Certificate of Medication Therapeutic Plan Authority

PURPOSE: This rule establishes procedures for obtaining a certificate of medication therapeutic plan authority, as authorized by section 338.010, RSMo. (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. AUTHORITY: sections 338.010, 338.140.1., and 338.380, RSMo Supp. 2011.* Original rule filed Jan. 13, 2012, effective Aug. 30, 2012. *Original authority: 338.010, RSMo 1939, amended 1951, 1989, 1990, 2007, 2009, 2011; 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011; and 338.380, RSMo 2007.