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9h ago

Pharmacies Curb COVID Shots After FDA Narrows Authorization to Seniors and High‑Risk Patients

State rules tied to CDC advisers are forcing prescription requirements at major chains.

WHITE OAK, MD - JULY 20: A sign for the Food And Drug Administration is seen outside of the headquarters on July 20, 2020 in White Oak, Maryland. (Photo by Sarah Silbiger/Getty Images)
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Overview

  • The FDA cleared updated 2025–26 vaccines from Pfizer, Moderna and Novavax only for people 65 and older or younger patients with at least one qualifying medical condition.
  • CVS is requiring prescriptions in 13 states and Washington, D.C., and is not offering the shots in Massachusetts, Nevada and New Mexico, citing the current regulatory environment.
  • Walgreens says it will offer vaccinations where legally permitted, with many states requiring a clinician’s prescription until CDC advisory recommendations are issued.
  • In numerous states, pharmacist authority depends on ACIP guidance, insurers are waiting for the Sept. 18–19 ACIP meeting before finalizing coverage, and off‑label prescriptions may face practical and payment hurdles.
  • Illinois is exploring direct purchases from manufacturers, and a coalition led by Massachusetts is discussing coordinated pediatric supply plans should federal guidance restrict wider access.