Filed Pursuant to Rule 424(B)(3)
                                                     Registration No. 333-106294


PROSPECTUS SUPPLEMENT NO. 1
TO PROSPECTUS DATED OCTOBER 14, 2003

                                  $200,000,000
             2.5% CONTINGENT CONVERTIBLE SUBORDINATED NOTES DUE 2033
                                       AND
                              CLASS A COMMON STOCK
                      ISSUABLE UPON CONVERSION OF THE NOTES

                                    [KV LOGO]

                           K-V PHARMACEUTICAL COMPANY

                                 ---------------

         This document supplements our prospectus dated October 14, 2003 (the
"prospectus"), relating to $200,000,000 aggregate principal amount of our 2.5%
Contingent Convertible Senior Notes Due 2032 (the "Notes") and the Class A
common stock issuable upon conversion of the Notes. You should read this
prospectus supplement in conjunction with the accompanying prospectus, which is
to be delivered by selling securityholders to prospective purchasers along with
this prospectus supplement and any other prospectus supplements. The information
in the following table supplements the information under the caption "Selling
Securityholders" in the prospectus by (i) substituting the information contained
in this Supplement No. 1 for the information contained in the prospectus with
respect to Polaris Vega Fund L.P. and Sunrise Partners Limited Partnership, and
(ii) supplementing the information contained in the prospectus with the
information contained in this Supplement No. 1 with respect to the
securityholders other than Polaris Vega Fund L.P. and Sunrise Partners Limited
Partnership listed below.






                                                  AGGREGATE                               CLASS A          CLASS A
                                                  PRINCIPAL                            COMMON STOCK         COMMON
                                                   AMOUNT          PERCENTAGE          BENEFICIALLY         STOCK
                                                OF NOTES THAT       OF NOTES            OWNED BEFORE      REGISTERED
               NAME                              MAY BE SOLD       OUTSTANDING         CONVERSION (1)       HEREBY
               ----                              -----------       -----------         --------------       ------
                                                                                             
Arkansas Teacher Retirement............          $  2,505,000          1.253%                0              108,866
Baptist Health of South Florida........               355,000          0.178%                0               15,428
Engineers Joint Pension Fund...........               235,000          0.118%                0               10,213
Nicholas Applegate Capital Management
 Convertible Mutual Fund  .............               435,000          0.218%                0               18,905
Polaris Vega Fund L.P..................             3,000,000          1.500%                0              130,378
San Diego City Retirement..............               505,000          0.253%                0               21,947
San Diego County Convertible...........             1,080,000          0.540%                0               46,936
Sunrise Partners Limited Partnership...            11,000,000          5.500%                0              478,053
Wake Forest University.................               325,000          0.163%                0               14,124
Wyoming State Treasurer................               560,000          0.280%                0               24,337
                                                -------------      ----------            ---------         --------
         Subtotal......................          $ 20,000,000         10.003%                0              869,187
                                                -------------      ----------            ---------         --------

- ----------------------------------

(1) Based upon the information provided to us by the selling securityholders,
    none of the current holders of the Notes beneficially owns any Class A
    common stock. The information presented assumes that any future transferee
    from any holder does not beneficially own any Class A common stock, other
    than Class A common stock into which the Notes are convertible at the
    conversion rate of 43.4594 shares per $1,000 principal amount of the Notes.

         Investing in the Notes and the Class A common stock issuable upon their
conversion involves certain risks. See "Risk Factors" beginning on page 7 of the
accompanying prospectus.

         Neither the securities and exchange commission nor any state securities
commission has approved or disapproved of the Notes or the Class A common stock
available upon conversion of the Notes or passed upon the adequacy or accuracy
of this prospectus supplement or the accompanying prospectus. Any representation
to the contrary is a criminal offense.

           The date of this prospectus supplement is October 23, 2003.