Senate committee substitute makes the following changes to the 3rd edition.

Amends new GS 90-85.3A(c) toprovide thatan immunizing pharmacistis authorized and permitted to administer drugs under rules designed to ensure the safety and health of patientsthat have beenadopted by the Board of Pharmacy, the Board of Nursing, and the North Carolina Medical Board, in addition to the immunizing pharmacist's authority to administer drugs under GS 90-85.15B.

Amends GS 90-85.15B to provide that an immunizing pharmacist may administer the following vaccinations or immunizations to persons at least 18 years of age (previously, was not age specific): (1) pneumococcal polysaccharide or pneumococcal conjugate vaccines;(2) herpes zoster vaccine;(3) hepatitis B vaccine;(4) meningococcal polysaccharide or meningococcal conjugate vaccines;and (5) tetanus-diphtheria, tetanus and diphtheria toxoids and pertussis, tetanus and diphtheria toxoids and acellular pertussis, or tetanus toxoid vaccines. Authorizes an immunizing pharmacist to administer the influenza vaccine to persons at least 14 years of age under 21 NCAC 46.2507 and 21 NCAC 32U.0101.Makes an exception to the mandate that an immunizing pharmacist record a vaccine or immunizationin the North Carolina Immunization Registry (Registry)within 72 hours afterits administration, providing that if the Registry is not operable,an immunizing pharmacistmay record the administering of any vaccine or immunization as soon as reasonably possible.

Provides that regardless of the provisions of Sections one through five of this act and any other provisions of law, pharmacists qualified to administer influenza, pneumococcal, and zoster vaccines before the effective date of this act may continue to administer these vaccines in accordance with the provisions of 21 NCAC 46.2507 until June 30, 2014, including administration to individuals at least 14 years old.

Provides that Sections 1 through 5 of this act become effective October 1, 2013, and the remainder of the act is effective when it becomes law (was, the act became effective July 1, 2013).