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.