20 CSR 2220-6.200 - Pharmacist Authority to Prescribe Pursuant to Section 338.665
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.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
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.