☰ Revisor of Missouri


Chapter 338

< > Effective - 28 Aug 2016, 2 histories    bottom

  *338.200.  Pharmacist may dispense emergency prescription, when, requirements — rulemaking authority. — 1.  In the event a pharmacist is unable to obtain refill authorization from the prescriber due to death, incapacity, or when the pharmacist is unable to obtain refill authorization from the prescriber, a pharmacist may dispense an emergency supply of medication if:

  (1)  In the pharmacist's professional judgment, interruption of therapy might reasonably produce undesirable health consequences;

  (2)  The pharmacy previously dispensed or refilled a prescription from the applicable prescriber for the same patient and medication;

  (3)  The medication dispensed is not a controlled substance;

  (4)  The pharmacist informs the patient or the patient's agent either verbally, electronically, or in writing at the time of dispensing that authorization of a prescriber is required for future refills; and

  (5)  The pharmacist documents the emergency dispensing in the patient's prescription record, as provided by the board by rule.

  2.  (1)  If the pharmacist is unable to obtain refill authorization from the prescriber, the amount dispensed shall be limited to the amount determined by the pharmacist within his or her professional judgment as needed for the emergency period, provided the amount dispensed shall not exceed a seven-day supply.

  (2)  In the event of prescriber death or incapacity or inability of the prescriber to provide medical services, the amount dispensed shall not exceed a thirty-day supply.

  3.  Pharmacists or permit holders dispensing an emergency supply pursuant to this section shall promptly notify the prescriber or the prescriber's office of the emergency dispensing, as required by the board by rule.

  4.  An emergency supply may not be dispensed pursuant to this section if the pharmacist has knowledge that the prescriber has otherwise prohibited or restricted emergency dispensing for the applicable patient.

  5.  The determination to dispense an emergency supply of medication under this section shall only be made by a pharmacist licensed by the board.

  6.  The board shall promulgate rules to implement the provisions of this section.  Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028.  This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2013, shall be invalid and void.


(L. 2013 H.B. 315, A.L 2016 S.B. 608 merged with S.B. 635)

Effective 8-28-16 (S.B. 635); *10-14-16 (S.B. 608), see § 21.250

*S.B. 608 was vetoed July 5, 2016.  The veto was overridden on September 14, 2016.

---- end of effective  28 Aug 2016 ----

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338.200 8/28/2016
338.200 8/28/2013 8/28/2016

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