Missouri Revised Statutes
Chapter 195 - Drug Regulations
Section 195.550 - Electronic prescriptions required, when, exceptions — violations.

Effective - 28 Aug 2019
195.550. Electronic prescriptions required, when, exceptions — violations. — 1. Notwithstanding any other provision of this section or any other law to the contrary, beginning January 1, 2021, no person shall issue any prescription in this state for any Schedule II, III, or IV controlled substance unless the prescription is made by electronic prescription from the person issuing the prescription to a pharmacy, except for prescriptions:
(1) Issued by veterinarians;
(2) Issued in circumstances where electronic prescribing is not available due to temporary technological or electrical failure;
(3) Issued by a practitioner to be dispensed by a pharmacy located outside the state;
(4) Issued when the prescriber and dispenser are the same entity;
(5) Issued that include elements that are not supported by the most recently implemented version of the National Council for Prescription Drug Programs Prescriber/Pharmacist Interface SCRIPT Standard;
(6) Issued by a practitioner for a drug that the federal Food and Drug Administration requires the prescription to contain certain elements that are not able to be accomplished with electronic processing;
(7) Issued by a practitioner allowing for the dispensing of a nonpatient specific prescription pursuant to a standing order, approved protocol for drug therapy, collaborative drug management or comprehensive medication management, in response to a public health emergency, or other circumstances where the practitioner may issue a nonpatient specific prescription;
(8) Issued by a practitioner prescribing a drug under a research protocol;
(9) Issued by practitioners who have received an annual waiver, or a renewal thereof, from the requirement to use electronic prescribing, pursuant to a process established in regulation by the department of health and senior services, due to economic hardship, technological limitations, or other exceptional circumstances demonstrated by the practitioner;
(10) Issued by a practitioner under circumstances where, notwithstanding the practitioner's present ability to make an electronic prescription as required by this subsection, such practitioner reasonably determines that it would be impractical for the patient to obtain substances prescribed by electronic prescription in a timely manner, and such delay would adversely impact the patient's medical condition; or
(11) Issued where the patient specifically requests a written prescription.
2. A pharmacist who receives a written, oral, or faxed prescription is not required to verify that the prescription properly falls under one of the exceptions from the requirement to electronically prescribe. Pharmacists may continue to dispense medications from otherwise valid written, oral, or fax prescriptions that are consistent with state and federal laws and regulations.
3. An individual who violates the provisions of this section may be subject to discipline by his or her professional licensing board.
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(L. 2019 S.B. 514)

Structure Missouri Revised Statutes

Missouri Revised Statutes

Title XII - Public Health and Welfare

Chapter 195 - Drug Regulations

Section 195.003 - Violations of chapter, defendant to pay costs of testing when found guilty.

Section 195.005 - Comprehensive drug control act.

Section 195.010 - Definitions.

Section 195.015 - Authority to control.

Section 195.016 - Nomenclature.

Section 195.017 - Substances, how placed in schedules — list of scheduled substances — publication of schedules annually — electronic log of transactions to be maintained, when — certain products to be located behind pharmacy counter — exemption from...

Section 195.022 - Chemical substances structurally similar to Schedule I controlled substances to be treated as Schedule I controlled substance.

Section 195.030 - Rules, procedure — fees — registration required, exceptions, registration, term not to exceed three years.

Section 195.040 - Registration requirements — revocation and suspension — review by administrative hearing commission — reapplication may be denied up to five years.

Section 195.041 - Emergencies, waiver of registration and record-keeping requirements for controlled substances, when.

Section 195.042 - Confidentiality of all complaints, investigatory reports and information, exceptions.

Section 195.045 - Civil immunity for persons required to report to the department of health and senior services.

Section 195.050 - Controlled substances, legal sales, how made — records required to be kept.

Section 195.060 - Controlled substances to be dispensed on prescription only, exception.

Section 195.070 - Prescriptive authority.

Section 195.080 - Excepted substances — prescription or dispensing limitation on amount of supply, exception — may be increased by physician, procedure.

Section 195.100 - Labeling requirements.

Section 195.140 - Forfeiture of controlled substances and drug paraphernalia, when — disposal — money, records in close proximity also forfeited, rebuttable presumption — procedure.

Section 195.146 - Forfeiture of controlled substances and CAFA applicable to children — arrest to include taking a child into custody.

Section 195.150 - Procedure upon conviction for violation.

Section 195.190 - Enforcement by whom.

Section 195.195 - Regulations, authority to promulgate, where vested.

Section 195.197 - Department of health and senior services, duties of.

Section 195.198 - Educational and research programs authorized — report, contents on effect of drugs, publication.

Section 195.203 - Industrial hemp, authorization to grow, harvest, cultivate, and process with valid registration.

Section 195.205 - Immunity from liability for seeking or obtaining medical assistance for a drug overdose, when — law enforcement to provide information and resources, when.

Section 195.206 - Opioid antagonist or addiction mitigation medicine, sale and dispensing of by pharmacists, possession of — administration of, contacting emergency personnel — immunity from liability, when.

Section 195.207 - Hemp extract, use of, permitted when — administration to a minor permitted, when — amount authorized.

Section 195.244 - Advertisements to promote sale of drug paraphernalia or imitation controlled substances prohibited, penalty.

Section 195.253 - Public nuisances — defendants in suits to enjoin.

Section 195.265 - Disposal of unused controlled substances, permitted methods — awareness program.

Section 195.310 - Injunction authorized.

Section 195.320 - Purpose clause.

Section 195.375 - Warrants for administrative inspections, contents, procedures — controlled premises, defined.

Section 195.400 - Reports required, exceptions, penalties — person, defined — list of regulated chemicals.

Section 195.417 - Limit on sale or dispensing of certain drugs, exceptions — prescription for certain substances not required, when, expiration when — local ordinances, state law to supercede and preempt — violations, penalty.

Section 195.418 - Limitations on the retail sale of methamphetamine precursor drugs — violations, penalty.

Section 195.550 - Electronic prescriptions required, when, exceptions — violations.

Section 195.600 - Task force established — definitions — members, appointment, expenses — duties — controlled substance dispensation information, submitted to vendor, procedure — use of information — violation, penalty — rulemaking authority.

Section 195.740 - Definitions.

Section 195.743 - Viable industrial hemp is an agricultural product subject to regulation by department.

Section 195.746 - Registration and permits, requirements — application, contents — issuance, when.

Section 195.749 - Registration and permit, revocation, refusal to issue, refusal to renew, when — penalty, amount.

Section 195.752 - Administrative fine, when, amount.

Section 195.756 - Pesticides and agricultural chemicals, use of — limitations on liability.

Section 195.758 - Monitoring system, recordkeeping requirements — inspections, when — destruction of crop, when — aerial surveillance — coordination with local law enforcement — nonviable hemp not subject to regulation.

Section 195.764 - Fees, amount, use of — fund created.

Section 195.767 - Research and study of industrial hemp by institutions of higher education permitted, registration and permit not required.

Section 195.773 - Department duties — rulemaking authority.

Section 195.805 - Edible marijuana — infused products, restrictions on design and shape — THC stamp required, when — violations, penalty — rulemaking authority.

Section 195.815 - Fingerprinting requirements, medical marijuana facilities — definitions.

Section 195.820 - Medical cannabis, processing fee authorized, when.