PURPOSE: This rule establishes requirements for applicants for pharmacist licensure by license transfer/reciprocity.

1. (1) The provisions of this rule shall be applicable to applicants for pharmacist licensure that are currently registered or licensed as a pharmacist in another United States (U.S.) state/ territory who desire to be licensed by reciprocity or license transfer.
2. (2) Foreign Graduates. Graduates of a school/college of pharmacy not located in a U.S. state/territory shall first comply with 20 CSR 2220-7.040.

3. (3) Individuals seeking licensure by license transfer/reciprocity must file an electronic license transfer application with the National Association of Boards of Pharmacy (NABP). Potential applicants shall pay all NABP required fees and comply with all applicable NABP requirements. NABP will electronically forward the NABP electronic license transfer application to the board. The board will not accept NABP license transfer applications submitted directly by the candidate.

   1. (A) In addition to the NABP official license transfer application, applicants must file a Pharmacist License Transfer/Reciprocity Application with the board with the required application fee. The official application shall be attested to/notarized as requested by the board and shall be accompanied by proof of fingerprinting as required by 20 CSR 2220-7.090.
   2. (B) The Pharmacist License Transfer/Reciprocity application must be submitted to the board no more than three (3) months from the application completed date designated by NABP for the NABP electronic license transfer application. If the Missouri Pharmacist License Transfer/Reciprocity application is not submitted to the board within the required three (3) months, the applicant will be required to re-apply to NABP for an updated license transfer evaluation. Applicants shall complete all reevaluation/extension requirements and pay all applicable fees required by NABP.

4. (4) Applicants for license transfer/reciprocity must pass the Multistate Pharmacy Jurisprudence Examination (MPJE) for Missouri with a minimum score of seventy-five (75). The board will notify NABP if the applicant is eligible to take the MPJE after the NABP application is filed. To be eligible for examination, the applicant shall—

   1. (A) Be currently registered or licensed as a pharmacist in another U.S. state/territory;
   2. (B) Have been licensed as a pharmacist by examination in another U.S. state/territory;
   3. (C) Have completed one thousand five hundred (1,500) hours of pharmacy practice experience related to the practice of pharmacy as determined by the board or shall have maintained an active pharmacist license for a period of not less than one (1) year in the state from which they are transferring that is not under disciplinary action;
   4. (D) Submit proof the applicant has completed a state and federal criminal history background check, as required by 20 CSR 2220-7.090; and
   5. (E) Submit a copy of the applicant’s Foreign Pharmacy Graduate Examination Committee Certification (FPGEC) certificate if the applicant is a graduate of a school/college of pharmacy not located in the United States.

5. (5) Test Scheduling. When an application has been completed, the board shall notify the applicant if he/she is eligible for the MPJE examination. The applicant shall schedule a testing date for the MPJE with NABP. The applicant shall satisfy all testing and scheduling requirements established by NABP and complete any necessary application(s) and payment of fee(s) for scheduling/taking the examination.

   1. (A) To avoid forfeiture of eligibility, the applicant must take the examination within six (6) months after having been determined eligible by the board to test. If the applicant does not take the examination within six (6) months, the applicant must reapply to the board for examination/licensure and again pay the reciprocity application fee. Applicants who fail the MPJE five (5) times shall not be declared eligible to retake the MPJE unless otherwise approved by the board for extenuating circumstances.
   2. (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 to take the MPJE, as authorized by Missouri law.

6. (6) Retesting. If an applicant fails to achieve a score of seventy-five (75) on the MPJE, the candidate shall retake and pass the examination before a license can be issued. Applicants who fail to achieve a passing score shall 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 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) Applications for reexamination shall be submitted on a form provided by the board. Fees for reexamination shall be non-refundable.
7. (7) Upon approval by the board and successful completion of the MPJE, the board may issue a pharmacist license to the applicant. All required fees must be paid prior to approval of a license transfer. Passing MPJE scores shall only be deemed valid for five (5) years, after which time the applicant must apply to retake the MPJE.

AUTHORITY: sections 338.020, 338.040, 338.060, and 338.070, RSMo 2016, and sections 338.035 and 338.140, RSMo Supp. 2025.* Original rule filed Jan. 10, 2013, effective Aug. 30, 2013. Amended: Filed Aug. 27, 2025, effective Feb. 28, 2026. *Original authority: 338.020, RSMo 1939, amended 1947, 1949, 1981, 1990, 2014; 338.035, RSMo 1990, amended 1993, 1995, 2007, 2020; 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; and 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011, 2019.