20 CSR 2220-6.070 - Certificate of Medication Therapeutic Plan Authority
(1) A
pharmacist shall obtain a certificate of medication therapeutic authority from
the Missouri State Board of Pharmacy to provide medication therapy services
that include initiating or implementing a modification of a patient's
medication therapy or device usage. Pharmacists with a certificate of
medication therapeutic authority shall enter into a written protocol with a
Missouri-licensed physician that complies with the requirements of
20 CSR
2220-6.080, prior to performing medication therapy
services.
(2) Applicants for
certification shall hold an active Missouri pharmacist license. Applications
shall be submitted on forms provided by the Missouri State Board of Pharmacy
and shall be accompanied by the certificate of medication therapeutic plan
authority fee and proof the applicant-
(A)
Holds a doctor of pharmacy (PharmD) degree earned from a school, accredited by
the Accreditation Council for Pharmacy Education (ACPE); or
(B) Has successfully completed a
post-graduate medication therapy certificate course or program accredited or
granted by the APCE, American Society of Health-System Pharmacists, American
Society of Consultant Pharmacists, or the American Pharmacists Association;
or
(C) Holds a current certification
from the Board of Pharmaceutical Specialties, the Commission for Certification
in Geriatric Pharmacy, or the National Certification Board for Diabetes
Educators; or
(D) Has completed a
post-graduate medication therapy certificate course that, at a minimum,
included training in the following areas:
1.
Assessing patient specific data and issues;
2. Establishing medication therapeutic goals
or medication related action plans for identified medication conditions and
medication related concerns;
3.
Assessing and addressing adverse reactions and adverse drug events;
4. Modifying and monitoring medication
regimens;
5. Improving patient care
and outcomes through medication therapy services;
6. Evaluating treatment progress;
7. Assessing and monitoring pharmacokinetic
and pharmacodynamic changes in medication regimen reviews;
8. Medication reconciliation;
9. Drug utilization review;
10. Applicable state or federal
law;
11. Formulating and documenting
personal medication records;
12.
Documenting clinical outcomes;
13.
Interpreting, monitoring, ordering, and assessing patient test results;
and
14. Patient education and
counseling.
(3)
Certificate Renewal. A certificate of medication therapeutic plan authority
shall be renewed biennially with the certificate holder's Missouri pharmacist
license. For purposes of renewal, six (6) of the continuing education hours
required for renewing the certificate holder's Missouri pharmacist license
shall be earned in courses/programs related to medication therapy management.
The continuing education required by this rule shall be governed by the rules
of the Missouri State Board of Pharmacy governing pharmacist continuing
education.
(4) The Missouri State
Board of Pharmacy may discipline or terminate a pharmacist's certificate of
medication therapeutic plan authority if the Missouri State Board of Pharmacy
determines that the pharmacist has violated the terms of a protocol, the
requirements of Chapter 338, RSMo, or rules of the board governing medication
therapy services or any other state or federal drug law.
Notes
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