MO Board of Pharmacy Update

BNDD EMERGENCY WAIVER FOR NON-RESIDENT PRACTITIONERS:

 BNDD has informed the Board that the Governor issued the following COVID-19 emergency waiver on January 20, 2021:

 Waiver of Requirement to Register with DHSS Bureau of Narcotics and Dangerous Drugs:

Section 195.030.2 shall be waived to the extent necessary to allow practitioners whose primary practice location is outside the state of Missouri, who are temporarily practicing in Missouri during the state of emergency, to not register with the Missouri Department of Health and Senior Services in order to dispense or prescribe controlled substances. 

Pharmacies/pharmacists may fill controlled substance prescriptions/medication orders issued by a non-resident practitioner temporarily practicing in Missouri pursuant to the emergency waiver, provided the prescriber has authority to prescribe in their resident state and the prescription complies with all other legal requirements.  The emergency waiver will expire on 3/31/21 and is available on BNDD’s website at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/pdf/waiver-req-register-bndd.pdf.  Questions regarding the waiver should be addressed to BNDD at: 

Telephone: 573-751-6321   

Email:   bndd@health.mo.gov (E-mail is preferred)

 

UPDATE: HHS Declaration Vaccine Training Requirement

The Board has received multiple questions regarding the pharmacist vaccine training program required to administer childhood and COVID-19 vaccines, as authorized by the U.S. Department of Health and Human Services (HHS). HHS issued a 4^th amendment to their emergency Declaration in December 2020 which states:

The licensed pharmacist must have completed the immunization training that the licensing State requires in order for pharmacists to order and administer vaccines. If the State does not specify training requirements for the licensed pharmacist to order and administer vaccines, the licensed pharmacist must complete a vaccination training program of at least 20 hours that is approved by the Accreditation Council for Pharmacy Education (ACPE) to order and administer vaccines. Such a training program must include hands-on injection technique, clinical evaluation of indications and contraindications of vaccines, and the recognition and treatment of emergency reactions to vaccines;

Since Missouri has training requirements for administering vaccines in 20 CSR 2220-6.050(3), it is the Board’s understanding that HHS’ requirement for a 20-hour training program requirement would not apply to Missouri pharmacists administering HHS authorized vaccines who comply with 20 CSR 2220-6.050(3).  Specifically, 20 CSR 2220-6.050(3) provides a pharmacist may administer vaccines if the pharmacist:

(C) [Has] successfully completed a certificate program in administering vaccines accredited by the Accreditation Council for Pharmacy Education (ACPE), provided by an ACPE or regionally accredited pharmacy or medical school/college or approved by the Board of Pharmacy. The required certificate program must include a live/in-person training component and include instruction in:

1. Current CDC guidelines and recommendations for vaccines authorized by Chapter 338, RSMo, including recommended immunization schedules;
2. Basic immunology and vaccine protection;
3. Physiology and techniques for vaccine administration, including hands-on training in intramuscular, intradermal, subcutaneous and nasal administration routes, and other common routes of vaccine administration;
4. Pre- and post- vaccine screening or assessment; and
5. Identifying and treating adverse immunization reactions.

Unlike HHS’ requirements, 20 CSR 2220-6.050(3) does not include a minimum-hour requirement for the vaccine training program. 

 

Attention Pharmacy Compounders and Drug Outsourcers

All pharmacy compounders and drug outsourcers should review the guidance Policy for Testing of Alcohol (Ethanol) and Isopropyl Alcohol for Methanol, Including During the Public Health Emergency recently released by the FDA.

 

Registration Is Now Open for the Next ‘Lunch with the Chief Inspector’ Webinar

 Date: Thursday, February 11, 2021

Time: 12 Noon – 1 PM CST

Cost: Free

Subject: 2021 Regulation Update

Speakers: Tom Glenski, R.Ph. – Chief Inspector

Objectives:

• Discuss recent and upcoming regulation revisions
• Answer questions

 Click here to register for the webinar.

This webinar has been approved for one hour of continuing education (CE) by the Missouri Board of Pharmacy.

To receive CE credit, persons must individually register for the program and individually log in to the webinar.

Handouts will be available during the webinar and on the Board's website the day of webinar.

 

Pharmacy Technician Renewals

Pharmacy Technician Renewals begin in March. Renewals will be e-mailed; e-mail address and address changes should be submitted to the Board on or before February 15. Address changes can be submitted online at https://pr.mo.gov/pharmacists-coa.asp, faxed to 573/526-3464, or e-mailed to MissouriBOP@pr.mo.gov. If a name change is required, a copy of the marriage certificate or divorce decree is required. Please include your name and license number on all correspondence to the Board.