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 2220-6.200 - Pharmacist Authority to Prescribe Pursuant to Section 338.665
Universal Citation: 20 MO Code of State Regs 2220-6.200
Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This rule establishes requirements for pharmacists prescribing as authorized by section 338.665, RSMo.
(1) Definitions.
(A) A nicotine replacement therapy product;
as defined by section
338.665,
RSMo.
(2) Training. Pharmacists prescribing must be competent to perform the services provided and shall maintain ongoing/continued competency.
(3) Pharmacist prescribing and patient care activities must be safely and properly performed.
(A) Pharmacists shall collect patient or
medical history to allow the pharmacist to properly assess the patient and
safely provide patient care. Prior to prescribing, the pharmacist shall use a
screening procedure based on generally accepted clinical guidelines to identify
appropriate patients for treatment. The pharmacist shall refer high-risk
patients or patients with a contraindication to the patient's primary care
provider or an appropriate healthcare provider, as deemed necessary or
appropriate.
(B) In addition to
this rule, pharmacists shall comply with all applicable provisions of Chapter
338, RSMo, and the rules of the Board of Pharmacy governing prescribing and
record-keeping, including, but not limited to,
20 CSR
2220-2.018. Pharmacists may provide a prescription to
the patient or transmit a prescription for that patient to a pharmacy for
dispensing.
(4) Patient medical records. Prescribing pharmacists shall maintain an adequate and complete patient medical record for each patient that documents the care provided. Patient medical records must be individually retrievable.
(A) At a minimum, the required patient
medical record must include:
1. The patient's
name, birthdate, address and telephone number;
2. The date(s) the patient was
seen;
3. The patient's primary care
provider, if provided;
4.
Documentation of the patient screening as required by section (3) of this
rule;
5. Any pertinent medical or
medication information/history;
6.
The name and dosage of any medication prescribed;
7. Any recommended medication treatment
plan(s) or follow-up consultation(s); and
8. Any healthcare provider
referrals.
(B) Patient
medical records must be securely and confidentially maintained in compliance
with applicable state and federal law. At a minimum, patient medical records
must be maintained for five (5) years from the date created. Records maintained
at a pharmacy must be produced immediately or within two (2) hours of a request
from the board or the board's authorized designee. Records not maintained at a
pharmacy must be produced within three (3) business days of a board
request.
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.
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