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

1. (1) Applicants shall make application on a form prepared by the board.
2. (2) Applicants shall submit the application fee as stated in 20 CSR 2150-7.200.
3. (3) No application will be considered unless fully and completely made out on the specified form and properly attested. All application requirements must be met to the satisfaction of the board.
4. (4) Applications shall be sent to the State Board of Registration for the Healing Arts, PO Box 4, Jefferson City, MO 65102.
5. (5) Applicants shall file with the board a supervision verification form, signed by their supervising physician, stating that the supervising physician has delegated the authority to prescribe Schedule III, IV, or V controlled substances to the physician assistant. The delegated authority to prescribe shall be consistent with each professional’s education, knowledge, skill, and competence. Any limitations on the physician’s or physician assistant’s ability to prescribe shall be listed on the supervision verification form.
6. (6) Applicants shall provide an affidavit completed by their supervising physician documenting the completion of at least one hundred twenty (120) hours in a four (4)-month period by the physician assistant during which the physician assistant practiced with the supervising physician continuously present.

7. (7) Applicants shall fulfill the requirements of either subsection (A) or (B) below—

   1. (A) Proof, in the form of educational transcripts, of a course or courses with—

      1. 1. Advanced pharmacological content in

a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its predecessor; and

1. 2. One (1) year of clinical rotations in a

program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its predecessor agency; or

1. (B) Fulfilling both requirements from paragraphs 1. and 2. below—

   1. 1. Successful completion of an advanced

pharmacology course which includes clinical training in the prescription of drugs, medicine, and therapeutic devices accredited by one (1) of the following—

1. A. Accreditation Review Commission

on Education for Physician Assistants;

1. B. Liaison Committee on Medical

Education sponsored by the Association of American Medical Colleges and the American Medical Association;

1. C. American Osteopathic Associa-

tion’s Commission on Osteopathic College Accreditation; or

1. D. Accreditation Council for Phar-

macy Education; and

1. 2. Proof, in the form of educational tran-

scripts, certifications, or affidavits, of—

1. A. Completion of one (1) year of clin-

ical rotations in a program accredited by the Accreditation Review Commission on Education for the Physician Assistant or its predecessor agency, which includes pharmacotherapeutics as a component of clinical training; or

1. B. Completion of a minimum of three

hundred (300)-clock hours of clinical training by the supervising physician in the prescription of drugs, medicines, and therapeutic devices and proof of completion of a minimum of one (1) year of supervised clinical practice or supervised clinical rotations.

AUTHORITY: sections 334.125, 334.736, 334.738, and 334.743, RSMo 2000 and sections 334.735 and 334.747, RSMo Supp. 2010.* Original rule filed Nov. 1, 2010, effective June 30, 2011. *Original authority: 334.125, RSMo 1959, amended 1993, 1995; 334.735, RSMo 1989, amended 1996, 1997, 1998, 2005, 2007, 2008, 2009, 2010; 334.736, RSMo 1995, amended 1998; 334.738, RSMo 1989, amended 1998; 334.743, RSMo 1989, amended 1993, 1995, 1998; and 334.747, RSMo 2009.