reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2205 - Missouri Board of Occupational Therapy › Chapter 5 - Continuing Competency Requirements › Section 20 CSR 2205-5.010 - Continuing Competency Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment further clarifies continuing
				  competency requirements and earning continuing competency
				  credits.
(1) At the time of
				license renewal, the licensee shall verify completion of twenty-four (24)
				Continuing Competency Credits (CCC) on the renewal form. Failure to note
				verification of completion shall result in the license not being renewed.
				Falsification of verification may result in disciplinary action.
(2) Each licensee shall retain documentation
				of the CCCs verified on the renewal form for two (2) years following license
				renewal.
(3) A licensee who is or
				becomes licensed during a renewal cycle shall obtain CCCs at the rate computed
				by the following formula:
(A)  Formula:
				Number of months licensed during the renewal cycle divided by the total number
				of months in the reporting cycle then multiplied by the number of CCCs required
				for renewal during the reporting cycle resulting in a total number of CCCs
				required to complete for renewal this reporting cycle. When applicable, this
				total will then be rounded to the nearest whole number by applying the
				following rounding rule: round down to the nearest whole number if the digit to
				the right of the decimal is four (4) or less, round up to the nearest whole
				number if five (5) or more. Example: An occupational therapist becomes licensed
				September 1, 2004, the reporting cycle is twenty-four (24) months, ending June
				30, 2005, and the annual requirement is twelve (12) hours per year. 10 months
				÷ 24 months x 24 = 9.9 or round up to ten (10) hours (Licensee must have
				completed ten (10) CCCs to renew.).
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2205 - Missouri Board of Occupational Therapy › Chapter 6 - Code of Ethics and Professional Conduct › Section 20 CSR 2205-6.010 - Code of Ethics

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the code of ethics for
				  applicants, occupational therapists, occupational therapy assistants and for
				  holders of limited permits issued by the board.
(1) All applicants, occupational therapists,
				occupational therapy assistants and limited permit holders shall-
(A) Demonstrate behavior that reflects
				integrity, supports objectivity, and fosters trust in the profession and its
				professionals;
(B) Actively
				maintain and continually improve professional competence and represent it
				accurately;
(C) Perform only those
				procedures or functions in which s/he is individually competent and which are
				within the scope of accepted and responsible practice;
(D) Respect and protect the legal and
				personal rights of the patient/client, including the right to informed consent
				and refusal of treatment;
(E)
				Divulge no confidential information regarding any patient/client or family
				unless disclosure is required for responsible performance of duty or required
				by law;
(F) Provide care without
				discrimination on any basis with respect for the rights and dignity of all
				individuals;
(G) Collaborate with
				service recipients or their surrogate(s) in determining goals and priorities
				throughout the intervention process;
(H) Refuse to participate in illegal or
				unethical acts, or conceal illegal, unethical or incompetent acts of
				others;
(I) Follow sound scientific
				procedures and ethical principles in research;
(J) Comply with all state and federal laws
				and regulations;
(K) Avoid any form
				of conduct that creates a conflict of interest and follow the principles of
				professional ethical business behaviors;
(L) Promote the positive evolution of the
				profession and health care through improvement of the access, efficacy, and
				cost of patient/client care;
(M)
				Refrain from indiscriminate and unnecessary use of resources, both economical
				and natural, in the practice of occupational therapy; and
(N) Within the limits of the law, an
				occupational therapist, occupational therapy assistant or limited permit holder
				shall report to the board all knowledge of suspected violations of the laws and
				rules governing the practice of occupational therapy as defined in section
				324.050,
				RSMo, and any other applicable state or federal laws and rules.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 1 - Organization and Description of Board › Section 20 CSR 2210-1.010 - General Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to delete
				  information found in statute.
(1) Whenever used in 20 CSR 2210, the word
				board means the State Board of Optometry.
(2) The State Board of Optometry is a unit of
				the Division of Professional Registration in the Department of Insurance,
				Financial Institutions and Professional Registration.
(3) The board was created by an Act of the
				51st General Assembly in 1921.
(4)
				The board consists of five (5) licensed doctors of optometry and one (1) public
				member. The governor appoints the members of the board, with the advice and
				consent of the senate, from nominees submitted by the director of the Division
				of Professional Registration. The terms of the licensed doctors are five (5)
				years and the term of the public member is four (4) years.
(5) The board is authorized by section
				336.160,
				RSMo to adopt rules for the application and enforcement of Chapter 336,
				RSMo.
(6) The board has
				superintending control over the practice of optometry within this state. The
				board's primary duties consist of-
(A)
				Examining and licensing of applicants;
(B) Approving colleges of
				optometry;
(C) Accrediting
				continuing education programs for license renewal; and
(D) Censuring, suspending, probating, or
				revoking licenses of any doctor found guilty of violating the prohibitions of
				Chapter 336, RSMo.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 1 - Organization and Description of Board › Section 20 CSR 2210-1.020 - Board Member Compensation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to reduce
				  unnecessary regulatory restrictions.
PURPOSE: This rule fixes the compensation for the
				  members of the State Board of Optometry in compliance with the mandates of
				  section 336.140, RSMo.
(1) Each member of the board may receive the
				sum of fifty dollars ($50) as compensation for each day that member devotes to
				the affairs of the board.
(2) In
				addition to the compensation fixed in this rule, each member is entitled to
				reimbursement of his/her expenses necessarily incurred in the discharge of
				his/her official duties.
(3) No
				request for compensation provided may be processed for payment unless
				sufficient funds are available for that purpose within the appropriations for
				this board.
*Original authority: 336.140, RSMo 1939, amended 1949,
					 1963, 1980, 1981, 1985, 2007 and 336.160, RSMo 1939, amended 1947, 1963, 1981,
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.010 - Application for Licensure

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule states where to secure an
				  application.
(1) Application
				for a Missouri license as an optometrist must be made on the forms provided by
				the board. All applications must be complete prior to board consideration. All
				documents and transcripts which are necessary to complete the application, must
				be received in the board office prior to board consideration. An application
				more than one (1) year old must be updated prior to licensure.
(2) Application forms and a list of currently
				approved colleges may be obtained by writing the State Board of Optometry. A
				copy of the current statutory provisions and board rules regarding the practice
				of optometry shall be provided with the application form. A copy of the
				application form, approved colleges, and the statutes and rules can also be
				downloaded from the board's website. The website address is
http://pr.mo.gov/optometrists.asp
.
*Original authority: 336.040, RSMo 1939, amended 1981, 2007
					 and 336.160.1, RSMo 1939, amended 1947, 1963, 1981,
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.011 - Licensure by Endorsement

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended to reduce
				  unnecessary regulatory restrictions.
(1) The board may issue a license to practice
				optometry by endorsement and without examination to an individual licensed in
				another state, territory, country, or province which the board determines has
				licensing requirements substantially equivalent to the requirements in
				Missouri. The applicant shall provide the following documentation to the board:
(A) A completed application with the
				application fee;
(B) Proof that the
				applicant has successfully completed an optom-etry licensure examination in any
				state, territory, country, or province substantially equivalent to the
				licensure examination accepted for licensure in Missouri;
(C) With the exception of government service,
				proof that the applicant has been engaged in active clinical practice in the
				state, territory, country, or province in which the applicant is currently
				licensed for at least three (3) years in the five (5) years immediately
				preceding the application;
(D)
				Proof that the applicant is registered or certified in the state from which
				s/he is applying for endorsement to use pharmaceutical agents at the highest
				level granted in that state with the requirements established in that state for
				registration and/or certification being substantially equivalent to the
				requirements in this state;
(E)
				Certification from each state in which s/he is or was or has been licensed
				verifying that the applicant is or was in good standing and has never had
				his/her license to practice in any state disciplined in any manner and that the
				applicant is not the subject of any pending complaints;
(F) Proof of submission of fingerprints to
				the Missouri State Highway Patrol's approved vendor for both a Missouri State
				Highway Patrol and Federal Bureau of Investigation fingerprint background
				check. Any fees due for fingerprint background checks shall be paid by the
				applicant directly to the Missouri State Highway Patrol or its approved vendor;
				and
(G) Such additional information
				as the board may request to determine eligibility for licensure by
				endorsement.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.020 - Licensure by Examination

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment ensures the relevancy of the
				  Board's Licensure by Examination process by ensuring that competency
				  examinations are taken in a timely manner.
(1) Every person applying for licensure as an
				optometrist shall have graduated from a school of optometry approved by the
				board.
(2) The board currently
				approves those schools of optometry which are accredited by the Council on
				Optometric Education.
(3) All
				applicants must pay the application fee and submit proof of fingerprints to the
				Missouri State Highway Patrol's approved vendor for both a Missouri State
				Highway Patrol and Federal Bureau of Investigation fingerprint background
				check. Any fees due for fingerprint background checks shall be paid by the
				applicant directly to the Missouri State Highway Patrol or its approved
				vendor.
(4) All applicants for a
				license as an optometrist shall pass all parts of the examination administered
				by the National Board of Examiners in Optometry (NBEO) within three (3) years
				prior to licensure. Each applicant also shall pass an examination on Missouri
				Optometric law with a score of seventy-five percent (75%) or greater within one
				(1) year prior to licensure.
(5) In
				addition to the above requirements, all applicants for a license as an
				optometrist must be certified by the board as qualified to use pharmaceutical
				agents in accordance with the guidelines stated in
				20 CSR
				2210-2.080.
*Original authority: 336.050, RSMo 1939, amended 2007;
					 336.160.1, RSMo 1939, amended 1947, 1963, 1981, 2007; and 336.220.1, RSMo 1981,
					 amended 1986, 1993, 1995, 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.050 - Professional Optometric Corporations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule governs professional optometric
				  corporations.
(1) No person
				licensed under the provisions of Chapter 336, RSMo shall organize, form or, at
				any time, participate as incorporator, director, shareholder or officer of any
				corporation organized under the provisions of the Professional Corporation Law
				of Missouri, except-
(A) All incorporators,
				directors and officers, other than the secretary of the corporation, shall be
				registered under the provisions of Chapter 336, RSMo, shall have paid all fees
				due under that chapter and must be in good standing with the board, except
				that, if more than one (1) type of professional service is practiced by the
				professional corporation pursuant to the provisions of subsection (1)(C), then
				the incorporators, directors and officers other than secretary of the
				corporation, shall be in good standing with the Missouri State Board of
				Registration for the Healing Arts and duly licensed to practice one (1) or more
				of the professional services referred to in subsection (1)(C);
(B) The proposed name of the corporation
				shall contain the surname of each registered practitioner within the
				corporation owning ten percent (10%) or more of the outstanding stock of the
				corporation; provided, however, that if there are more than three (3)
				registered practitioners, each of whom owns more than ten percent (10%) of the
				stock of the corporation, the proposed corporate name shall contain only the
				names of the three (3) practitioners who own the greatest number of shares of
				stock of the proposed corporation. The proposed corporation shall end with the
				words Professional Corporation or P.C. The proposed name of the corporation
				shall contain the name of the profession to be practiced or the professional
				title of practitioners of that profession but no other words other than those
				previously specified. However, words other than those provided in this rule may
				be used in proposed corporate names where the words are found by a majority of
				the board at a regularly scheduled meeting to be in keeping with the ethical
				standards of the profession; and
(C) A professional corporation may be
				organized only for the purpose of rendering optometric service and its
				ancillary services except that a multiple purpose professional corporation may
				be organized to render optometric services in conjunction with any services
				that lawfully may be rendered by a physician, surgeon, doctor of medicine or
				doctor of osteopathy licensed under the provisions of a licensing law of this
				state.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.060 - Professional Conduct Rules

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended pursuant to
				  Executive Order 17-03.
(1)
				Every licensed optometrist whose name, office address, phone number, or place
				of practice appears or is mentioned in any advertisement of any kind or
				character is presumed to have caused, allowed, permitted, approved, and
				sanctioned the advertisement and is personally and professionally responsible
				for the content and character of the advertisement.
(2) The term advertising, as used in section
				336.110, RSMo and this rule,
				includes, but is not limited to, advertising by means of any of the following
				media:
(A) Newspapers, magazines,
				periodicals, programs, circulars, handbills, stationery, web pages, Internet
				communications, or any other forms of printed, mimeographed, offset,
				typewritten or otherwise reproduced material;
(B) Motion pictures;
(C) Broadcasts by radio, television or public
				address systems; and
(D) Signs of
				every kind and description including billboards, posters, building signs,
				corridor signs, stair signs and window signs.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.070 - Fees

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment creates a one- (1-) time
				  reduction of renewal fees.
(1) The following fees are established by the
				State Board of Optometry:
(A) Application Fee
$225
(B) Missouri Law Exam Fee
$ 50
(C) Biennial Renewal Fee
$150
1. Effective August 1, 2018 through July 31,
						  2020
$125
(D) Late Fee
$100
(E) Reactivation Fee
$350
(F) Duplicate Certificate Fee
$ 20
(G) Certification of Corporation Fee
$ 20
(H) Endorsement Certification Fee
$ 20
(I) Computer Print-Out of Licensees Fee
$ 20
(J) Pharmaceutical Certification Fee
$ 75
(K) Uncollectible Fee (uncollectible check or other
						  uncollectible financial instrument)
$ 25
(L) Law Book Requests Fee
$ 5*
(M) Biennial Continuing Education Sponsor Fee
$ 25
(N) Continuing Education Penalty Fee (reporting
						  continuing education hours obtained after the end of the reporting period)
$150
(O) Fingerprinting Fee (amount determined by the
						  Missouri State Highway Patrol)
*This fee will not apply to the initial copy of the law book
				  which is automatically mailed to all applicants for licensure or to accredited
				  schools of optometry. Furthermore, this fee will not be charged to licensees or
				  any other individual for additions or corrections to the law book after the
				  initial copy is mailed.
(2)
				All fees are nonrefundable.
(3) The
				provisions of this rule are declared severable. If any fee fixed by this rule
				is held invalid by a court of competent jurisdiction or by the Administrative
				Hearing Commission, the remaining provisions of this rule shall remain in full
				force and effect, unless otherwise determined by a court of competent
				jurisdiction or by the Administrative Hearing Commission.
*Original authority: 336.140, RSMo 1939, amended 1949,
					 1963, 1980, 1981, 1985, 2007 and 336.160, RSMo 1939, amended 1947, 1963, 1981,
					 2007.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2210 - State Board of Optometry › Chapter 2 - General Rules › Section 20 CSR 2210-2.080 - Certification of Optometrists to Use Pharmaceutical Agents

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets out the requirements and
				  procedures for the certification of optometrists to use pharmaceutical
				  agents.
(1) No optometrist
				licensed in this state may use pharmaceutical agents in the practice of
				optometry unless that optometrist has been certified by the board as qualified
				to use those pharmaceutical agents in the practice of optometry.
(2) All applications for pharmaceutical
				certification must be made on forms provided by the board and must be
				accompanied by the pharmaceutical certification fee. The application must be
				accompanied by proof that the applicant has passed an examination approved by
				the board.
(3) The board will
				certify optometrists currently licensed in this state as qualified to use
				pharmaceutical agents in the practice of optometry in accordance with the
				following guidelines:
(A) All applicants for
				certification must present official documentation and/or transcripts showing
				successful completion of at least one hundred (100) hours of approved,
				supervised, clinical training in the examination, diagnosis, and treatment of
				conditions of the human eye and adnexa. The board cannot approve any credit
				hours unless they were taught by an institution having facilities for both the
				didactic and clinical instruction in pharmacology, which is approved by the
				board and which is accredited by a regional or professional accrediting
				organization which is recognized by the Council on Post-secondary Accreditation
				or the United States Department of Education or its successors; and
(B) All applicants for certification must
				pass a written examination in pharmacology administered or approved by the
				board.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2220 - State Board of Pharmacy › Chapter 1 - Organization and Description of Board › Section 20 CSR 2220-1.010 - General Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The purpose of this regulation is to comply
				  with section
				  536.023(3),
				  RSMo (1986) which requires each agency to adopt as a regulation, a description
				  of its operation and the methods and procedures where the public may obtain
				  information or make submissions or requests.
(1) The State Board of Pharmacy is a unit of
				the Division of Professional Registration of the Department of Economic
				Development.
(2) The board was
				created by House Bill No. 87 of the General Assembly of 1909.
(3) The State Board of Pharmacy shall consist
				of seven (7) persons not connected with any school of pharmacy. Annually the
				board shall organize by the election of a president and vice president each of
				whom serves for one (1) year. Six (6) members shall be licensed as pharmacists
				and actively engaged in the practice of pharmacy within this state and at least
				one (1) of these shall be a person who provides, on a full-time basis,
				pharmaceutical services to a hospital, skilled nursing facility or an
				intermediate care facility. The other member shall be a voting public member.
				All members shall be appointed by the governor, with the approval of the senate
				and shall hold their offices for five (5) years from the date of their
				appointments and until their successors shall have been appointed and
				qualified.
(4) The board is
				directed by sections
				338.140,
				338.280
				and
				338.350,
				RSMo to adopt rules for the application and enforcement of Chapter 338, RSMo
				which also requires compliance of Chapter 195, RSMo.
(5) The board has superintending control over
				the practice of pharmacy and drug distributors and its primary duties consist
				of-
(A) Examining and licensing of
				applicants;
(B) Assisting in the
				accrediting of pharmacy colleges and approval of their programs;
(C) Renewing annually the license of
				qualified pharmacists, pharmacies, intern pharmacists and drug
				distributors;
(D) Suspending,
				revoking, placing on probation or censure of licenses of any pharmacist,
				pharmacy, intern pharmacist or drug distributors found guilty of violating the
				provisions set forth in Chapter 338, RSMo;
(E) Inspecting pharmacies and drug
				distributors;
(F) Inspecting and
				certification of pharmacies as intern-training pharmacies;
(G) Interacting and participating with
				various state and national organizations in order to facilitate the exchange of
				information, policies and procedures and techniques that can assist the board
				in fulfilling its mission; and
(H)
				Interacting with other state and federal agencies as concerns the enforcement
				of state and federal drug laws.
Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2220 - State Board of Pharmacy › Chapter 1 - Organization and Description of Board › Section 20 CSR 2220-1.020 - Board Compensation

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule fixes the compensation for the
				  members of the State Board of Pharmacy in compliance with the mandates of
				  section
				  338.130,
				  RSMo (1986).
(1) Each member
				of the State Board of Pharmacy shall receive as compensation the sum of fifty
				dollars ($50) for each day that member devotes to the affairs of the
				board.
(2) In addition to the
				compensation fixed in this rule, each member is entitled to reimbursement of
				his/her expenses necessarily incurred in the discharge of his/her official
				duties.
(3) No request for the
				compensation provided in this rule shall be processed for payment unless
				sufficient funds are available for that purpose within the appropriation for
				this board.
*Original authority: 338.130, RSMo 1939, amended 1949,
					 1961, 1969, 1981, 1997; 338.140, RSMo 1939, amended 1981, 1989,
					 1997.
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 2220-2.005 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the term "drug" as
				  utilized in Chapter 338, RSMo, and the rules of the board.
(1) "Drug," "prescription drug," or "legend
				drug" means any drug or biological product-
(A) Subject to section 503(b) of the Federal
				Food, Drug and Cosmetic Act, including finished dosage forms and active
				ingredients subject to section 503(b);
(B) Required by federal law to be labeled
				with one (1) of the following statements, prior to being dispensed or
				delivered:
1. "Caution: Federal law prohibits
				dispensing without prescription";
2. "Caution: Federal law restricts this drug
				to use by or on the order of a licensed veterinarian"; or
3. "Rx Only"; and
(C) Required by any applicable federal or
				state law or regulation to be dispensed by prescription only or that is
				restricted to use by practitioners only.
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 2220-2.011 - Electronic Final Product Verification (Pharmacists)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  electronic final product verification by a pharmacist using qualifying
				  technology.
(1) Pharmacist
				Verification. A Missouri licensed pharmacist may use an electronic verification
				system to verify the accuracy of a final prescription/medication order,
				provided-
(A) The electronic verification
				system allows the pharmacist to see an exact, clear, and unobstructed visual
				image or images of the filled prescription/medication order contents and the
				label affixed to the container. If multiple units are being dispensed, the
				pharmacist must be able to see and verify an image or images of each unit and
				each individual affixed label. A mechanism must be in place to record or
				communicate the pharmacist's verification approval;
(B) The identity of the pharmacist
				responsible for verifying the final product is documented in the pharmacy's
				records as required by
				20 CSR
				2220-2.080;
(C) Pharmacy technicians and intern
				pharmacists assisting the pharmacist with electronic verification must be
				trained and competent to perform the duties assigned and have a documented
				initial and annual assessment of competency using the pharmacy's approved
				electronic verification system;
(D)
				No further manipulation of the prescription/medication order occurs after the
				pharmacist's electronic verification is complete other than applying the
				required container lid or seal. For purposes of this section, manipulation does
				not include preparing a finished prescrip-tion/medication order for mailing,
				delivery, or storage; and
(E)
				Except as otherwise provided by law, compounded preparations cannot be verified
				via an electronic verification system. Compounded preparations must be
				personally verified by a pharmacist.
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 2220-2.012 - Technology Assisted Prescription/Medication Order Verification (Intern Pharmacists and Pharmacy Technicians)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  pharmacy technicians/intern pharmacists performing technology assisted
				  prescription/medication order verification under the supervision of a
				  pharmacist.
(1) Definitions.
(A) "Authorized intern pharmacist"-An
				individual who holds a current and active Missouri intern pharmacist license
				and has completed employer-approved training in technology assisted
				verification using the pharmacy's approved technology assisted verification
				system.
(B) "Authorized pharmacy
				technician"-A currently registered Missouri pharmacy technician who-
1. Holds an active pharmacy technician
				certification issued by a certification entity accredited by the National
				Commission for Certifying Agencies;
2. Has completed employer-approved training
				in technology assisted verification using the pharmacy's approved technology
				assisted verification system; and
3. Has assisted in the practice of pharmacy
				as a registered/licensed pharmacy technician in the state of Missouri or
				another U.S. state or territory for a minimum of one (1) year.
(C) "Technology Assisted
				Verification" (TAV)-The process of verification of the final prescription or
				medication order and affixed label by an authorized pharmacy technician or
				authorized intern pharmacist using a technology assisted verification system
				that complies with this rule.
(D)
				"Technology Assisted Verification System" (TAVS)-An electronic system that
				utilizes barcode technology or another electronic process/method to
				electronically verify the final medication prescription or medication order has
				been properly dispensed and to electronically verify the
				prescription/medication order has been properly labeled for the correct
				patient.
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 2220-2.013 - Prescription Delivery Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  authorized prescription delivery sites.
(1) Every pharmacy delivering prescription
				drugs shall develop and implement written policies and procedures to ensure the
				safe and appropriate delivery of prescription drugs within the temperature
				requirements recommended by the manufacturer or the
United States
				Pharmacopeia
(USP). Except as otherwise provided herein, prescriptions
				filled by a Missouri licensed pharmacy may not be left at, accepted by, or
				delivered to a location, place of business or entity not licensed as a
				pharmacy.
(2) At the request of the
				patient or the patient's authorized designee, licensees may deliver a filled
				prescription for an individual patient directly to the patient or the patient's
				authorized designee or to-
(A) The office of
				a licensed health care practitioner authorized to prescribe medication in the
				state of Missouri;
(B) A long-term
				care facility as defined by
				20
				CSR 2220-2.140 where the patient resides;
(C) A hospital, office, clinic, or other
				medical institution that provides health care services;
(D) A residence designated by the patient or
				the patient's authorized designee; or
(E) The patient's office or place of
				employment.
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 2220-2.015 - Termination of Business as a Pharmacy

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes guidelines for the
				  termination of business as a pharmacy.
(1) A licensed pharmacy who plans to
				terminate business activities shall file a written notice with the State Board
				of Pharmacy. The written notice shall be submitted to the State Board of
				Pharmacy in person or by registered or certified mail within fifteen (15) days
				after the date of termination. This notice shall be made on a form provided by
				the board or in letter form from the licensee and shall include the following
				information:
(A) The name, address, license
				(permit) number and effective date of closing;
(B) The name, address, and license (permit)
				number of the entity to which any of the stock/inventory will be
				transferred;
(C) The name and
				address of the location to which records, required to be maintained by law,
				have been transferred.
1. Any records that
				are transferred to an unlicensed location must be retrievable for board review
				within seven (7) working days of a request made by an authorized official of
				the board.
2. Any records that are
				transferred to a licensed (permitted) pharmacy or licensed drug distributor
				must be maintained in accordance with record requirements as set forth in
				section
				338.100,
				RSMo.
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 2220-2.016 - Pharmacy Operations During an Emergency or Declared Disaster

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes guidelines for
				  temporary pharmacy operations during an emergency or declared
				  disaster.
(1) Definitions.
(A) "Disaster Area" - A specified
				geographical area within the state that has been designated by the governor or
				federal authorities as an area that has been adversely affected by a natural or
				man-made disaster and that requires extraordinary measures to provide adequate,
				safe, and effective health care for the affected population.
(B) "Emergency Situation" - An emergency
				caused by a natural or man-made disaster that substantially prevents a Missouri
				licensed pharmacy from providing pharmacy services at the pharmacy's permitted
				location.
(C) "Home Pharmacy"-A
				Missouri licensed pharmacy that operates or applies for an emergency temporary
				pharmacy permit pursuant to this rule.
(D) "Emergency Declaration" - A state or
				federally declared emergency or disaster that impacts Missouri
				patients.
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 2220-2.017 - Non-Electronic (Manual) Prescription Records

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  non-electronic (manual) prescription record keeping.
(1) Pharmacies that maintain a non-electronic
				prescription record system shall maintain the following information in its
				system for each original and refilled prescription:
(A) The date the prescription was prescribed
				and the date of initial dispensing, if different;
(B) A unique, sequential prescription label
				number;
(C) If applicable, a unique
				readily retrievable identifier;
(D)
				The name of the patient(s), or if an animal, species and owner's
				name;
(E) The prescriber's name, if
				an oral prescription, signature if a written or faxed prescription. Electronic
				signatures shall comply with all applicable provisions of
				20 CSR
				2220-2.085;
(F) Name, strength and dosage of drug, device
				or poison dispensed and the directions for use;
(G) The number of refills
				authorized;
(H) The quantity
				dispensed in weight, volume, or number of units;
(I) The date of refill, if any;
(J) The identity of the pharmacist
				responsible for reviewing the accuracy of data on each original
				prescription;
(K) The identity of
				the pharmacist responsible for verifying the final product prior to dispensing
				on each original and refill prescription, if different;
(L) Whether generic substitution has been
				authorized by the prescriber;
(M)
				Any change or alteration made to the prescription dispensed based on contact
				with the prescriber to show a clear audit trail. This shall include, but is not
				limited to, a change in quantity, directions, number of refills, or authority
				to substitute a drug;
(N) The
				address of the prescriber and the patient when the prescription is for a
				controlled substance;
(O) The
				prescriber's Drug Enforcement Administration (DEA) number when the prescription
				is for a controlled substance; and
(P) If additional refills are authorized and
				added to the prescription, a notation indicating the method and source of the
				authorization must be a part of the manual record or hard copy, in such case
				the expiration date of the original prescription shall remain the same;
				and
(Q) Any prescription, when it
				is for a controlled substance, must comply with all requirements of federal and
				state controlled substance laws.
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 2220-2.018 - Prescription Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes requirements for
				  information required on prescriptions.
(1) To be valid for purposes of dispensing, a
				prescription shall conform to all requirements of sections
				338.056
				or
				338.196,
				RSMo, and shall contain the following information:
(A) The date of prescribing;
(B) The name of the patient(s), or if an
				animal, species and owner's name;
(C) The prescriber's name, if an oral
				prescription, or written or electronic signature if a written, faxed, or an
				electronically transmitted prescription. Electronic signatures shall comply
				with all applicable provisions of
				20 CSR
				2220-2.085;
(D) Name, strength and dosage of drug, device
				or poison prescribed and the directions for use;
(E) The number of refills, if
				applicable;
(F) The quantity
				prescribed in weight, volume, or number of units;
(G) An indication of whether generic
				substitution has been authorized by the pre-scriber, as required by section
				338.056,
				RSMo;
(H) Any change or alteration
				made to the prescription dispensed based on contact with the prescriber to show
				a clear audit trail. This shall include, but is not limited to, a change in
				quantity, directions, number of refills, or authority to substitute a
				drug;
(I) The address of the
				prescriber and the patient when the prescription is for a controlled
				substance;
(J) The prescriber's
				Drug Enforcement Administration (DEA) number when the prescription is for a
				controlled substance; and
(K)
				Controlled substance prescriptions shall also comply with all requirements of
				federal and state controlled substance laws.
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 2220-2.025 - Nonresident Pharmacie

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates and clarifies
				  requirements for nonresident pharmacies.
(1) Nonresident pharmacies shall not ship,
				mail , or deliver prescription drugs into Missouri without first obtaining a
				pharmacy license from the Missouri Board of Pharmacy. An exemption to licensure
				is allowed when a nonresident pharmacy provides a prescription drug in an
				emergency situation or supplies lawful refills to a patient from a prescription
				that was originally filled and delivered to a patient within the state in which
				the nonresident pharmacy is located.
(2) To obtain a Missouri pharmacy license , a
				nonresident pharmacy must -
(A) Maintain a
				pharmacy license in good standing from the state in which the nonresident
				pharmacy is located;
(B) Submit an
				application as provided by the Missouri Board of Pharmacy for licensure in
				compliance with
				20 CSR 2220-2.020(2), (3),
				(9), and (10) ;
(C) Pay all appropriate licensing
				fees;
(D) Submit a copy of the state
				pharmacy license from the state in which the nonresident pharmacy is
				located;
(E) If controlled
				substances will be shipped into Missouri, submit a copy of the applicant's
				federal controlled substance registration and, if applicable, a copy of the
				applicant's state controlled substance registration from the state where the
				applicant is located;
(F) If the
				designated pharmacist-in-charge does not have a current and active Missouri
				pharmacist license issued by the board, submit an official verification from
				the state board of pharmacy or equivalent state pharmacist licensing agency
				verifying that the designated pharmacist-in-charge holds a current and active
				pharmacist license in the state in which the nonresident pharmacy is located;
				and
(G) Submit a copy of the
				applicant's most recent pharmacy inspection by the applicant's resident state
				board of pharmacy or its equivalent state regulatory body. The inspection must
				have occurred within the last eighteen (18) months for sterile compounding
				pharmacy applicants or within the last twenty-four (24) months for all other
				pharmacy applicants. If a state inspection is unavailable, an inspection by the
				Missouri Board of Pharmacy or from the Verified Pharmacy Program (VPP) of the
				National Association of State Boards of Pharmacy or a similar inspection by an
				entity approved by the board may be accepted.
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 2220-2.032 - Licensure by Examination for Graduates of Nonapproved Foreign Pharmacy Schools

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded August 30, 2013)
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 2220-2.034 - Licensure by Reciprocity for Graduates of Nonapproved Foreign Pharmacy Schools Who Have Been Licensed in Another State

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded August 30, 2013)
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 2220-2.060 - Gold Certificates

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended pursuant to
				  Executive Order 17-03 to remove unnecessary/duplicative rule language and to
				  clarify the board's procedures for issuing gold certificates.
(1) The Missouri Board of Pharmacy shall
				issue gold certificates to all pharmacist licensees who have been regularly
				licensed as pharmacists in Missouri for fifty (50) years without charge to the
				recipient. Gold certificates are honorific in nature and confer no right to
				practice pharmacy upon the recipient.
*Original authority: 338.140, RSMo 1939, amended 1981,
					 1989.
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 2220-2.080 - Electronic Prescription Records

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is being amended pursuant to
				  Executive Order 17-03 to remove unnecessary/duplicative rule language and to
				  modernize rule language governing electronic prescription
				  records.
(1) In lieu of a
				non-electronic (manual) record-keeping system, a pharmacy may elect to maintain
				an electronic data processing (EDP) record keeping-system. All information
				concerning the compounding, dispensing, or selling by a pharmacy of any drug,
				device, or poison pursuant to a lawful prescription which is entered into an
				EDP system at any pharmacy shall be entered only by a licensed pharmacist or by
				a technician or intern pharmacist under the direct supervision and review of a
				licensed pharmacist. Prior to dispensing, a pharmacist shall personally verify
				the accuracy of prescription data entered into the EDP for each original
				prescription. The EDP system shall comply with all applicable state and federal
				controlled substance laws and regulations.
(2) EDP systems shall comply with the
				requirements of section
				338.100,
				RSMo, and capable of storing and retrieving the following information
				concerning the original filling or refilling of any prescription:
(A) A unique, sequential prescription label
				number;
(B) If applicable, a unique
				readily retrievable identifier;
(C)
				Date the prescription was prescribed;
(D) The date the prescription was initially
				filled and the date of each refill;
(E) Patient's full name, or if an animal, the
				species and owner's name;
(F)
				Patient's address or animal owner's address when a prescription prescribes a
				controlled substance;
(G)
				Prescriber's full name;
(H)
				Prescriber's address and Drug Enforcement Administration (DEA) number when a
				prescription specifies a controlled substance;
(I) Name, strength and dosage of drug, device
				or poison dispensed and any directions for use;
(J) Quantity originally dispensed;
(K) Quantity dispensed on each
				refill;
(L) Identity of the
				pharmacist responsible for verifying the accuracy of prescription data prior to
				dispensing on each original prescription;
(M) Identity of the pharmacist responsible
				for reviewing the final product prior to dispensing on each original and refill
				prescription, if different from the pharmacist verifying prescription
				data;
(N) The number of authorized
				refills and quantity remaining;
(O)
				Whether generic substitution has been authorized by the prescriber;
(P) The manner in which the prescription was
				received by the pharmacy (e.g., written, telephone, electronic, or faxed);
				and
(Q) Any other change or
				alteration made in the original prescription based on contact with the
				prescriber to show a clear audit trail including, but not limited to, a change
				in quantity, directions, number of refills, or authority to substitute a
				drug.