SB 219 is a law related to pharmacists vaccinating; prior to this change, such vaccinations required what?

• A. Collaborative practice agreement
• B. Clinic physician approval
• C. Patient self-referral
• D. Pharmacist independent practice without a protocol

Answer: (D)

The main idea being tested is how state law governs a pharmacist’s authority to vaccinate, specifically whether a formal protocol or physician oversight was required. Prior to SB 219, vaccinations by pharmacists occurred through independent practice without a formal protocol, meaning the pharmacist could proceed without a written plan developed with a physician or clinic. This reflects a less restrictive setup where the pharmacist relied on their own clinical judgment rather than a documented collaborative agreement or standing order. The other options describe oversight mechanisms that would involve physician collaboration, physician approval, or a process centered on patient referral, which do not match the pre-change independent practice scenario described. So, the statement that vaccinations were conducted without a required protocol best fits the idea of independent pharmacist practice before the change.