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 shall be located in Missouri and shall—

   1. (A) Be accredited by the Accreditation Council for Pharmacy Education (ACPE);
   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 will be used within the school/college curriculum for pharmacy practice experience; 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. The policies and procedures shall be resubmitted annually to the board for approval or as otherwise requested by the board.
3. (3) Site/Preceptor Approval. An approved school shall submit to the board for approval a list of all preceptors and sites that will be used within the school’s curriculum for pharmacy practice experience. Except as otherwise provided in section (5) of this rule, sites/preceptors must be approved by the board before the site or preceptor can be used. Once approved, intern pharmacists shall be authorized to earn pharmacy practice experience required by an approved school’s curriculum/training requirements at any site or with any preceptor approved by the board for the student’s school/college. To be eligible for approval, sites and preceptor approval shall meet the requirements of 20 CSR 2220- 7.025(3).
4. (4) Exemptions. An approved school/college may file a request with the executive director to temporarily approve a site/preceptor if an approved site/preceptor is anticipated to be unavailable for a period likely to exceed seven

5. (7) days, transfer of the intern pharmacist is deemed necessary to ensure compliance with state/federal law, or the intern pharmacist is unable to gain appropriate pharmacy practice experience in the site or under the preceptor previously approved by the board and an alternative placement with an approved site/preceptor is not reasonably available.

   1. (A) The executive director may approve a temporary site/preceptor request if the proposed pharmacy practice experience meets the requirements of this rule. Approval requests shall be filed on a form provided by the board and shall detail the grounds for the request and certify that the site/preceptor meets the requirements of this rule.
   2. (B) To be eligible for approval, the temporary site shall be licensed as a pharmacy in a United States (U.S.) state or territory and the designated preceptor shall be licensed as a pharmacist in a U.S. state or territory. The pharmacist and pharmacy licenses must respectively be active and not under disciplinary action with the board.
   3. (C) Intern pharmacists shall only receive credit for pharmacy practice experience earned from the date of approval by the executive director. No credit shall be given for hours earned if the board subsequently disapproves the site/preceptor.
6. (5) 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 recognized 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: section 338.070, RSMo 2000, and sections 338.035 and 338.140, RSMo Supp. 2012.* Original rule filed Jan. 10, 2013, effective Aug. 30, 2013. *Original authority: 338.070, RSMo 1939, amended 1947, 1953, 1961, 1969, 1981, 1985, 1997; 338.035, RSMo 1990, amended 1993, 1995, 2007; and 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011.