PURPOSE: This rule outlines requirements for internship standards and training, exam scoring procedures, procedures for examination score transfer and licensure transfer and defines accredited colleges.

1. (1) An approved school or college of pharmacy means a school or college of pharmacy whose curriculum, physical equipment, course of instruction and teaching personnel conform to the standards and specifications or the equivalent required by the American Council on Pharmaceutical Education for accreditation and is approved annually by the board.
2. (2) Application shall be made on forms provided by the State Board of Pharmacy. The candidate shall furnish satisfactory evidence on the application that s/he has graduated from an approved school of pharmacy and 20 CSR 2220-2

present affidavits certifying the completion of all practical experience programs that are required and are approved by the board. An application will be considered filed even though it may have to be returned to the applicant for minor correction or completion. However, an application will not be considered filed if it has to be returned to the applicant for any one (1) or more of the following reasons:

1. (A) Incorrect or missing fee;
2. (B) Incomplete or missing college affidavit; or
3. (C) Incomplete or missing signature and notarization. In this instance, the application will be returned to the applicant and will not be considered filed until it has been returned with all corrections made. The applicant must take the examination(s) within three hundred sixty-five (365) days of having been determined eligible, to avoid forfeiture of eligibility and fees.

1. (3) Requirements for Practical Experience.

   1. (A) Advanced practice experience is defined as practice based training which is documented as required, complies with training standards outlined in this rule and is considered a part of the school curriculum for training students within standards approved by the board of pharmacy.

   2. (B) Requirements for Training as a Pharmacy Intern.

      1. 1. Every person who desires to gain

practical experience in Missouri toward licensure as a pharmacist must apply for a license as an intern pharmacist. An application for licensure shall be made on forms provided by the State Board of Pharmacy and must be accompanied by the appropriate licensure fee. An application for an intern pharmacist license will become null and void if the applicant fails to complete the process for licensure within six (6) months of receipt of the application by the board.

1. 2. An applicant for licensure as a phar-

macy intern shall be currently enrolled in or graduated from a college that is approved by the State Board of Pharmacy and that applicant may apply for licensure after the completion of thirty (30) hours of college course work in an approved school of pharmacy.

1. 3. Advanced practice experience hours

shall include a minimum of one hundred sixty (160) hours in a community/ambulatory pharmacy practice component, an institutional pharmacy practice component and a clinical and/or related area of pharmacy practice component.

1. 4. Advanced practice experience may be

gained within non-licensed programs, provided these programs have received prior FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

approval by the board. The board shall make its determination concerning program approval and the number of hours to grant to an approved program through review of an application. The board may request additional information, interview program participants or complete site inspections before a decision on an application is made.

1. (C) Advanced practice experience shall be computed from the date of licensure as a pharmacy intern.

2. (D) Reports must be filed by the intern with the board in order for any hours to be counted toward the required practical experience. The reports shall include, but not be limited to:

   1. 1. Application for licensure as an intern;

and

1. 2. Academic internship report(s).
2. (E) Advanced practice experience in intern training given in a state other than Missouri may be allowed by the board if, in the opinion of the board, the requirements of the state of the applicant’s residence and experience are equal in the minimum requirements of the board for intern training in Missouri. Intern hours earned in another state must be certified directly to the State Board of Pharmacy from the board of pharmacy of the state in which the training occurred.
3. (F) A pharmacy preceptor shall be a licensed pharmacist in good standing with the board.
4. (G) Emphasis must be on activities connected with pharmaceutical care through the interpretation and evaluation of prescription orders; the compounding, dispensing and labeling of drugs and devices pursuant to prescription orders; the proper and safe storage of drugs and devices and the maintenance of proper records of them; and consultation with patients and other health care practitioners about the safe and effective use of drugs and devices.
5. (H) The provisions of this rule are not applicable to those students who gain their advanced practice experience in another state. The minimum practical experience shall be fifteen hundred (1,500) hours of advanced practice experience to qualify to take the examination for licensure as a pharmacist. If any portion of the required fifteen hundred (1,500) hours are to be earned in Missouri, the applicant must be licensed as an intern under the provisions of this rule. When intern hours are to be earned within the state of Missouri by a student enrolled in or by a graduate of an out-of-state accredited school of pharmacy, the candidate must apply directly to the board of pharmacy to seek approval of any site and preceptor to be used. Any pharmacy that is submitted for approval as an intern training site for an out-of-state student or graduate shall meet the criteria outlined in (4)(A)1.–3.

1. (4) Requirements for a Advanced Practice Experience Training Pharmacy.

   1. (A) Requirements for a licensed pharmacy to participate as a site for practical experience training that is approved by the board include the following:

      1. 1. It must be a pharmacy with a clear

record with respect to the observance of all federal, state and municipal laws and ordinances governing any phase of activity in which the pharmacy is engaged;

1. 2. It must be a pharmacy operating

under a pharmacy permit issued by the board and it must remain in good standing with the board; and

1. 3. All interns will be under the direct

supervision of a licensed pharmacist in good standing.

1. (B) Institutional settings that are involved in training interns must maintain a pharmacy permit and comply with all other provisions of this rule. In addition, any inpatient areas of an institution used to train interns will be subject to regular inspection by the board. A school of pharmacy may petition the board for an exception to this requirement in order to allow the facility to be approved for providing advanced practice experience training.
2. (C) Accredited schools of pharmacy located within this state shall provide to the board, on an annual basis, a list of all preceptors and sites that are used in providing advanced practice experience through rotations toward the advanced practice experience requirement. The board shall approve any site for training interns that will be used within the college curriculum to fulfill the advanced practice experience requirements for licensure as a pharmacist. Any preceptors or sites that may be added by a school outside the annual approval process of the board must be approved by the board before the site can be used for practical experience purposes. In addition, the board shall approve the training standards, policies and procedures that are proposed by the schools of pharmacy in fulfilling the advanced practice experience requirements.
3. (D) Interns that have accumulated hours outside of the school of pharmacy program may submit those hours for credit up to one

1. (1) year from the date that the requirements for advanced practice experience are in effect. All other requirements involving licensure, training and reporting to the board of pharmacy shall be adhered to before any credit of hours is provided.

2. (5) Examination.

   1. (A) Each applicant for licensure by examination must pass the National Association Boards of Pharmacy Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE). The applicant is responsible for payment of any required fee for the NAPLEX and the MPJE examinations, as established by the National Association of Boards of Pharmacy.
   2. (B) A minimum score of seventy-five (75) is required for each of the examinations listed in subsection (5)(A).
   3. (C) All examinations are scored independently and may be retaken independently upon payment of the appropriate fee.
   4. (D) The MPJE will consist of questions on Missouri and federal pharmacy laws and regulations and the Missouri and federal controlled substance laws and regulations.
   5. (E) If a candidate fails to achieve a score of seventy-five (75) in any of the examinations listed in subsection (5)(A), it will be necessary to take that examination again and pass that examination before a license can be issued. The candidate must complete any required application(s) and pay any required fee(s) to reestablish eligibility to retake any of the examinations listed in subsection (5)(A).
   6. (F) A candidate scheduled to write the NAPLEX may apply for licensure by completing the NAPLEX Score Transfer Form supplied by the National Association of Boards of Pharmacy. In addition to completion of the form, the candidate must fulfill all necessary requirements as set forth by the National Association of Boards of Pharmacy and the State Board of Pharmacy. Any fees required to transfer scores must accompany the completed form. Transfer scores will be accepted by the board from any state which accords similar privileges to Missouri candidates. Scores transferred by the candidate to Missouri must meet all minimum grade requirements as set forth in section (5) of this rule. Once this has been determined, the board office will send an application form for Missouri licensure to the successful candidate. The candidate must return the completed form along with all appropriate fees to the board office. The candidate must successfully complete the Multistate Pharmacy Jurisprudence Examination (MPJE) at the next regular examination date. Any candidate who fails to achieve a passing score on any of the examinations required may retake the examination upon proper reapplication and upon payment of appropriate fees.
   7. (G) When the applicant’s examination application has been accepted, the board will notify the National Association of Boards of Pharmacy that the applicant is an eligible candidate for the NAPLEX automated examination and/or the MPJE automated examination. The applicant is responsible for completing any necessary application(s) and payment of fee(s) as required by the National Association of Boards of Pharmacy.
   8. (H) The National Association of Boards of Pharmacy will then create an applicant database of eligible candidates for the NAPLEX and/or the MPJE which will be provided to the entity or entities which manages the testing centers. The National Association of Boards of Pharmacy will cause an Authorization to Test and instructions for scheduling a test appointment for either or both computerized examinations (NAPLEX and MPJE) to be mailed directly to the candidate. It will be the candidate’s responsibility to schedule his/her testing date, time and location for either or both computerized examinations (NAPLEX and MPJE).
   9. (I) The score on the NAPLEX examination will be reported to the National Association of Boards of Pharmacy by the testing center(s) and subsequently to the board of pharmacy.

3. (6) Licensure Transfer.

   1. (A) An applicant for licensure transfer must fully meet all the requirements in effect in Missouri on the date of registration in the state of original licensure.
   2. (B) An applicant for licensure transfer shall meet all requirements of the state from which they are transferring including, but not limited to, that state’s continuing education requirements.
   3. (C) An applicant for licensure transfer must have attained the equivalent of fifteen hundred (1,500) practice hours, as set forth in section (3) of this rule, either as a pharmacy intern/extern or have maintained a pharmacist license in good standing for a period of not less than one (1) year in the state from which they are transferring.
   4. (D) The board, in its discretion, may grant licensure transfer to an applicant when the applicant previously has taken and failed to pass an examination given by the Missouri board and who is eligible for licensure transfer, having later passed the examination for registry in another state.
   5. (E) Applicants for licensure transfer must pass the Multistate Pharmacy Jurisprudence Examination (MPJE), a computerized examination provided through the National Association of Boards of Pharmacy. The applicant for licensure transfer is responsible for completing any necessary application(s) and payment of fee(s) as required by the National Association of Boards of Pharmacy. If the applicant fails the MPJE two (2) consecutive times, the application will be provided to the full board at its next regular meeting for appropriate review and action.
   6. (F) No person shall be eligible for licensure transfer against whom there is pending any indictment or any alleged violation of the laws governing the practice of pharmacy, alcohol or other regulated law or who has been convicted of any crime within the past ten (10) years.
   7. (G) All required fees must be paid prior to approval of a licensure transfer.
   8. (H) The State Board of Pharmacy reserves the right to reject any licensure transfer application for good and just reasons and, in the event of so doing, the fee paid to it will be refunded.
   9. (I) No application for licensure transfer will remain valid if the applicant fails to complete the transfer process as outlined in this rule within six (6) months of receipt of the application by the board. Any failure by the applicant to complete the licensure transfer process will result in a forfeiture of all fees paid to the board.
   10. (J) Any application for licensure transfer which is pending for three (3) months or more and is still a valid application may require an additional review by the board of licensure information from any state in which the applicant holds a license. Any applicant who provides a complete and truthful application to the board, completes the licensure process in less than three (3) months and is successful in passing the Multistate Jurisprudence Examination on the first attempt, will not be required to register as a technician while working in a licensed pharmacy or acting in any capacity that would require licensure as a pharmacist as defined in section 338.010.1, RSMo. Direct supervision of an applicant by a licensed pharmacist is required at all times when any functions related to section 338.010, RSMo are performed. Any licensure transfer applicant who must subsequently apply for registration as a technician will not be required to provide fingerprints if all fingerprinting requirements have previously been fulfilled within the licensure transfer process.

4. (7) Licenses.

   1. (A) No duplicate certificates or renewals for licenses or permits shall be issued except upon the return of the original or upon the statement that the certificate has been lost or destroyed. The duplicate certificate or renewal fee shall accompany the affidavit.

AUTHORITY: sections 338.020, 338.040, 338.070, 338.140, and 338.280, RSMo 2000 and sections 338.030 and 338.035, RSMo 20 CSR 2220-2 Supp. 2007.* This rule originally filed as 4 CSR 220-2.030. This version of rule filed July 18, 1962, effective July 28, 1962. Amended: Filed Nov. 9, 1966, effective Nov. 19, 1966. Amended: Filed Nov. 27, 1967, effective Dec. 7, 1967. Amended: Filed Sept. 30, 1969, effective Oct. 10, 1969. Amended: Filed Dec. 31, 1975, effective Jan. 10, 1976. Emergency amendment filed July 15, 1981, effective Sept. 28, 1981, expired Nov. 11, 1981. Amended: Filed Aug. 10, 1981, effective Nov. 12, 1981. Amended: Filed April 14, 1982, effective July 11, 1982. Amended: Filed Dec. 12, 1983, effective May 11, 1984. Amended: Filed Dec. 11, 1984, effective March 11, 1985. Amended: Filed June 14, 1985, effective Aug. 26, 1985. Amended: Filed Feb. 25, 1986, effective June 12, 1986. Amended: Filed Oct. 1, 1987, effective Jan. 29, 1988. Amended: Filed Jan. 3, 1990, effective April 26, 1990. Amended: Filed Jan. 30, 1991, effective July 8, 1991. Amended: Filed Jan. 3, 1992, effective June 25, 1992. Amended: Filed Aug. 4, 1992, effective April 8, 1993. Amended: Filed Sept. 26, 1994, effective March 30, 1995. Amended: Filed Jan. 27, 1995, effective Sept. 30, 1995. Amended: Filed March 19, 1996, effective Oct. 30, 1996. Amended: Filed Dec. 9, 1996, effective July 30, 1997. Amended: Filed April 23, 1998, effective Nov. 30, 1998. Amended: Filed Nov. 1, 2000, effective June 30, 2001. Amended: Filed June 28, 2002, effective Jan. 30, 2003. Amended: Filed Nov. 13, 2002, effective June 30, 2003. Amended: Filed Dec. 1, 2004, effective June 30, 2005. Moved to 20 CSR 2220-2.030, effective Aug. 28, 2006. Amended: Filed Feb. 6, 2008, effective Aug. 30, 2008.

*Original authority: 338.020, RSMo 1939, amended 1947, 1949, 1981, 1990; 338.030, RSMo 1939, amended 1949, 1951, 1981, 1990, 2001; 338.035, RSMo 1990, amended 1993, 1995, 2007; 338.040, RSMo 1939, amended 1961, 1969, 1981, 1990; 338.070, RSMo 1939, amended 1947, 1953, 1961, 1969, 1981, 1985, 1997; 338.140, RSMo 1939, amended 1981, 1989, 1997; and 338.280, RSMo 1951, amended 1971, 1981.