First-time renewal: Whether it’s your first or fifth renewal, you must complete the same 1-hour cultural-competency CE before submitting the form—there’s no “new-license” waiver in California.

Certification status: The Board doesn’t require PTCB® or ExCPT® certification to renew—but a valid national certificate still satisfies initial licensure (one of four qualifying pathways in BPC § 4202).

Immunization authority: A pharmacy technician may administer vaccines when a supervising pharmacist delegates the task and the tech:

1. Holds active CA registration and national certification,

2. Completes ≥ 6 hours of ACPE-approved hands-on immunization training (injection technique + emergency response), and

3. Keeps current CPR/BLS certification. These prerequisites come from Board Licensing-Committee guidance and draft statute language under discussion for 16 CCR § 1793.