Exhibit 32.1


        CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED
          PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a)
and (b) of Section 1350, Chapter 63 of Title 18, United States Code), each
of the undersigned officers of K-V Pharmaceutical Company, a Delaware
corporation (the "Company"), does hereby certify that, to the best of their
knowledge:

The Quarterly Report on Form 10-Q for the three and six months ended
September 30, 2004 (the "Form 10-Q") of the Company fully complies with the
requirements of Section 13(a) or 15(d) of the Securities Exchange Act of
1934 and information contained in the Form 10-Q fairly presents, in all
material respects, the financial condition and results of operations of the
Company.

Date: November 9, 2004                /s/ Marc S. Hermelin
      ----------------                -----------------------------------------
                                      Marc S. Hermelin
                                      Vice Chairman and Chief Executive Officer


Date: November 9, 2004                /s/ Gerald R. Mitchell
      ----------------                -----------------------------------------
                                      Gerald R. Mitchell
                                      Vice President and Chief
                                       Financial Officer


A signed original of this written statement required by Section 906 has been
provided to K-V Pharmaceutical Company and will be retained by K-V
Pharmaceutical Company and furnished to the Securities and Exchange
Commission or its staff upon request.