To increase patient access, the FDA recently approved OTC sale of emergency contraception (EC) however increased access may not have been achieved due to pharmacists refusing to sell the product. Purpose: Measure knowledge, attitudes and beliefs of KS pharmacists regarding EC. Methods: A survey with 46 items assessing respondent characteristics, knowledge, and attitudes/beliefs was mailed to all 2,601 registered KS pharmacists. Results: A total of 22.4% of pharmacists responded, n=583. The overall mean knowledge score was 57% ± 20, however scores were higher in persons working in settings where EC is sold, 46% ± 21 vs. 61% ± 18, p<0.001. The knowledge question with the lowest accuracy, 28%, asked about notifying authorities in cases of sexual assault. Only 37% correctly identified the primary mechanism of action as delaying/preventing ovulation. A majority of pharmacists would dispense EC in cases of rape (80%), incest (79%), and regardless of the situation (62%). However, many expressed concerns including its use as a regular form of birth control (44%), medical liability (41%), and promoting unsafe sex (37%). Religious and political views significantly affected willingness to dispense. Conclusion: Overall, knowledge of KS pharmacists regarding EC is low and should be strengthened. While the majority of pharmacists are willing to dispense EC, a significant number did express concerns indicating this may be causing some professional ethical stress deserving of statewide discussion.