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 2220-6.040 - Administration by Medical Prescription Order

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates and clarifies
				  requirements for pharmacists administering medication by prescription
				  order.
PURPOSE: This rule establishes procedures for
				  pharmacists to administer medication pursuant to a medical prescription
				  order.
(1) A pharmacist who
				complies with the provisions of this rule may administer drugs and devices
				pursuant to a medical prescription order, including vaccines.
(2) Except as otherwise provided by law, a
				pharmacist may not delegate medication administration to another person, except
				to an intern pharmacist who has met the qualifications under subsections
				(3)(B)-(E) and is working under the direct supervision of a pharmacist who has
				met the qualifications to administer drugs pursuant to a medical prescription
				order. Proof of an intern's compliance with subsections (3)(B)-(E) must be
				maintained by both the supervising pharmacist and the intern pharmacist for a
				minimum of two (2) years.
(3)
				Pharmacist Qualifications. A pharmacist who is administering drugs pursuant to
				a medical prescription order must first file a Notification of Intent to
				administer drugs by medical prescription order with the board. To file a
				Notification of Intent, a pharmacist must-
(A) Hold a current Missouri pharmacist
				license;
(B) Hold a current
				healthcare provider level cardiopulmonary resuscitation (CPR) certification or
				Basic Life Support certification issued by the American Heart Association , the
				American Red Cross, or an equivalent organization. The certificate program must
				have included an in-person skills assessment;
(C) Have successfully completed a certificate
				program in medication administration and emergency procedures accredited by the
				Accreditation Council for Pharmacy Education (ACPE), provided by an ACPE or
				regionally accredited pharmacy or medical school/college or approved by Board
				of Pharmacy. The required training program must provide instruction in-
1. Administration techniques, including
				hands-on training in routes of administration;
2. Drug storage and handling;
3. Informed consent requirements;
4. Pre- and post- administration assessment
				and counseling;
5. Biohazard waste
				disposal; and
6. Identifying and
				treating adverse reactions, including ana-phylactic reactions and needle
				sticks;
(D) If a
				pharmacist wishes to administer drugs by a route of administration not included
				in the original certification program, the pharmacist must first be trained in
				the techniques of that route of administration by a licensed health care
				practitioner who is authorized to administer medication. Documentation of the
				required training and training date(s) must be maintained at the pharmacy and
				available to the board on request; and
(E) Proof of compliance with this section
				must be maintained for a minimum of two (2) years.