(a) An applicant for endorsement of prescriptive authority shall:

1. (1) Provide documentation of a:

   1. (A) Three (3) graduate credit hour pharmacology course offered by an accredited college or university; or
   2. (B) Forty-five (45) contact hour (a contact hour is fifty (50) to sixty (60) minutes) pharmacology course that includes a competency component offered by an accredited college or university;
2. (2) Provide evidence that prescriptive authority is current and unencumbered in the jurisdiction from which the applicant is moving;
3. (3) Provide evidence of prescribing in a clinical setting for at least five hundred (500) hours in the year prior to application for a certificate of prescriptive authority;
4. (4) Have an unencumbered advanced practice registered nurse license to practice or the equivalent in the jurisdiction from which the applicant is moving;
5. (5) Provide a copy of current Drug Enforcement Administration registration (if prescriber has a Drug Enforcement Administration number) and history of registration status; and
6. (6) Meet requirements in 17 CAR § 123-601(1), (2), and (5) – (7).