Missouri Administrative Code

Order Information between licensed pharmacies must meet all of the requirements of this rule. However, licensed pharmacies that share the same PURPOSE: This rule defines record-keeping required for transfer of electronic database and are under the same ownership are not prescript…

Long-Term Care Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 20 CSR 2220-2.145 Minimum Standards for Multi-Med Dispensing . . . . . . . . . . . . . . . . . . . . . . 25 20 CSR 2220-2.150 Mandatory Reporting Rule . . . . . . . . . …

two (2) categories. PURPOSE: This rule establishes guidelines to be used by the board (A) Category A. Chemically impaired licensees where for licensure disciplinary agreements. additional information is evident that known distribution of John R. Ashcroft (11/30/24) CODE OF STATE …

to counsel may be provided within the information provided PURPOSE: This rule establishes standards for compliance with by the kiosk to the patient during the processing phase prior Chapter 610, RSMo as it relates to public records of the State Board to release of the medication …

are controlled as necessary. (F) Compounding: For the purposes of this regulation, PURPOSE: This rule establishes requirements for prospective drug compounding is defined as in 20 CSR 2220-2.400(1). Compounded utilization review prior to dispensing a prescription or medication st…

transfer processes and to provide an aseptic environment for PURPOSE: This rule establishes standards for the handling, Compounded Sterile Preparation (CSPs). labeling, distribution, and dispensing of compounded sterile (H) Compounding aseptic isolator (CAI): A RABS preparations …

in the course of professional practice. Compounding may PURPOSE: This rule establishes requirements for the confidentiality also be defined as the preparation, incorporation, mixing and and disclosure of records related to patient care. packaging, or labeling of a drug or device,…

for Drug Shortages PURPOSE: The purpose of this rule is to establish requirements for reporting compounding information to the Missouri Board of PURPOSE: This rule establishes requirements for Class B hospital Pharmacy to ensure compliance with state and federal law. pharmacies c…

(Rescinded August 30, 2013) Commission or Agreement State regulations. Nothing in this rule shall be construed as requiring a licensed clinical laboratory, AUTHORITY: sections 338.140 and 338.280, RSMo 2000. This rule which is also licensed by the Nuclear Regulatory Commission or…

for Operation or an equivalent company sponsored program that meets APhA guidelines for nuclear pharmacy technician training. PURPOSE: This rule defines minimum standards for the (J) “Practice of nuclear pharmacy” means a patient- operation of nuclear pharmacies and the preparati…

Renal Dialysis Pharmacy and the quantity prescribed. PURPOSE: This rule defines minimum standards for a Class F: (4) Personnel of the pharmacy shall assemble the products to Renal Dialysis Pharmacy. be delivered pursuant to the prescriber’s order(s). In assembling such products f…

Shared Services Pharmacy to the patient may be listed on the label as designated by the pharmacies by contract. PURPOSE: The purpose of this rule is to establish standards for Class (D) Each pharmacy involved in a Class-J arrangement must J: Shared Services pharmacies. maintain a…

Class L Veterinary Pharmacies authorized prescriber; and (C) Maintain a policy and procedure manual for pharmacy PURPOSE: This rule defines standards for a Class L veterinary operations. The policy and procedure manual shall be reviewed pharmacy. annually by the pharmacist-in-cha…

number, the date on which the person’s name was entered PURPOSE: This rule defines the requirements for pharmacy on the list and the date at which time the person will again technician registration. become eligible for employment in a pharmacy. The board may place a person on the…

Pharmacist Supervision AUTHORITY: sections 338.010 and 338.140, RSMo Supp. 2019, and sections 338.013, 338.035, and 338.280, RSMo 2016.* Original rule PURPOSE: This rule defines the required supervision for pharmacy filed Feb. 7, 2020, effective Aug. 30, 2020. Emergency rule file…

Dispensing Systems PURPOSE: This rule defines the minimum standards for a vacuum tube drug delivery system utilized in licensed pharmacies. PURPOSE: This rule establishes licensing standards and requirements for the use of Class N automated dispensing systems (1) Vacuum tube syst…

within ten (10) days after ceasing or terminating Program PURPOSE: This rule establishes the Missouri Board of Pharmacy’s participation. Unless otherwise agreed by the board for good medication disposal program as part of the Rx Cares for Missouri cause, Program participants shal…

Projects *Original authority: 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011, 2019 and 338.143, RSMo 2019. PURPOSE: This rule establishes application requirements and criteria for pilot projects authorized by section 338.143, RSMo. (1) This rule establishes requirements for t…

lary and section 338.140, RSMo Supp. 2019.* tive April 30, 1996. Moved to 20 CSR 2220- This rule originally filed as 4 CSR 220-3.011. 3.011, effective Aug. 28, 2006. Amended: This rule originally filed as 4 CSR 220-3.010. Emergency rule filed April 26, 1979, effective Filed April…

tion Filed June 14, 1982, effective Sept. 11, 1982. 20 CSR 2220-3.040 Return and Reuse of Emergency amendment filed Dec. 6, 1982, Drugs and Devices PURPOSE: The purpose of this rule is to effective Jan. 1, 1983, expired March 10, establish requirements for generic drug sub- 1983.…

fee fixed by this rule is held invalid by a court of competent PURPOSE: This rule establishes and fixes the various fees and jurisdiction or by the Administrative Hearing Commission, the charges authorized by Chapter 338, RSMo. remaining provisions of this rule shall remain in fu…

visory Committee other documentation, reports or correspon- defined as anyone engaged in wholesale dis- dence to the board when necessary. tribution of prescription drugs, including, but PURPOSE: This rule establishes operating (C) Any official recommendations to be not limited t…

(3) The advisory committee shall organize by Licensing Requirements or trade a drug among hospitals or by a hos- the election of a chairman and vice-chairman pital to a healthcare entity under the same who shall hold their offices for one (1) year PURPOSE: This rule defines terms…

ards for Drug Wholesale and Pharmacy meet the minimum education/experience 5. Upon receipt of legend drugs, each Distributors requirements as set forth in this rule for a outside shipping container shall be visually total of one (1) year. examined for identity and to prevent the …

and authorized pharmacist. PURPOSE: This rule establishes requirements for authorized (A) HIV PEP protocols must adhere to CDC guidelines and pharmacists dispensing HIV post-exposure prophylaxis as include specific directions for the authorized pharmacist to authorized by section…

(Rescinded November 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 20 CSR 2220-6.040 Administration by Medical Prescription Order . . . . . . . . . . . . . . . . . . . . . . . . 5 20 CSR 2220-6.050 Administration of Vaccines . . . . . . . . . …

(6) Patient Medical Records. Authorized pharmacists shall Order maintain a patient medical record for each patient that documents the care provided for the patient pursuant to a HIV PURPOSE: This rule establishes procedures for pharmacists to PEP protocol. administer medication p…

ministering vaccines accredited by the Accreditation Council PURPOSE: This rule establishes procedures for pharmacists ad- for Pharmacy Education (ACPE), provided by an ACPE or re- ministering vaccines as authorized by section 338.010.1, RSMo. gionally accredited pharmacy or medi…

Plan Authority shall be governed by the rules of the Missouri State Board of Pharmacy governing pharmacist continuing education. PURPOSE: This rule establishes procedures for obtaining a certif- icate of medication therapeutic plan authority, as authorized by (4) The Missouri Sta…

PURPOSE: This rule defines terms used and general requirements governing board licensing activities as used in Chapter 7. PURPOSE: This rule establishes requirements for intern pharma- cist licensure and pharmacy practice experience. (1) Definitions. (A) ACPE—Accreditation Counci…

the examination(s) within three hundred sixty-five (365) days PURPOSE: This rule establishes licensure requirements for ex- after having been determined eligible by the board to test. amination applicants that have graduated from an accredited If the applicant does not take the e…

Graduate Examination Committee Certification (FPGEC) certificate if the applicant is a graduate of a school/college of pharmacy not located in the United States. PURPOSE: This rule defines requirements for transferring North American Pharmacist Licensure Examination scores to Mis…

Graduate Training) not practice under the supervision of a pharmacist without approval of the board. PURPOSE: This rule establishes requirements for obtaining a tem- (D) A temporary pharmacist license issued pursuant to porary pharmacist license to practice pharmacy for pharmacis…

Continuing Pharmacy Education (3) Continuing Education Course Approval. PURPOSE: This rule establishes renewal and continuing education (A) Except as otherwise provided herein, continuing educa- requirements for relicensure of pharmacists in Missouri. tion shall only be granted f…

PURPOSE: This rule establishes guidelines for the submission of fingerprints by applicants. (1) Applicants for licensure or registration required to provide fingerprints to the board shall include: (A) All pharmacist applicants, including, applicants by ex- amination, score trans…

party logistics provider (3PL) or a drug out- 8.030. sourcer unless the person/entity has obtained (C) All third-party logistics provider and PURPOSE: This rule adopts definitions for the applicable 3PL or drug outsourcer license drug outsourcer licenses will expire on the purpos…

1. The date drugs or drug-related ness devices are received or distributed; 20 CSR 2220-8.050 Inspection Exemptions 2. The identity and quantity of drugs or PURPOSE: This rule establishes guidelines drug-related devices received, distributed, or PURPOSE: This rule defines require…

trists.asp. (1) Board—whenever used in these rules, PURPOSE: This rule is a description of the AUTHORITY: section 330.140, RSMo 2016.* unless stated otherwise, the term board board’s operation and the methods and pro- This rule originally filed as 4 CSR 230-1.010. means the State…

of podiatric medicine accredited by the Council on Podiatric PURPOSE: This rule outlines the requirements and procedures for Medical Education. obtaining a podiatry license by examination. (4) Applicants desiring to perform ankle surgery will be (1) Applications for a permanent l…

for Licensure under the assumed name, trade name, or any other name. PURPOSE: This rule requires the board to accept evidence of (4) A person engaged in the practice of podiatric medicine shall military education, training, or service to be applied toward the require any subordin…

(3) Definitions. The following words and terms when used in PURPOSE: This rule ensures that licensed podiatrists and their this rule shall have the following meaning: affiliated firms are registered correctly with the secretary of state (A) Advertisement shall mean any attempt, d…

education, training, or service requirements for licensure. PURPOSE: This rule sets forth the content and methods that (4) “Military experience” shall mean education, training, or podiatrists who are licensed by the State Board of Podiatric service completed by an applicant while…

request may be made at the time the Notice of Active Duty PURPOSE: This rule establishes the procedures for renewing an is filed. The Notice of Active Military Duty may be filed with inactive license to active status pursuant to sections 330.095 and the board at any time up to on…

Military and Stay of Administrative Actions Against a Licensee Serving on Active Military Duty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Guard and Reservists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 20 CSR 2230-2.041 Public Complaint Handling and Disposition Procedure . . . . . . . . . . . . . . 10 20 CSR 2230-2.045 Public Records . . . . . . . . . . . . . . . . . …