Missouri Registered Nurse Prescriptive authority

The Missouri Board may grant a certificate of controlled substance prescriptive authority to an advanced practice registered nurse who provides proof of successful completion of an advanced pharmacology course that includes preceptorial experience in the prescription of drugs, medicines and therapeutic devices.

Applies when: Applies to the board’s controlled substance prescriptive authority certificate issuance to an APRN.

For collaborative practice delegation to allow the nurse to administer, dispense, or prescribe drugs, the registered professional nurse must be an advanced practice registered nurse (APRN).

Applies when: For delegated drug prescribing within Missouri collaborative practice arrangements.

Within Missouri collaborative practice arrangements, the delivery of health care services delegated to a registered professional nurse must be within the scope of practice of the nurse and consistent with the nurse’s skill, training, and competence.

Applies when: Applies to delegated services under collaborative practice arrangements between a physician and RN; does not itself create independent prescribing authority beyond what is delegated and within competence/scope.

Collaborative practice arrangements, which shall be in writing, may delegate to a registered professional nurse the authority to administer, dispense or prescribe drugs and provide treatment if the registered professional nurse is “an advanced practice registered nurse.”

Applies when: Applies to delegated drug-related authority through Missouri collaborative practice arrangements; does not establish independent RN prescribing authority.

Missouri collaborative practice arrangements “shall be in writing.”

Applies when: Applies to collaborative practice arrangements that delegate drug-related authority.

There is no renewal or expiration date assigned to Controlled Substance Prescriptive Authority eligibility issued by the Board of Nursing; however, this privilege may be removed as a result of disciplinary action or lapse of the RN and/or APRN license.

Applies when: Applies to Controlled Substance Prescriptive Authority eligibility issued by the Missouri Board of Nursing; it does not state an individual’s personal renewal/expiration date.

The Missouri Board of Nursing may grant a certificate of controlled substance prescriptive authority to an advanced practice registered nurse who meets specified pharmacology/preceptorial requirements.

Applies when: Applies to board-issued controlled substance prescriptive authority certificate for an APRN.

There is “no renewal or expiration date assigned to Controlled Substance Prescriptive Authority eligibility issued by the Board….” However, the privilege may be removed as a result of disciplinary action or lapse of the RN and/or APRN license.

Applies when: Applies to Controlled Substance Prescriptive Authority eligibility issued by the Board; does not state how/when an individual date will occur for a specific holder.

Missouri’s board of nursing may grant a certificate of controlled substance prescriptive authority to an advanced practice registered nurse (APRN).

Applies when: State controlled-substance prescriptive authority certificate under Missouri board of nursing processes (APRN-focused).

The controlled substance prescriptive authority instructions require evidence of successful completion of an advanced pharmacology course that includes preceptorial experience, and the application packet requires proof tied to those prerequisites.

Applies when: Applies to Missouri “Controlled Substance Prescriptive Authority” authorization for APRNs.

The instructions state you must complete and submit the application for controlled substance prescriptive authority and provide required supporting documents such as the advanced pharmacology evidence and statements for prescriptive delegation and APRN-category practice hours.

Applies when: Applies to APRN applicants for Missouri Controlled Substance Prescriptive Authority authorization.

The instructions state that once the Board has received and approved the listed documents, you will then be ready to register with the Missouri Bureau of Narcotics and Dangerous Drugs (BNDD) and the Federal Drug Enforcement Agency (DEA).

Applies when: Applies after Board approval for controlled substance prescriptive authority authorization; it does not provide DEA renewal timing or DEA fee amounts.

Missouri Board instructions state: “There is no renewal or expiration date assigned” to Controlled Substance Prescriptive Authority eligibility issued by the Board of Nursing.

Applies when: For Controlled Substance Prescriptive Authority eligibility issued by the Board.

Missouri Board of Nursing controlled substance prescriptive authority eligibility describes applying with the Missouri Bureau of Narcotics and Dangerous Drugs (BNDD) and the Federal Drug Enforcement Agency (DEA) for authority to prescribe controlled substances from Schedules II–V as delegated in a collaborative practice arrangement.

Applies when: Applies to APRNs seeking controlled substance prescriptive authority following board eligibility; does not establish RN prescribing independent of APRN/controlled-substance authorization.

The controlled substance prescriptive authority instructions identify BNDD and DEA and state readiness to register with both after Board approval.

Applies when: Applies to the controlled substance prescriptive authority authorization process in Missouri.