Missouri Revised Statutes
Chapter 338 - Pharmacists and Pharmacies
Section 338.055 - Denial, revocation or suspension of license, grounds for — expedited procedure — temporary authority, when.

Effective - 28 Aug 2022, 3 histories
338.055. Denial, revocation or suspension of license, grounds for — expedited procedure — temporary authority, when. — 1. The board may refuse to issue any certificate of registration or authority, permit or license required pursuant to this chapter for one or any combination of causes stated in subsection 2 of this section or if the designated pharmacist-in-charge, manager-in-charge, or any officer, owner, manager, or controlling shareholder of the applicant has committed any act or practice in subsection 2 of this section. The board shall notify the applicant in writing of the reasons for the refusal and shall advise the applicant of his or her right to file a complaint with the administrative hearing commission as provided by chapter 621.
2. The board may cause a complaint to be filed with the administrative hearing commission as provided by chapter 621 against any holder of any certificate of registration or authority, permit or license required by this chapter or any person who has failed to renew or has surrendered his or her certificate of registration or authority, permit or license for any one or any combination of the following causes:
(1) Use of any controlled substance, as defined in chapter 195, or alcoholic beverage to an extent that such use impairs a person's ability to perform the work of any profession licensed or regulated by this chapter;
(2) The person has been finally adjudicated and found guilty, or entered a plea of guilty or nolo contendere, in a criminal prosecution under the laws of any state or of the United States, for any offense reasonably related to the qualifications, functions or duties of any profession licensed or regulated under this chapter, for any offense an essential element of which is fraud, dishonesty or an act of violence, or for any offense involving moral turpitude, whether or not sentence is imposed;
(3) Use of fraud, deception, misrepresentation or bribery in securing any certificate of registration or authority, permit or license issued pursuant to this chapter or in obtaining permission to take any examination given or required pursuant to this chapter;
(4) Obtaining or attempting to obtain any fee, charge, tuition or other compensation by fraud, deception or misrepresentation;
(5) Incompetence, misconduct, gross negligence, fraud, misrepresentation or dishonesty in the performance of the functions or duties of any profession licensed or regulated by this chapter;
(6) Violation of, or assisting or enabling any person to violate, any provision of this chapter, or of any lawful rule or regulation adopted pursuant to this chapter;
(7) Impersonation of any person holding a certificate of registration or authority, permit or license or allowing any person to use his or her certificate of registration or authority, permit, license, or diploma from any school;
(8) Denial of licensure to an applicant or disciplinary action against an applicant or the holder of a license or other right to practice any profession regulated by this chapter granted by another state, territory, federal agency, or country whether or not voluntarily agreed to by the licensee or applicant, including, but not limited to, surrender of the license upon grounds for which denial or discipline is authorized in this state;
(9) A person is finally adjudged incapacitated by a court of competent jurisdiction;
(10) Assisting or enabling any person to practice or offer to practice any profession licensed or regulated by this chapter who is not registered and currently eligible to practice under this chapter;
(11) Issuance of a certificate of registration or authority, permit or license based upon a material mistake of fact;
(12) Failure to display a valid certificate or license if so required by this chapter or any rule promulgated hereunder;
(13) Violation of any professional trust or confidence;
(14) Use of any advertisement or solicitation which is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed;
(15) Violation of the drug laws or rules and regulations of this state, any other state or the federal government;
(16) The intentional act of substituting or otherwise changing the content, formula or brand of any drug prescribed by written, electronic, or oral prescription without prior written or oral approval from the prescriber for the respective change in each prescription; provided, however, that nothing contained herein shall prohibit a pharmacist from substituting or changing the brand of any drug as provided under section 338.056, and any such substituting or changing of the brand of any drug as provided for in section 338.056 shall not be deemed unprofessional or dishonorable conduct unless a violation of section 338.056 occurs;
(17) Personal use or consumption of any controlled substance unless it is prescribed, dispensed, or administered by a health care provider who is authorized by law to do so.
3. After the filing of such complaint, the proceedings shall be conducted in accordance with the provisions of chapter 621. Upon a finding by the administrative hearing commission that the grounds, provided in subsection 2 of this section, for disciplinary action are met, the board may, singly or in combination, censure or place the person named in the complaint on probation on such terms and conditions as the board deems appropriate for a period not to exceed five years, or may suspend, for a period not to exceed three years, or revoke the license, certificate, or permit. The board may impose additional discipline on a licensee, registrant, or permittee found to have violated any disciplinary terms previously imposed under this section or by agreement. The additional discipline may include, singly or in combination, censure, placing the licensee, registrant, or permittee named in the complaint on additional probation on such terms and conditions as the board deems appropriate, which additional probation shall not exceed five years, or suspension for a period not to exceed three years, or revocation of the license, certificate, or permit.
4. If the board concludes that a licensee or registrant has committed an act or is engaging in a course of conduct which would be grounds for disciplinary action which constitutes a clear and present danger to the public health and safety, the board may file a complaint before the administrative hearing commission requesting an expedited hearing and specifying the activities which give rise to the danger and the nature of the proposed restriction or suspension of the licensee's or registrant's license. Within fifteen days after service of the complaint on the licensee or registrant, the administrative hearing commission shall conduct a preliminary hearing to determine whether the alleged activities of the licensee or registrant appear to constitute a clear and present danger to the public health and safety which justify that the licensee's or registrant's license or registration be immediately restricted or suspended. The burden of proving that the actions of a licensee or registrant constitute a clear and present danger to the public health and safety shall be upon the state board of pharmacy. The administrative hearing commission shall issue its decision immediately after the hearing and shall either grant to the board the authority to suspend or restrict the license or dismiss the action.
5. If the administrative hearing commission grants temporary authority to the board to restrict or suspend the licensee's or registrant's license, such temporary authority of the board shall become final authority if there is no request by the licensee or registrant for a full hearing within thirty days of the preliminary hearing. The administrative hearing commission shall, if requested by the licensee or registrant named in the complaint, set a date to hold a full hearing under the provisions of chapter 621 regarding the activities alleged in the initial complaint filed by the board.
6. If the administrative hearing commission dismisses the action filed by the board pursuant to subsection 4 of this section, such dismissal shall not bar the board from initiating a subsequent action on the same grounds.
7. The board shall not deny, revoke, or suspend, or otherwise take any disciplinary action against, a certificate of registration or authority, permit, or license required by this chapter for any person due to the lawful dispensing, distributing, or selling of ivermectin tablets or hydroxychloroquine sulfate tablets for human use in accordance with prescriber directions. A pharmacist shall not contact the prescribing physician or the patient to dispute the efficacy of ivermectin tablets or hydroxychloroquine sulfate tablets for human use unless the physician or patient inquires of the pharmacist about the efficacy of ivermectin tablets or hydroxychloroquine sulfate tablets.
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(L. 1971 S.B. 145, A.L. 1978 H.B. 933, A.L. 1981 S.B. 16, A.L. 1986 H.B. 999, A.L. 1998 H.B. 1601, et al., A.L. 2001 H.B. 567, A.L. 2004 S.B. 1122, A.L. 2011 H.B. 412 merged with S.B. 284, A.L. 2019 S.B. 514, A.L. 2022 H.B. 2149)

Structure Missouri Revised Statutes

Missouri Revised Statutes

Title XXII - Occupations and Professions

Chapter 338 - Pharmacists and Pharmacies

Section 338.010 - Practice of pharmacy defined — auxiliary personnel — written protocol required, when — nonprescription drugs — rulemaking authority — therapeutic plan requirements — veterinarian defined — additional requirements — ShowMeVax system,...

Section 338.013 - Pharmacy technician to register with board of pharmacy, fees, application, renewal — refusal to issue, when — employee disqualification list maintained, use.

Section 338.015 - Patient's freedom of choice to obtain prescription services, waiver — consultation and advice.

Section 338.020 - Application for license — requirements — examination — oath — penalty — military service, effect of.

Section 338.030 - Applicant — requirements for qualification.

Section 338.035 - Application, contents — intern pharmacist — board shall promulgate rules, procedure.

Section 338.040 - License issued without examination, when — reciprocity — equivalency examination — fees.

Section 338.043 - Temporary license — eligibility — renewal.

Section 338.050 - Pharmacist license, issued when, period covered.

Section 338.055 - Denial, revocation or suspension of license, grounds for — expedited procedure — temporary authority, when.

Section 338.056 - Generic substitutions, when, requirements — violations, penalty.

Section 338.059 - Prescriptions, how labeled.

Section 338.060 - Renewal of license or permit — late renewal or failure to renew, effect — continuing education requirements — inactive license issued when — changed to active, procedure.

Section 338.065 - Disciplinary hearings — grounds for discipline.

Section 338.067 - Revocation and restoration of license — conditions.

Section 338.070 - Fees, amount, how set, collection, disposition — fund, created, use, funds transferred to general revenue, when.

Section 338.075 - Adverse actions against licensee, notification to board of pharmacy, when — rulemaking authority.

Section 338.080 - Display of license or renewal required.

Section 338.085 - Interchangeable biological products, pharmacist may dispense as substitute, when — recordkeeping — rulemaking authority.

Section 338.090 - Sale of poisons — regulations.

Section 338.095 - Prescription, drug order, defined — telephone prescription, defined — prescription and medical information may be provided, when.

Section 338.100 - Records required to be kept — requirements.

Section 338.110 - Board of pharmacy, members, qualifications, terms.

Section 338.120 - Board of pharmacy — organization.

Section 338.130 - Compensation of board members, personnel.

Section 338.132 - Board of pharmacy, salary schedule for employees to be established.

Section 338.140 - Board of pharmacy, powers, duties — advisory committee, appointment, duties — letters of reprimand, censure or warning.

Section 338.142 - Drug take-back program, board authorized to expend, allocate, or award funds.

Section 338.143 - Technology assisted verification or remote medication dispensing, pilot or demonstration research project authorized — definitions — requirements — expiration date — report.

Section 338.145 - Board president may administer oaths and issue subpoenas — enforcement of subpoenas.

Section 338.150 - Inspections by authorized representatives of board, where — testing program authorized — rulemaking authority.

Section 338.155 - Immunity from civil liability, when.

Section 338.165 - Class B pharmacies subject to department inspection, when — definitions — rulemaking authority — certificate of medication therapeutic plan authority required, when — dispensing of medications, requirements — advisory committee.

Section 338.170 - Title of pharmacist — used by whom.

Section 338.180 - Prosecution of offenders.

Section 338.185 - Board has access to certain court records.

Section 338.190 - Violation of law by licensee — penalty.

Section 338.195 - Violation of law by person not licensed — penalty.

Section 338.196 - Prescription by practitioner licensed in another state, may be filled, requirement.

Section 338.198 - Pharmacist may fill prescription forwarded by authorized agent.

Section 338.200 - Pharmacist may dispense emergency prescription, when, requirements — rulemaking authority.

Section 338.202 - Maintenance medications, pharmacist may exercise professional judgment on quantity dispensed, when.

Section 338.205 - Opioid antagonist, storage and dispensing of without a license, when.

Section 338.210 - Pharmacy defined — practice of pharmacy to be conducted at pharmacy location — rulemaking authority.

Section 338.215 - Remote dispensing site pharmacy — definitions — requirements — supervision — location — staffing — license required, when — rulemaking authority.

Section 338.220 - Operation of pharmacy without permit or license unlawful — application for permit, classifications, fee — duration of permit.

Section 338.230 - Disposition of fees.

Section 338.240 - Evidence required for issuance of permit — veterinary permit pharmacy, designation of supervising registered pharmacist, when.

Section 338.250 - Equipment required — manner of operation of pharmacy — compliance with state and federal laws required.

Section 338.255 - Specific prescription or nonprescription drugs or devices, no requirement to carry.

Section 338.260 - Business name not to include certain words unless supervised by pharmacist — historical names permitted — board of pharmacy may enforce — remote dispensing site pharmacy, physical presence of pharmacist not required, when.

Section 338.270 - Renewal applications to be made, when.

Section 338.280 - Board of pharmacy, rules and regulations.

Section 338.285 - Board may file complaint, when, where filed.

Section 338.290 - Appeals from decision of board, notice of right.

Section 338.300 - Permit to be posted — not transferable.

Section 338.310 - Violation, a misdemeanor.

Section 338.314 - Inspection of pharmacy within certain facilities authorized — applicability of law.

Section 338.315 - Receipt of drugs from unlicensed source, unlawful — penalty — pharmacy-to-pharmacy transfers, limit — legend drugs, inventories and records — rulemaking authority.

Section 338.320 - Committee established, purpose, members, duties — sunset provision.

Section 338.330 - Definitions.

Section 338.333 - License required, temporary licenses may be granted — out-of-state distributors, reciprocity allowed, when.

Section 338.335 - Separate licenses required, when — exemptions.

Section 338.337 - Out-of-state distributors, licenses required, exception.

Section 338.340 - Sale of drugs, out-of-state distributor, license required.

Section 338.343 - Records to be maintained and be available for board inspection.

Section 338.347 - Renewal of license, application.

Section 338.350 - Board of pharmacy to promulgate rules and regulations — procedure.

Section 338.353 - Discipline of licensee, grounds — procedure — administrative hearing commission to conduct hearing.

Section 338.357 - Sanction imposed by board, when.

Section 338.360 - Inspection of premises allowed, when.

Section 338.365 - Injunction may be issued, when, procedure.

Section 338.370 - Penalties.

Section 338.380 - Refusal to issue a certificate, when — impaired license committee authorized, duties, procedures.

Section 338.400 - Standard of care, definitions, rules.

Section 338.500 - Gross retail prescriptions, tax imposed, definitions.

Section 338.505 - Formula for tax liability, rulemaking authority, appeals procedure.

Section 338.510 - Records to be maintained, form — report of gross receipts, information — confidentiality of information.

Section 338.515 - Effective date of tax.

Section 338.520 - Calculation of tax liability — notification to pharmacies — quarterly adjustment authorized.

Section 338.530 - Offset against Medicaid payments due by pharmacy permitted, when.

Section 338.535 - Remittance to department — pharmacy reimbursement allowance fund created.

Section 338.540 - Notice requirements — unpaid or delinquent taxes, procedure for collection — failure to pay taxes, effect of.

Section 338.550 - Expiration date of tax, when.

Section 338.600 - Criteria for audit — appeals process to be established — report to be provided — applicability exceptions.

Section 338.650 - Fund established, use of moneys.

Section 338.665 - Nicotine replacement therapy product, defined — prescribing and dispensing, rulemaking authority.

Section 338.700 - Definitions.

Section 338.710 - Program created, goal — authority of board — evaluation report — expiration date.

Section 338.730 - HIV postexposure prophylaxis, dispensing of, requirements — definitions — rulemaking authority.