PURPOSE: This rule sets forth the process for assistant physicians to receive a certificate of controlled substance prescriptive authority.

1. (1) Licensees applying for a certificate of prescriptive authority shall submit—

   1. (A) A completed application on a form provided by the board;
   2. (B) Applicants shall submit the application fee as stated in 20 CSR 2150-2.080;
   3. (C) A supervision verification form, signed by their collaborating physician, stating that the collaborating physician has delegated the authority to prescribe Schedule II (hydrocodone), III, IV, or V controlled substances to the assistant physician. The delegated authority to prescribe shall be consistent with each professional’s education, knowledge, skill, and competence. Any limitations on the physician’s or assistant physician’s ability to prescribe shall be listed on the supervision verification form; and
   4. (D) An affidavit completed by their collaborating physician documenting the completion of at least one hundred twenty (120) hours in a four- (4-) month period by the assistant physician during which the assistant physician practiced with the supervising physician continuously present.

AUTHORITY: sections 334.036 and 334.125, RSMo Supp. 2014, and section 334.037, RSMo Supp. 2015.* Original rule filed June 29, 2016, effective Jan. 30, 2017. *Original authority: 334.036, RSMo 2014; 334.037, RSMo 2014, amended 2015; and 334.125, RSMo 1959, amended 1993, 1995, 2014.