I just wanted to highlight Tara's comment about state legislation allowing enzymes to be self-administered. Massachusetts has declassified digestive enzymes as "medicine" and therefore they no longer fall under the rule that all medication must be dispensed by a nurse. One of the nurses at our clinic mentioned this to me at our last appointment, and I was relieved to hear it.
My daughter will be heading to kindergarten next year, and because she is such a slow eater (common theme here!), her doctor has her taking 2 enzymes before she eats, and then another 2 when she is about halfway done. Obviously TWO visits to the nurse's office during a 30 minute lunch period doesn't seem like a great idea! Ellie's just 4.5, but it's amazing the maturity little ones with medical issues somehow develop. She's actually much better at accessing WHEN she's halfway done and needs her second dose of enzymes, and for the past 6 months or so, she's been administering all of her own enzymes. I monitor it all, but she's done extremely well on her own, and is so pleased with herself.
If your state doesn't have similar legislation, I would contact your state representatives!