The Board of Pharmacy released emergency rules regarding pharmacist vaccine administration, effective August 28, 2023. The rules establish guidelines for independent vaccination by pharmacists, for vaccines approved as of January 1, 2023, as well as provide guidance for vaccines administered under protocols. They also clarify that pharmacists may continue to administer vaccines that are periodically/annually reformulated or updated, such as seasonal influenza vaccines, if the FDA approved the original vaccine before January 1, 2023.   

The Board issued a Supplemental Pharmacy Practice Guide summarizing the 2023 legislative changes.  

Also in Missouri, the Department of Commerce and Insurance issued emergency rules on pharmacists’ immunization procedures: 

 20 CSR 2150-5.025 Administration of Vaccines  
20 CSR 2220-6.050 Administration of Vaccines  

For more information, contact NACDS’ Mary Staples at 817-442-1155.