Board Authorized Protocols

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 201 KAR 2:380: This administrative regulation establishes procedures for board authorized protocols by which pharmacists may initiate the dispensing of noncontrolled medications or other professional services. 

​Important Reminders:​

  1. The protocol may only be signed by a Kentucky licensed physician or Kentucky licensed advanced practice registered nurse practitioner. No other practitioner (e.g. Physician Assistant) will have the authority to sign a board authorized protocol;
  2. Only pharmacists who are party to the protocol agreement are allowed to implement/utilize the protocol​​​;
  3.  Pharmacists utilizing the protocol must be appropriately licensed and employed by or contracted with the permit holder; 
  4. The PIC is responsible for submitting the fully executed protocol to the Board of Pharmacy and for submitting notification of discontinuation of the protocol no later than 30 days after discontinuing the protocol; 
  5. The protocol must be sent to the Board of Pharmacy prior to implementation; 
  6. The Protocol Review Committee meets quarterly to evaluate new proposed protocols and review previously authorized protocols. 


All fully executed board authorized protocols must be submitted to the Board via the Licensure Gateway Portal prior to being implemented .​​

​Please note: immunization and naloxone protocols are not required for submission to the board.  ​​​​​​​



​Board Authorized Protocols 
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HIV Pre-Exposure Prophylaxis (PrEP) Protocol
​SARS-CoV-2 Infection Protocol
Acute Influenza Infection Chemoprophylaxis Protocol
Self-Care Conditions Protocol Diabetes Testing and Injection Supplies
Self-Care Conditions Protocol Over-the-Counter Dietary Supplement
Self-Care Conditions Protocol Over-the-Counter Probiotics
Self-Care Conditions Protocol Hormonal Contraception
​Acute Influenza Infection Antiviral Therapy Protocol
​Acute Group A Streptococcal Pharyngitis​
Paxlovid Protocol
Alcohol Use Disorder Protocol utilizing Naltrexone-based Therapy
Colorectal Cancer [CRC] Screening Protocol
Travel Health Therapies Protocol
Self-Care Protocol Emergency Contraceptive
Nutritional Supplementation Protocol, Protocol expires December 31, 2025​​
Acute Uncomplicated Urinary Tract Infection Treatment Protocol

Anaphylaxis Treatment Protocol for Emergency Epinephrine Injection Devices

Protocol for Pharmacist Dispensing of Allergic Rhinitis Therapies
Self-Care Conditions Protocol Diabetes Testing Supplies​, Protocol expires December 31, 2025
Tobacco Cessation Protocol
Tuberculin Skin Testing One-Step Protocol Protocol expires June 30, 2026
​Tuberculin Skin Testing Two Step Protocol Protocol expires June 30, 2026
Tuberculin Skin Testing Protocol
Naltrexone-based Therapy for Opioid Use Disorder Protocol


Resource Documents

Additional Signature Page