The Virginia Department of Health (VDH) has issued a new statewide standing order to allow pharmacists across the state to administer the 2025-2026 COVID-19 vaccine. The order, signed by State Health Commissioner Karen Shelton, MD, on September 10, aims to improve access for Virginians eligible for the updated vaccine.
Under the authority granted by Virginia Code § 54.1-3408 (I), pharmacists can now provide the vaccine without a prescription to individuals aged 65 and older, as well as adults between 18 and 64 who have at least one underlying medical condition.
“We realize this has been top of mind for many Virginians in the past several days,” Dr. Shelton said, “and we are resolved to increase access to the updated formulation of the COVID-19 vaccine to all eligible Virginians.”
Pharmacists in Virginia are permitted to administer vaccines either through direct authorization from a medical provider or under statewide pharmacy protocols established by the Virginia Board of Pharmacy. These protocols align with guidance from the Centers for Disease Control and Prevention (CDC) Immunization Schedule. Currently, this schedule references only the 2024–2025 COVID-19 vaccine; it does not yet include information about the upcoming 2025–2026 formulation, which is expected to better match anticipated virus strains.
The CDC’s Advisory Committee on Immunization Practices (ACIP) is set to meet on September 18-19, where they are expected to discuss and potentially vote on recommendations regarding updated COVID-19 vaccines. Afterward, approval or endorsement may come from either the CDC Director or Secretary of Health and Human Services.
Individuals between ages 18 and 64 without underlying health conditions—and those under age 18—are advised to consult their healthcare providers about receiving a COVID-19 vaccination.
