A nurse-midwife who applies for authorization to prescribe drugs shall:
(a) Be licensed and certified as a nurse-midwife in the state of West Virginia;
(b) Not be less than eighteen years of age;
(c) Provide the board with evidence of successful completion of forty-five contact hours of education in pharmacology and clinical management of drug therapy under a program approved by the board, fifteen of which shall be completed within the two-year period immediately before the date of application;
(d) Provide the board with evidence that he or she is a person of good moral character and not addicted to alcohol or the use of controlled substances; and
(e) Submit a completed, notarized application to the board, accompanied by a fee of one hundred twenty-five dollars.