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National Drug Schedules: Clarification of Vaccine Scheduling

NAPRA often receives questions about the vaccine listings in the National Drug Schedules (NDS) because some vaccines are listed individually in the NDS, while others are not. Vaccines that have not been reviewed individually by the National Drug Scheduling Advisory Committee (NDSAC) are not specifically mentioned in the NDS, but are still subject to the Schedule I and Schedule II general vaccines listings.

 

Vaccines which are part of a routine immunization program in most/all provinces and territories, those requiring special enhanced public access due to disease outbreaks and cholera vaccine (oral, inactivated) when used for prophylaxis against traveller’s diarrhea and due to ETEC are Schedule II. All other vaccines are Schedule I.

 

The Public Health Agency of Canada charts are used to determine if a vaccine is part of a routine immunization program in most/all provinces and territories:

Provincial and Territorial Routine Vaccination Programs for Healthy, Previously Immunized Adults

Canada’s Provincial and Territorial Routine (and Catch-up) Vaccination Programs for Infants and Children

 

At the time of the posting of this notice, the following schedules apply:

 

Pneumococcal conjugate 13-valent vaccine is recommended as part of a routine immunization program in most/all provinces and territories according to the Public Health Agency of Canada charts. Therefore, pneumococcal conjugate-13 valent vaccine is Schedule II.

 

The HPV vaccine is recommended as part of a routine immunization program in most/all provinces and territories according to the Public Health Agency of Canada charts. Therefore, HPV vaccine is Schedule II.

 

The Herpes Zoster (shingles) vaccine is currently part of a routine immunization program only in Ontario and would therefore not meet the criteria for Schedule II. Shingles vaccine should be considered a Schedule I drug.

 

It is important to note that the appropriate schedule for these vaccines could change should the routine immunization program charts be updated.

 

As well, the National Drug Schedules are implemented in a slightly different manner in each of the provinces and territories. Information on the implementation of the NDS across Canada can be found on the NAPRA website. Therefore, there may be exceptions to the scheduling of certain drugs in certain provinces. It is important to become familiar with the drug scheduling rules in your province or territory. Further information can be obtained from the website of the pharmacy regulatory authority in your jurisdiction.

Date:

Source: NAPRA