Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2220 - State Board of Pharmacy › Chapter 6 - Pharmaceutical Care Standards › Section 20 CSR 2220-6.025 - HIV Post-Exposure Prophylaxis

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  authorized pharmacists dispensing HIV post-exposure prophylaxis as authorized
				  by section 338.730, RSMo.
(1) Definitions.
(A) Authorized pharmacist-A Missouri-licensed
				pharmacist who has completed a training course or certificate program in HIV
				antiretroviral prophylaxis that includes training in CDC guidelines for HIV
				PEP.
(B) Authorizing physician-A
				physician identified in a written protocol as authorizing a pharmacist to
				dispense HIV PEP and who will be collaborating with an authorized pharmacist in
				HIV PEP dispensing.
(C) CDC
				guidelines-The current human immunodeficiency virus (HIV) guidelines published
				by the federal Centers for Disease Control and Prevention (CDC) for
				non-occupational and occupational HIV exposure.
(D) Medical staff committee-The medical staff
				committee of a hospital or hospital system as defined by section
				338.165, RSMo, that includes a
				Missouri-licensed physician, or the medical staff committee or similar body of
				a Missouri-licensed long-term care facility that includes a Missouri-licensed
				physician and is responsible for formulating policies regarding pharmacy
				services and medication management for the long-term care facility.
(E) Pharmacy resident-A graduate of a
				pharmacy school/college accredited by the Accreditation Council for Pharmacy
				Education (ACPE) who is a licensed pharmacist enrolled in a residency training
				program accredited by the American Society of Health-System Pharmacists, a
				residency training program with a valid application for accreditation pending
				with the American Society of Health-System Pharmacists, or a residency program
				operated by or in conjunction with an ACPE-accredited school or college of
				pharmacy.
(F) Physician-An
				individual who is actively engaged in the practice of medicine in the state of
				Missouri and holds a current Missouri physician and surgeon license pursuant to
				Chapter 334, RSMo, which is not encumbered in any way, such as by designation
				as probated, restricted, limited, temporary, inactive, or retired;
(G) Post-exposure prophylaxis (PEP)-Any
				medication approved by the Food and Drug Administration (FDA) that meets the
				same clinical eligibility recommendations provided in CDC guidelines.
(H) Protocol-For purposes of section
				338.730, RSMo, and this rule, a
				protocol is defined as-
1. A written protocol
				approved by a Missouri-licensed physician that meets the minimum standards in
				section (2) of this rule and agreed to by the authorized pharmacist who would
				be dispensing HIV PEP;
2. A written
				protocol approved by the medical staff committee of a hospital or hospital
				system as defined by section
				338.165, RSMo, that includes a
				Missouri-licensed physician;
3. A
				written protocol approved by the medical staff committee of a Missouri-licensed
				long-term care facility that includes a Missouri-licensed physician;
				or
4. A standing order issued by
				the Director of the Missouri Department of Health and Senior Services (DHSS) if
				a physician, or by a physician approved and designated by
				DHSS.