Exhibit 23.1
                                                                    ------------


Consent of Independent Registered Public Accounting Firm


The Board of Directors
K-V Pharmaceutical Company:

We consent to  incorporation  by reference  in the  registration  statement  No.
33-36900 on Form S-8 of K-V Pharmaceutical Company of our report dated September
9, 2004 with respect to the  statement of net assets  available  for benefits of
the K-V  Pharmaceutical  Company Fifth Restated Profit Sharing Plan and Trust as
of March 31, 2004, and the related  statement of changes in net assets available
for benefits for the year then ended, and the related  supplemental  schedule as
of March 31, 2004,  which report  appears in the March 31, 2004 annual report on
Form 11-K of the K-V  Pharmaceutical  Company Fifth Restated Profit Sharing Plan
and Trust.


St. Louis, Missouri                     KPMG, LLP
October 28, 2004