Pharmacist Protocols and Collaborative Practice

2021 UPDATED - Statewide Immunization Protocol

Kansas-licensed pharmacists may provide immunizations to patients pursuant to the updated 2021 Statewide Immunization Protocol, authorized by the Kansas Secretary of Health and Environment, Dr. Lee Norman, MD.
(Note: For reimbursement purposes, Dr. Norman is not an actively registered Medicare provider.)

The Statewide Protocol has been updated effective October 2021. Pharmacists using this document for immunization authority in Kansas must sign and maintain the new Protocol on file at all pharmacy immunization locations no later than November 22, 2021. The 2019 protocol is not valid after this date. Do not send copies of signed protocol to the Board office.

1. Review all relevant laws and regulations pertaining to immunizations, available in the appendices of the protocol
2. Ensure compliance with the CPR certificate standards
3. Download the official, pre-signed Statewide Immunization Protocol
4. Review and sign the Statewide Immunization Protocol.
5. Maintain a copy of your signed Statewide Immunization Protocol and all CPR certifications for a period of five years at the location(s) where immunizations are provided.

In lieu of the statewide protocol, pharmacists may use their own physician-authorized protocol so long as it meets all state requirements. The 2021 updates to the Kansas Pharmacy Practice Act require any immunization protocol be signed by the authorizing physician and the administering pharmacist.

Sample Collaborative Practice Agreements

Helpful Tools and Resources

Collaborative Drug Therapy Management Committee Members

Erick Axcell, PharmD, Non-Voting Chair
Meghan Haftman, PharmD
Anthony Caracci, PharmD
Chad Ullom,RPh
Michael Machen, MD
Lynn Fisher, MD
G. Aron Fast, MD