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CVS and Walgreens Curb COVID Vaccinations in Multiple States as Federal Guidance Stalls

The absence of ACIP recommendations leaves pharmacists constrained by state laws.

Overview

  • CVS now requires an authorized prescriber’s prescription for COVID shots in 13 states and the District of Columbia and is not offering the vaccine in Massachusetts, Nevada and New Mexico.
  • Walgreens’ scheduling tests indicated prescription requirements in multiple states, with the company saying it will provide shots only where permitted under state rules.
  • The FDA limited this season’s updated vaccines from Pfizer, Moderna and Novavax to people 65 and older and to younger individuals with specified high‑risk conditions.
  • With no new ACIP recommendation, pharmacies in several states cannot administer the shots under state regulations, and insurers are awaiting CDC guidance on coverage obligations.
  • State officials are exploring workarounds, including Illinois considering direct purchases and a Massachusetts‑led coalition discussing coordinated procurement for pediatric doses.