Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2220 - State Board of Pharmacy › Chapter 2 - General Rules › Section 20 CSR 2220-2.020 - Pharmacy Permit

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The board is amending subsection (9)(K) and
				  section (11) of this rule to allow Missouri pharmacies to dispense
				  prescriptions written by an authorized prescriber based on a valid medical
				  evaluation. The board is also amending other provisions of the rule to address
				  signature requirements for entities submitting a pharmacy permit application
				  and to update the rule's current definitions of specific pharmacy
				  classes.
(1) All permits for
				the operation of a pharmacy shall expire on the date specified by the director
				of the Division of Professional Registration pursuant to
				20
				CSR 2231-2.010.
(2) A pharmacy permit may be issued on the
				application of the owners. If the owner is a corporation, an officer of the
				corporation must sign the application as the applicant. If the owner is a
				partnership, a partner must sign the application as the applicant. If the owner
				is a limited liability partnership, a general partner must sign the application
				as the applicant. If the owner is a limited liability company, a member must
				sign the application as the applicant. In the case where a pharmacy is owned
				and operated by a person(s) who is a licensed pharmacist and in active charge
				of the pharmacy, the application for permit can be made by either party.
				Alternatively, a pharmacy permit application may be signed by an attorney or
				other person lawfully granted power of attorney to sign the application on the
				applicant's behalf. In such case, a representative of the applicant shall
				review the application for truth and accuracy prior to submitting the
				application to the board. Proof of a power of attorney designation shall be
				submitted with the application.
(3)
				When a pharmacy changes ownership, the original permit becomes void on the
				effective date of the change of ownership. Before any new business entity
				resulting from the change opens a pharmacy for business, it must obtain a new
				permit from the board. A temporary license shall be issued once a completed
				application and fee have been received by the board. The effective date of the
				temporary license may be the date the change of ownership is listed as
				effective on the application. Such license shall remain in effect until a
				permanent license is issued or denied by the board.
(4) If an individual or business entity
				operating a pharmacy changes the location of the pharmacy to a new facility
				(structure), the pharmacy shall not open for business at the new location until
				the board or its duly authorized agent has inspected the premises of the new
				location and approved it and the pharmacy as being in compliance with section
				338.240,
				RSMo and all other provisions of the law. Upon the approval and receipt of a
				change of location fee, the board shall issue a permit authorizing operation of
				a pharmacy at the new location and the permit shall bear the same number as the
				previous pharmacy permit. However, the permit remains valid if the pharmacy
				address changes, but not the location, and an amended permit will be issued
				without charge under these circumstances.
(A)
				Remodeling of a licensed pharmacy within an existing structure shall be deemed
				to have occurred when any change in the storage conditions of the Schedule II
				controlled substances is made or new connections to water/sewer resources are
				made or any changes in the overall physical security of drugs stored in the
				pharmacy as defined in
				20 CSR
				2220-2.010(1)(H) are made. Remodeling
				as defined within this section will not require the initiation of any change of
				location procedures. Satisfactory evidence of plans for any remodeling of a
				pharmacy must be provided to the board office thirty (30) days in advance of
				commencing such changes along with an affidavit showing any changes to the
				pharmacy physical plant and the projected completion date for any remodeling.