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Antiviral Distribution & Dispensing

In the Spotlight

This report encourages building public-private partnerships and offers actionable steps for pharmacists and public health professionals to begin laying the foundation of long-lasting, mutually beneficial partnerships. Pharmacies can be a valuable partner with health departments for distributing and dispensing critical medications or vaccines during a public health emergency. Read the report here. More »

Antiviral Distribution and Dispensing Project


The National Association of County and City Health Officials is working in conjunction with the Association of State and Territorial Health Officials (ASTHO) and the Centers for Disease Control and Prevention (CDC) to explore alternative models for antiviral distribution and dispensing during a public health emergency.

The goals of the project are to expand the understanding of how antiviral distribution and dispensing is managed through the state and local public health system, explore more efficient ways to distribute and dispense antivirals during a public health emergency by leveraging private sector systems already in place, as well as to contribute to the knowledge-base in the area of effective countermeasure enterprise as called for by the National Health Security Strategy.

This project will also explore ways to leverage private sector systems for the distribution and dispensing of antiviral medications. NACCHO, ASTHO, and CDC are working closely with the national associations that represent pharmacies, pharmacists, and pharmaceutical distributors. This portion of the project includes distribution optimization modeling, live simulations at retail pharmacies, and acceptability polling for all stakeholders.

As part of the effort, NACCHO is exploring pharmacy practice laws and the role of pharmacists during public health emergencies. To learn more about this effort and NACCHO's existing resources on collaborative practice agreements, click here.

View this video collection to learn more about updates to the project and ideas for LHDs.

Antiviral Dispensing Workgroup

NACCHO's Antiviral Dispensing Workgroup focuses on improving efficiency and collaboration among key stakeholders involved with developing a proposed alternative method for antiviral medication distribution and dispensing during an influenza pandemic. Such an alternative method is designed to combine the best capabilities of the local public health emergency preparedness infrastructure and private sector. Pharmacies and pharmaceutical entities are partners that could augment current strategies to distribute and dispense antiviral medication during a future pandemic. NACCHO formed the workgroup to identify and coordinate issues involving an alternative method for antiviral management during an influenza pandemic, the topic of an ongoing collaborative project with NACCHO, CDC, and ASTHO.

Download the Antiviral Workgroup Fact Sheet. (pdf)

Featured Reports
A Review of Legal and Policy Issues for Antiviral Distribution and Dispensing

This report offers a high-level analysis of legal and policy issues related to antiviral distribution and dispensing. The authors of this report:

(1) Identify legal and policy issues implicated in a national strategy to distribute, dispense, and track antivirals, and 

(2) Provide solutions to these issues (where possible) based on existing interpretations of law, practice, and lessons learned from prior emergencies.

To read the report, please visit the ASTHO website here.

Managing Antiviral Medication during the 2009 H1N1 Influenza Pandemic: State and Local Public Health Department Responsibilities

This new report, authored by NACCHO and the Association of State and Territorial Health Officials, is the first stage of a larger project with the Centers for Disease Control and Prevention and other partners to explore alternative models for antiviral management during an influenza pandemic.

Download Report (pdf)