Pharmacist Dispensing pursuant to Statewide Protocol

Board Notification to Pharmacists

Instructions:

     1. Read relevant laws and regulations (HB 2217 and KAR 68-7-23).
      2. Download the official, pre-signed Statewide Protocol.
      3. Review and sign the official Statewide Protocol.
      4. Send a copy of the last page of the Statewide Protocol to the Board (mail, fax, or email).
      5. Dispense to the patient, bystander, first responder agency, or school nurse.

Alternatively, a pharmacist may use the blank Statewide Protocol and work with another authorizing physician. Make sure the final page is completely signed by the authorizing physician and pharmacist.

PTCE Naloxone Pharmacist Resource and Education Center