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 2220-2.090 - Pharmacist-in-Charge

Universal Citation: 20 MO Code of State Regs 2220-2.090

Current through Register Vol. 49, No. 6, March 15, 2024

PURPOSE: This amendment updates compliance requirements and responsibilities for the designated pharmacist-in-charge of a board licensed pharmacy.

(1) Except as otherwise authorized by law, each pharmacy shall designate a pharmacist-in-charge who is responsible for managing pharmacy compliance and supervising pharmacy staff. At a minimum, the pharmacist-in-charge shall assist the permit holder in ensuring pharmacy operations and clinical activities comply with the rules of the board and all applicable state and federal law governing pharmacy practice.

(A) The pharmacist-in-charge must be regularly involved in, and engaged with, pharmacy operations and monitoring pharmacy compliance. Except in the event of an emergency or other urgent need, the pharmacist-in-charge must be consulted and given an opportunity to provide input prior to implementation of any pharmacy policy, procedure, system, or practice that will modify or expand the delivery of pharmacy services.

(B) The pharmacist-in-charge must be physically present at the pharmacy for a sufficient amount of time as needed to effectively supervise pharmacy activities and ensure pharmacy compliance. Additionally, the permit holder must provide the pharmacist-in-charge designated time to review pharmacy compliance on a regular basis while not engaged in medication dispensing or providing patient services.

(C) The pharmacist-in-charge must have authority to temporarily suspend or restrict pharmacy operations or the activity of licensees/registrants, if deemed reasonably necessary or appropriate to ensure pharmacy compliance or the safe provision of pharmacy services, pending final direction or approval from the permit holder.

(D) The permit holder must have policies and procedures in place for regularly reviewing staffing and resource needs with the pharmacist-in-charge, including policies and procedures for requesting additional staff or staffing modifications.

(2) A pharmacist must immediately notify the board electronically or in writing on a form designated by the board if he/she stops serving as the designated pharmacist-in-charge. At or immediately prior to a pharmacist-in-charge change, a controlled substance inventory must be taken by a designee of the permit holder that complies with state and federal controlled substance inventory requirements, including 21 CFR section 1304.11. The signature of the individual(s) taking the required inventory must be documented on the inventory.

(3) This rule does not exempt a permit holder from responsibility for compliance with applicable state or federal law.

*Original authority: 338.140, RSMo 1939, amended 1981, 1989, 1997; 338.240, RSMo 1951; and 338.280, RSMo 1951, amended 1971, 1981.

Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.