MO Pharmacy Practice Guide
How many members in MO BOP? What types of members? ✔️7; 1 public; 6 pharmacists
If a pharmacist's license is revoked, what is the maximum amount of time that they can prohibit you
from reapplying for a license? ✔️7 years
How many days do you have to report adverse reactions/exclusions to participate in state/federal-
funded HC programs to the BOP? ✔️7 days
What is the "practice of pharmacy?" ✔️• Interpreting, implementing, and evaluating medical
prescription orders, including, handling or facilitating the
dispensing of such orders;
• Providing medication therapy services, as defined by rules of the Board;
• Compounding, dispensing and labeling drugs/devices pursuant to a medical prescription order;
• Administering vaccines by protocol or administering medication by prescription drug order;
• Participating in drug selection and drug utilization reviews according to state law;
• Consulting with patients and other health care practitioners about the safe and effective use of drugs
and devices;
and,
• Offering or performing any act or service necessary in the conduct, operation, management and
control of a
pharmacy
Do legally registered practitioners of medicine, dentistry, podiatry, veterinary
medicine or optometry that are lawfully compounding or dispensing their own prescriptions need a
pharmacist license? ✔️No
Certification that may be required by pharmacists in addition to MO pharmacist license? ✔️•
Immunizing by Protocol
• Administering Medication By Prescription Order
,• Medication Therapy Services
How often/when do pharmacists' licenses have to be renewed? ✔️Biennially in even numbered years
What do you need to do in order to renew your pharmacist's license? ✔️File renewal application, pay
fee, and complete 30 hours of CE
Continuing education unit --> CE hours ✔️1 CEU = 10 clock hours of CE
Time period in which CEs are valid ✔️November 1st of prior renewal year to October 31st of current
renewal year (Ex: Nov 1, 2016 to Oct 31, 2018
CE credits that will be approved ✔️By the BOP or by an ACPE accredited provider
Non-ACPE classes that have already been taken ✔️The Board will NOT approve these; must be PRE-
approved (before you take them)
How long must proof of CE be maintained in the licensee's records? ✔️2 renewal cycles
How long do pharmacists and pharmacy technicians have to notify the Board of address/employment
changes? ✔️15 days
Under what circumstances can a pharmacist be exempt from jury duty? ✔️If he/she is providing health
care services to patients and service as a juror would be detrimental to patient health
Do military pharmacists need a MO pharmacist license? ✔️Only if the pharmacist is practicing outside
of his/her federal or military duties (i.e., independently practicing at a retail pharmacy)
In what circumstances can a military pharmacist have their license renewed for no fee? ✔️If the
pharmacist's license expired while on active duty in the U.S. armed services, Coast Guard or the state
militia, or expired while in training or education prior to being inducted into the military
,Renewal applications must be submitted within _______
after terminating the applicable military service, training or education. ✔️1 year
What is a "pharmacy?" ✔️• Where the practice of pharmacy is offered or conducted or where the
practice of pharmacy is provided by a
pharmacist or someone acting under the pharmacist's supervision or authority.
• Where drugs, chemicals, medicines, prescriptions, or poisons are compounded, prepared, dispensed,
sold or offered for sale at retail;
• Where the words "pharmacist", "apothecary", "pharmacy", "drugstore", "drugs" and any other
symbols, words or
phrases of similar meaning or understanding are used in any form to advertise retail products or
services; or
• Where patient records or other information is maintained for the purpose of engaging or offering to
engage in the practice of pharmacy or to comply with any relevant laws regulating the acquisition,
possession, handling, transfer, sale or destruction of drugs, chemicals, medicines, prescriptions or
poisons.
Class A ✔️Community/Ambulatory
Class B ✔️Hospital Pharmacy (does NOT include hospital pharmacy under MO DHSS) (does include
hospital pharmacy/hospital clinic)
Class C ✔️Long-Term Care Facility (nursing home, retirement facility, mental care facility, etc.)
Class D ✔️Non-sterile compounding (BATCH quantities using BULK active ingredients)
Class E ✔️Radiopharmaceutical (must have a nuclear pharmacist)
Class F ✔️Renal Dialysis (can only dispense dialysis-associated drugs)
, Class G ✔️Medical Gas (oxygen, other Rx gases)
Class H ✔️Sterile Product Compounding
Class I ✔️Consultant (practice of pharmacy is conducted but is not being used for procurement,
storage, possession, or ownership of drugs)
Class J ✔️Shared Service (filling/refilling meds, central fill, DUR, therapeutic interventions)
Class K ✔️Internet (new Rxs originated from the internet for more than 90% of the pharmacy's total
new prescription volume on any day)
Class L ✔️Veterinary (legend drugs for animal use)
Class M ✔️Specialty (Bleeding Disorders) (blood-clotting products and ancillary infusion
equipment/supplies)
Class N ✔️Automated Dispensing System (HC Facility) (pharmacies operating automated/mechanical
systems in a health care facility to store, package, or dispense medication)
Class O ✔️Automated Dispensing System (Ambulatory) (pharmacies operating automated/mechanical
systems in an ambulatory setting to store, package, or dispense medication)
Class P ✔️Practitioner Office/Clinic (not required for practitioner office dispensing to their own
patients)
How a pharmacy can add/delete a class from their license? ✔️A Change of Classification Application
must be filed
How many members in MO BOP? What types of members? ✔️7; 1 public; 6 pharmacists
If a pharmacist's license is revoked, what is the maximum amount of time that they can prohibit you
from reapplying for a license? ✔️7 years
How many days do you have to report adverse reactions/exclusions to participate in state/federal-
funded HC programs to the BOP? ✔️7 days
What is the "practice of pharmacy?" ✔️• Interpreting, implementing, and evaluating medical
prescription orders, including, handling or facilitating the
dispensing of such orders;
• Providing medication therapy services, as defined by rules of the Board;
• Compounding, dispensing and labeling drugs/devices pursuant to a medical prescription order;
• Administering vaccines by protocol or administering medication by prescription drug order;
• Participating in drug selection and drug utilization reviews according to state law;
• Consulting with patients and other health care practitioners about the safe and effective use of drugs
and devices;
and,
• Offering or performing any act or service necessary in the conduct, operation, management and
control of a
pharmacy
Do legally registered practitioners of medicine, dentistry, podiatry, veterinary
medicine or optometry that are lawfully compounding or dispensing their own prescriptions need a
pharmacist license? ✔️No
Certification that may be required by pharmacists in addition to MO pharmacist license? ✔️•
Immunizing by Protocol
• Administering Medication By Prescription Order
,• Medication Therapy Services
How often/when do pharmacists' licenses have to be renewed? ✔️Biennially in even numbered years
What do you need to do in order to renew your pharmacist's license? ✔️File renewal application, pay
fee, and complete 30 hours of CE
Continuing education unit --> CE hours ✔️1 CEU = 10 clock hours of CE
Time period in which CEs are valid ✔️November 1st of prior renewal year to October 31st of current
renewal year (Ex: Nov 1, 2016 to Oct 31, 2018
CE credits that will be approved ✔️By the BOP or by an ACPE accredited provider
Non-ACPE classes that have already been taken ✔️The Board will NOT approve these; must be PRE-
approved (before you take them)
How long must proof of CE be maintained in the licensee's records? ✔️2 renewal cycles
How long do pharmacists and pharmacy technicians have to notify the Board of address/employment
changes? ✔️15 days
Under what circumstances can a pharmacist be exempt from jury duty? ✔️If he/she is providing health
care services to patients and service as a juror would be detrimental to patient health
Do military pharmacists need a MO pharmacist license? ✔️Only if the pharmacist is practicing outside
of his/her federal or military duties (i.e., independently practicing at a retail pharmacy)
In what circumstances can a military pharmacist have their license renewed for no fee? ✔️If the
pharmacist's license expired while on active duty in the U.S. armed services, Coast Guard or the state
militia, or expired while in training or education prior to being inducted into the military
,Renewal applications must be submitted within _______
after terminating the applicable military service, training or education. ✔️1 year
What is a "pharmacy?" ✔️• Where the practice of pharmacy is offered or conducted or where the
practice of pharmacy is provided by a
pharmacist or someone acting under the pharmacist's supervision or authority.
• Where drugs, chemicals, medicines, prescriptions, or poisons are compounded, prepared, dispensed,
sold or offered for sale at retail;
• Where the words "pharmacist", "apothecary", "pharmacy", "drugstore", "drugs" and any other
symbols, words or
phrases of similar meaning or understanding are used in any form to advertise retail products or
services; or
• Where patient records or other information is maintained for the purpose of engaging or offering to
engage in the practice of pharmacy or to comply with any relevant laws regulating the acquisition,
possession, handling, transfer, sale or destruction of drugs, chemicals, medicines, prescriptions or
poisons.
Class A ✔️Community/Ambulatory
Class B ✔️Hospital Pharmacy (does NOT include hospital pharmacy under MO DHSS) (does include
hospital pharmacy/hospital clinic)
Class C ✔️Long-Term Care Facility (nursing home, retirement facility, mental care facility, etc.)
Class D ✔️Non-sterile compounding (BATCH quantities using BULK active ingredients)
Class E ✔️Radiopharmaceutical (must have a nuclear pharmacist)
Class F ✔️Renal Dialysis (can only dispense dialysis-associated drugs)
, Class G ✔️Medical Gas (oxygen, other Rx gases)
Class H ✔️Sterile Product Compounding
Class I ✔️Consultant (practice of pharmacy is conducted but is not being used for procurement,
storage, possession, or ownership of drugs)
Class J ✔️Shared Service (filling/refilling meds, central fill, DUR, therapeutic interventions)
Class K ✔️Internet (new Rxs originated from the internet for more than 90% of the pharmacy's total
new prescription volume on any day)
Class L ✔️Veterinary (legend drugs for animal use)
Class M ✔️Specialty (Bleeding Disorders) (blood-clotting products and ancillary infusion
equipment/supplies)
Class N ✔️Automated Dispensing System (HC Facility) (pharmacies operating automated/mechanical
systems in a health care facility to store, package, or dispense medication)
Class O ✔️Automated Dispensing System (Ambulatory) (pharmacies operating automated/mechanical
systems in an ambulatory setting to store, package, or dispense medication)
Class P ✔️Practitioner Office/Clinic (not required for practitioner office dispensing to their own
patients)
How a pharmacy can add/delete a class from their license? ✔️A Change of Classification Application
must be filed
