Assistant Physician—Certificate of Prescriptive Authority

PURPOSE: This rule sets forth the process for assistant physicians to receive a certificate of controlled substance prescriptive author ity. (1) Licensees applying for a certificate of prescriptive authority shall submit— (A) A completed application on a form provided by the board; (B) Applicants shall submit the application fee as stated in 20 CSR 2150-2.080; (C) A supervision verification form, signed by their collabo rating physician, stating that the collaborating physician has delegated to the assistant physician the authority to prescribe: Schedule II (hydrocodone)–limited to a five- (5-) day supply; Schedule III–limited to a five- (5-) day supply, except that bu prenorphine may be prescribed for up to a thirty- (30-) day supply without refill for patients receiving medication-assisted AND INSURANCE treatment for substance use disorders under the direction of the collaborating physician; Schedule IV; or Schedule V. The delegated authority to prescribe shall be consistent with each professional’s education, knowledge, skill, and competence. Any limitations on the physician’s or assistant physician’s abil ity to prescribe shall be listed on the supervision verification form; and (D) An affidavit completed by their collaborating physician documenting the completion of at least one hundred twenty (120) hours in a four- (4-) month period by the assistant physi cian during which the assistant physician practiced with the supervising physician continuously present. Pursuant to sec tion 334.037, RSMo such on-site supervision requirement shall not apply to assistant physicians of population-based public health services as defined in 20 CSR 2150-5.100 as of April 30, 2009, or assistant physicians providing opioid addiction treat ment. AUTHORITY: sections 334.036 and 334.037, RSMo Sup. 2018, and section 334.125, RSMo 2016.* Original rule filed June 29, 2016, effective Jan. 30, 2017. Emergency amendment filed Feb. 22, 2019, effective March 4, 2019, expired Aug. 30, 2019. Amended: Filed Feb. 22, 2019, effective Aug. 30, 2019. *Original authority: 334.036, RSMo 2014, amended 2017, 2018; 334.037, RSMo 2014, amended 2015, 2018; and 334.125, RSMo 1959, amended 1993, 1995, 2014.