PURPOSE: This rule establishes licensure requirements for examination applicants that have graduated from an accredited college/school of pharmacy.

1. (1) Examination Applications.

   1. (A) Graduates of a college/school of pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE) or an equivalent federally-recognized accrediting body may apply to the board for licensure as a Missouri pharmacist by examination. Applications shall be submitted on forms provided by the board with the examination application fee. The application shall be notarized and shall include:

      1. 1. Satisfactory evidence that the appli-

cant has graduated from an accredited school/college of pharmacy that meets the requirements of this rule;

1. 2. Proof of fingerprinting as required by

20 CSR 2220-7.090; and

1. 3. Proof of one thousand five hundred

(1,500) hours of pharmacy practice experience in activities related to the practice of pharmacy as approved 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. Pharmacy practice experience earned in another state must be certified directly to the board from the state or governmental pharmacist licensing entity where the hours were earned.

1. (B) The board shall review the application and determine the candidate’s eligibility to test. Applications shall be deemed incomplete until all requirements of this rule have been met. All application fees shall be nonrefundable.

1. (2) Test Scheduling. When an application has been completed, the board shall notify the applicant if he/she is eligible for the North American Pharmacist Licensure Examination (NAPLEX) and/or the Multistate Pharmacy Jurisprudence Examination (MPJE) automated examinations. If eligible, the applicant shall schedule testing dates for both the NAPLEX and MPJE, as required by the National Association of Boards of Pharmacy (NABP). The applicant shall satisfy all testing and scheduling requirements established by NABP and shall be responsible for completing any necessary application(s) and payment of fee(s) for scheduling/taking the examination(s).

   1. (A) To avoid forfeiture of eligibility, the applicant must take the examination(s) within three hundred sixty-five (365) days after having been determined eligible by the board for examination. If the applicant does not take the examination within three hundred sixty-five
2. (365) days, the applicant shall be required to 20 CSR 2220-7

reapply to the board for examination/licensure and again pay the examination application fee.

1. (B) A determination by the board that an applicant is eligible for examination does not guarantee that the applicant will be issued a Missouri pharmacist license. The board reserves the right to deny an applicant for licensure that has been approved for examination as authorized by Missouri law.

1. (3) Testing. Applicants for licensure by examination shall successfully pass both the NAPLEX and the MPJE. To successfully pass, a minimum score of seventy-five (75) is required for each of the required examinations. Upon approval by the board and successful completion of the NAPLEX and MPJE, the board shall issue a pharmacist license to the applicant.

2. (4) Retesting. If an applicant fails to achieve a score of seventy-five (75) on both the NAPLEX and the MPJE, the candidate shall retake and pass the failed examination(s) before a license can be issued. Any applicant who fails to achieve a passing score on either of the examinations shall be required to file an application for reexamination with the board and pay the examination application fee each time. All examinations are scored independently and may be retaken independently.

   1. (A) The board shall review and approve any applicant that fails the NAPLEX or MPJE two (2) consecutive times prior to the applicant being declared eligible to retest. A candidate shall not be declared eligible to retest under this subsection until approved by the board. In lieu of disapproval, the board may establish a date after which the candidate shall be eligible to retest or may establish additional training or study requirements to be completed before authorization to retest is granted.
   2. (B) Application for reexamination shall be made on a form provided by the board. Fees for reexamination shall be non-refundable.

AUTHORITY: sections 338.020, 338.040, 338.060, and 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: 338.020, RSMo 1939, amended 1947, 1949, 1981, 1990; 338.040, RSMo 1939, amended 1961, 1969, 1981, 1990; 338.060, RSMo 1939, amended 1943, 1947, 1949, 1951, 1981, 1984, 1997, 1999; 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. AND INSURANCE