Illinois-Specific Practice Authorities and Programs
Immunizations
Illinois pharmacists who complete board-recognized training and CPR may administer vaccines under a standing order or prescription: influenza to patients 7 and older and other ACIP-recommended vaccines to adults, with narrower rules for minors - confirm current age thresholds. Document vaccine, lot, site, date, and VIS; report to the Illinois immunization registry where required.
Opioid antagonists
Illinois pharmacists may dispense an opioid antagonist without an individual prescription under a standing order or protocol, to the person at risk or to family members and others positioned to assist. Provide training on overdose recognition and administration.
Collaborative practice
A written collaborative pharmacy practice agreement with a physician, dentist, or podiatrist lets a pharmacist manage drug therapy - adjusting, continuing, ordering labs - for that prescriber's patients. It must be written, signed, patient-specific, define scope, and require communication and periodic review. The pharmacist practices under delegation, not independently.
Other expansions
Illinois has steadily broadened pharmacist authority - tobacco cessation, travel medications, and hormonal contraception or HIV prevention under protocols in recent years. Read the current Act rather than assuming a service is or is not allowed.
Traps
Assuming a national certification substitutes for Illinois authority; dispensing naloxone only "to the patient"; treating a collaborative agreement as a license to practice independently or outside the prescriber's patient panel.
Rule of thumb
Every expanded authority in Illinois rests on a document - standing order, protocol, or collaborative agreement. If you cannot produce the paper, you do not have the authority.