MO HB454

Expands the definition of "practice of pharmacy" to include administration of vaccines by licensed pharmacists.

Allows pharmacists to administer influenza, pneumonia, shingles, and meningitis vaccines under written protocol authorized by a physician for persons twelve years of age or older.

Requires pharmacists administering vaccines other than influenza, pneumonia, shingles, and meningitis to complete appropriate training on contraindications and adverse reactions, maintain vaccination records, and notify the patient's physician of administration.

Directs the state board of registration for the healing arts and state board of pharmacy to jointly promulgate rules regulating vaccine administration protocols, requiring rules to include provisions for timely communication between pharmacists and referring physicians.

Clarifies that pharmacists cannot diagnose, independently prescribe pharmaceuticals, or make therapeutic substitutions without authorization from a physician's prescription order or written protocol.