Missouri Revised Statutes
Chapter 338 - Pharmacists and Pharmacies
Section 338.220 - Operation of pharmacy without permit or license unlawful — application for permit, classifications, fee — duration of permit.

Effective - 28 Aug 2020, 6 histories
338.220. Operation of pharmacy without permit or license unlawful — application for permit, classifications, fee — duration of permit. — 1. It shall be unlawful for any person, copartnership, association, corporation or any other business entity to open, establish, operate, or maintain any pharmacy as defined by statute without first obtaining a permit or license to do so from the Missouri board of pharmacy. A permit shall not be required for an individual licensed pharmacist to perform nondispensing activities outside of a pharmacy, as provided by the rules of the board. A permit shall not be required for an individual licensed pharmacist to administer drugs, vaccines, and biologicals by protocol, as permitted by law, outside of a pharmacy. The following classes of pharmacy permits or licenses are hereby established:
(1) Class A: Community/ambulatory;
(2) Class B: Hospital pharmacy;
(3) Class C: Long-term care;
(4) Class D: Nonsterile compounding;
(5) Class E: Radio pharmaceutical;
(6) Class F: Renal dialysis;
(7) Class G: Medical gas;
(8) Class H: Sterile product compounding;
(9) Class I: Consultant services;
(10) Class J: Shared service;
(11) Class K: Internet;
(12) Class L: Veterinary;
(13) Class M: Specialty (bleeding disorder);
(14) Class N: Automated dispensing system (health care facility);
(15) Class O: Automated dispensing system (ambulatory care);
(16) Class P: Practitioner office/clinic;
(17) Class Q: Charitable pharmacy; and
(18) Class R: Remote dispensing site pharmacy.
2. Application for such permit or license shall be made upon a form furnished to the applicant; shall contain a statement that it is made under oath or affirmation and that its representations are true and correct to the best knowledge and belief of the person signing same, subject to the penalties of making a false affidavit or declaration; and shall be accompanied by a permit or license fee. The permit or license issued shall be renewable upon payment of a renewal fee. Separate applications shall be made and separate permits or licenses required for each pharmacy opened, established, operated, or maintained by the same owner.
3. All permits, licenses or renewal fees collected pursuant to the provisions of sections 338.210 to 338.370 shall be deposited in the state treasury to the credit of the Missouri board of pharmacy fund, to be used by the Missouri board of pharmacy in the enforcement of the provisions of sections 338.210 to 338.370, when appropriated for that purpose by the general assembly.
4. Class L: veterinary permit shall not be construed to prohibit or interfere with any legally registered practitioner of veterinary medicine in the compounding, administering, prescribing, or dispensing of their own prescriptions, or medicine, drug, or pharmaceutical product to be used for animals.
5. Except for any legend drugs under 21 U.S.C. Section 353, the provisions of this section shall not apply to the sale, dispensing, or filling of a pharmaceutical product or drug used for treating animals.
6. A "class B hospital pharmacy" shall be defined as a pharmacy owned, managed, or operated by a hospital as defined by section 197.020 or a clinic or facility under common control, management or ownership of the same hospital or hospital system. This section shall not be construed to require a class B hospital pharmacy permit or license for hospitals solely providing services within the practice of pharmacy under the jurisdiction of, and the licensure granted by, the department of health and senior services under and pursuant to chapter 197.
7. Upon application to the board, any hospital that holds a pharmacy permit or license on August 28, 2014, shall be entitled to obtain a class B pharmacy permit or license without fee, provided such application shall be submitted to the board on or before January 1, 2015.
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(L. 1951 p. 734 § 1, A.L. 1969 S.B. 390, A.L. 1981 S.B. 16, A.L. 1989 S.B. 39, A.L. 1997 S.B. 141, A.L. 1999 H.B. 343, A.L. 2001 H.B. 567, A.L. 2004 S.B. 1122, A.L. 2007 H.B. 780 merged with S.B. 272, A.L. 2009 S.B. 296, A.L. 2011 H.B. 412 merged with S.B. 325, A.L. 2013 H.B. 315, A.L. 2014 S.B. 754 merged with S.B. 808, A.L. 2020 H.B. 1682 merged with H.B. 2046)

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.