthcare providers, and pharmacies are all eager for a resolution to ensure that those who wish to get vaccinated can do so without unnecessary hurdles.

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