PURPOSE: This rule establishes requirements for approval of pharmacy practice experience earned as part of the curriculum of a Missouri school/college of pharmacy.

1. (1) Upon request, the board may approve a Missouri school/college of pharmacy for purposes of providing pharmacy practice experience to enrolled students. To be eligible for approval, the school/college of pharmacy must be located in Missouri and must—

   1. (A) Be accredited by the Accreditation Council for Pharmacy Education (ACPE) and comply with all applicable ACPE standards;
   2. (B) Require as part of the school/college curriculum or training, a minimum of one thousand five hundred (1,500) hours of pharmacy practice experience in activities related to the practice of pharmacy as determined by the board or connected with pharmaceutical or patient-centered 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; the administration of immunizations; or consultation with patients and other health care practitioners about the safe and effective use of drugs and devices;
   3. (C) Submit a list of all preceptors and sites that were used by the school/college curriculum for pharmacy practice experience within the previous year. The list must be submitted to the board annually for review, unless otherwise requested by the board; and
   4. (D) Submit the school’s/college’s policies and procedures for obtaining practice experience for board approval. The policies and procedures shall include policies/procedures for student training, approving sites/preceptors, and monitoring practice experience activities.
2. (2) The board may, in its discretion, disapprove a Missouri school/college of pharmacy if the policies or procedures do not comply with the pharmacy practice experience requirements of this rule or Chapter 338, RSMo. Policies and procedures shall be resubmitted annually to the board for approval or as otherwise requested by the board.
3. (3) A licensed intern pharmacist shall be authorized to earn pharmacy practice experience required by an approved school’s/college’s curriculum or training requirement at any site approved by the school/college for pharmacy practice experience, provided the site/preceptor complies with ACPE standards and meets the requirements of 20 CSR 2220-7.025(3) and (4). The board expressly reserves the right to disapprove a site/preceptor that does not comply with Chapter 338, RSMo, the rules of the board, or ACPE standards if deemed necessary to ensure proper intern training.
4. (4) Certification of Hours. An approved school/college shall certify the pharmacy practice experience earned by a student to the board upon the student’s graduation or within thirty (30) days after the student is no longer enrolled in the pharmacy program. The board will not verify or certify hours earned by a student as part of the curriculum of a approved school/college if the board does not receive certification from the school/ college documenting the hours earned. An intern pharmacist shall not be granted credit for hours earned while practicing/ working as a pharmacy technician.

AUTHORITY: sections 338.020 and 338.030, RSMo 2016, and section 338.140, RSMo Supp. 2025.* Original rule filed Jan. 10, 2013, effective Aug. 30, 2013. Amended: Filed Dec. 27, 2019, effective July 30, 2020. Amended: Filed Aug. 27, 2025, effective Feb. 28, 2026. *Original authority: 338.020, RSMo 1939, amended 1947, 1949, 1981, 1990, 2014; 338.030, RSMo 1939, amended 1949, 1951, 1981, 1990, 2001; and 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011, 2019.