As we transition into the fall season, the process of obtaining a COVID-19 vaccine has evolved significantly compared to last year. In Ohio, pharmacies are now implementing stricter protocols, primarily asking if individuals are aged 65 or older or have underlying medical conditions that increase their risk for severe cases of this respiratory illness. This shift is a direct result of the U.S. Food and Drug Administration's (FDA) recent limitations on vaccine recommendations.
Under the new FDA guidelines, the COVID-19 vaccine is primarily authorized for adults aged 65 and older, as well as individuals aged six months and older who have specific risk factors. These risk factors include serious conditions such as cancer, stroke, chronic diseases affecting the heart, liver, kidneys, and lungs, as well as cystic fibrosis, dementia, diabetes, and weakened immune systems. This marks a significant change from last year when the vaccine was broadly available to nearly everyone.
The new guidelines have sparked numerous questions regarding vaccination access for younger individuals and those without pre-existing health conditions. Many are wondering whether a prescription is necessary to receive the vaccine and if they will need to pay out-of-pocket for shots that were previously covered by health insurance. This uncertainty is compounded by the fact that the CDC is expected to provide further recommendations later this week, which may alter the current landscape of vaccine availability.
Despite the new restrictions, many local pharmacies in Northeast Ohio are still making the COVID-19 vaccine accessible. Representatives from major chains such as Walgreens and Discount Drug Mart confirmed that patients who meet the FDA’s guidelines will not require a prescription. However, those under 65 or without underlying conditions are encouraged to consult with a pharmacist for advice on vaccination.
In contrast, CVS pharmacies have implemented stricter measures, requiring prescriptions for individuals under 65 who do not declare a qualifying medical condition. Additionally, customers at CVS must confirm their eligibility for the vaccine when scheduling an appointment or completing a health screening form.
At Discount Drug Mart, younger customers seeking the vaccine may need to explain their rationale for wanting the shot. According to Michele Golob, the director of clinical services, common reasons might include caring for an immunocompromised individual or plans to travel. She noted that it is “very rare” for someone to be denied the vaccine at their locations.
Several national physician groups, including the American Academy of Family Physicians and the American Academy of Pediatrics, have diverged from the FDA’s guidelines, offering their own recommendations. As the CDC prepares for a two-day advisory committee meeting, significant changes to who can access the COVID-19 vaccine may be on the horizon. Experts speculate that the committee may either align its recommendations with the FDA's restrictions or further limit vaccine access.
As we enter the winter respiratory illness season, it is important to remember that while COVID-19 is no longer classified as a national public health emergency, it continues to pose serious health risks. Recent estimates from the CDC indicate that between September 2024 and now, around 60,000 Americans have died from the virus. Despite the availability of vaccines, uptake among the eligible population has been declining. For instance, only about 30% of Americans aged 65 and older on Medicare were immunized as of August 2024.
The current confusion surrounding the new guidelines may discourage individuals from seeking the COVID-19 vaccine, even if they are eligible. Health experts warn that the added complexity of obtaining a prescription may deter some from getting vaccinated altogether. Louise Norris, a health policy analyst, noted that while some individuals may be willing to navigate the new requirements, others may simply opt out of the process, saying, “It’s too much work. I’m just not going to do it.”
