States are taking back unused Covid vaccine doses from nursing homes

A woman receives a Pfizer COVID-19 vaccine at a vaccination center established on the Triton College in River Grove, Illinois, on February 3, 2021.

Kamil Krzaczynski | AFP | Getty Photos

Dozens of states and cities are clawing help hundreds of additional doses of Covid-19 vaccine that were supposed to be faded by CVS and Walgreens to immunize residents of nursing homes by a federal partnership build apart up by the Trump administration.

The partnership, known as the Pharmacy Partnership for Prolonged-Timeframe Care Program, allowed states to tap CVS, Walgreens and other retail pharmacies to vaccinate residents and workers of nursing homes. The federal govt requested states to “allocate substantial vaccine provide” to this system if they opted in, in preserving with Kristen Nordlund, a spokeswoman for the Facilities for Illness Withhold an eye on and Prevention.

But now this system’s been left with “surplus vaccine provide” that not not as a lot as 32 states and cities are taking help from this system and the exhaust of for the well-liked public, Nordlund stated. She added that a combination of vaccine hesitancy, over-estimation of the gathering of doses obligatory for the advertising campaign and other components ended in an oversupply of shots.

“Now that pharmacies enjoy made big growth in efforts to vaccinate the long-term care facility inhabitants — and we enjoy now extra perception on uptake in facilities enrolled on this system — we are working with jurisdictions to make certain they’re able to with out grief exhaust any excess vaccine for other targeted populations,” Nordlund stated in a mutter to CNBC.

The federal partnership program has precipitated headaches among some say successfully being officers. While the tempo has picked up in fresh weeks, the partnership got off to a late originate in December. The states had to allocate doses for this system early on in the rollout, so the late tempo has created frustration and the look that states are failing to administer the shots they’ve.

During the partnership, extra than 4.2 million doses of vaccine were administered as of Thursday, in preserving with the CDC. There are nearly 5 million long-term care residents and workers in the U.S., the CDC estimates.

Or not it’s not clear exactly what number of doses are being diverted from this system, but Illinois, as an illustration, launched this week that it changed into as soon as taking 97,000 doses out of this system.

Doses upfront

Dr. Nirav Shah, director of the Maine Heart for Illness Withhold an eye on and Prevention, stated that states had to “monetary institution a huge collection of doses” for this system in the first three weeks of the vaccine rollout. The partnership changed into as soon as supposed to be total within six weeks, he added, but “now has slipped into many, many extra weeks.”

The late rollout of that program, Shah stated, has made the knowledge glance love Maine is leaving doses on the shelf, failing to administer all the shots or not it has been dispensed when in actuality the say wants extra doses, not less. He added that the say is now taking help doses that were allocated for the federal partnership.

“In Maine, we usually are not sitting around expecting those doses to correct salvage faded on the timetable that retail pharmacies listing us,” he stated on a conference name organized by the Association of Whine and Territorial Health Officials. “Certainly, we are initiating to withdraw those doses from the warehouses and transfer them into well-liked circulation.”

Dr. Thomas Dobbs, say successfully being officer on the Mississippi Whine Department of Health, echoed Shah’s frustration, asserting Mississippi had to commit “the astronomical majority of our vaccine allocation” upfront to the federal program. The enlighten with this system changed into as soon as not correct its tempo, Michael Fraser, CEO of ASTHO, stated on the conference name, but it changed into as soon as the gathering of doses states changed into as soon as anticipated to construct apart apart for it.

“We had to allocate it all upfront and or not it’s sat slothful for a long, long time,” he stated.


T.J. Crawford, a spokesman for CVS Health, stated in an email to CNBC that allocation of doses to this system were made by tallying the gathering of beds in all long-term care facilities in collaborating states and multiplying by two to account for workers. He defined there would possibly be now a surplus in some states attributable to “occupancy is a lot not as a lot as bed depend and workers uptake stays low.”

Nordlund of the CDC stated the agency continues to work with states and jurisdictions to salvage a clearer listing of what number of doses would possibly very successfully be obligatory going forward.

“In some facilities, pharmacy partners damage up with surplus vaccine provide attributable to extra than one components alongside with vaccine hesitancy, appealing Covid-19 outbreaks that impacted eligible patient counts, the flexibility to salvage six doses from the Pfizer five-dose vials, and decrease than anticipated facility occupancy, particularly at some stage in the iciness holidays,” she stated.

Rick Gates, senior vp of pharmacies at Walgreens, stated in a mutter to CNBC that this system is accelerating with out word, despite a slower initial originate.

“Walgreens has finished first dose vaccinations in roughly 75 p.c of all long-term care facilities and stays not off direction to total first doses across all facilities that chosen Walgreens as their vaccine provider by mid-February,” he stated. “Walgreens has conducted or scheduled virtually 70,000 clinics across long-term care facilities.”