Prescriptive authority
This law says who is allowed to prescribe, give out, or dispense controlled substances (drugs that are regulated by the government) in Missouri. Doctors, podiatrists, dentists, certain optometrists, assistant physicians, and physician assistants can prescribe these drugs as part of their normal job. Some advanced practice registered nurses can also prescribe certain controlled substances, but only specific ones and with limits — for example, Schedule II drugs are mostly limited to a 5-day supply with no refills. Veterinarians can prescribe controlled substances too, but only for animals. A practitioner generally cannot prescribe controlled substances for their own personal use except in a medical emergency.
195.070. Prescriptive . — 1. A physician, , dentist, a to pharmaceutical agents as provided in section 336.220, or an assistant physician in accordance with section 334.037 or a physician assistant in accordance with section 334.747 and in the course of his or her professional practice only, may , administer, and or he or she may cause the same to be administered or by an individual as by statute.
2. An , as defined in section 335.016, but not a certified nurse anesthetist as defined in (8) of section 335.016, who holds a of prescriptive authority from the of nursing under section 335.019 and who is the authority to prescribe controlled substances under a under section 334.104 may prescribe any controlled substances listed in s III, IV, and V of section 195.017, and may have restricted authority in . Prescriptions for Schedule II medications prescribed by an advanced practice registered nurse who has a certificate of controlled substance prescriptive authority are restricted to only those medications containing hydrocodone and Schedule II controlled substances for patients the of section 334.104. However, no such certified advanced practice registered nurse shall prescribe controlled substance for his or her own self or family. Schedule III controlled substance and Schedule II - hydrocodone prescriptions shall be limited to a one hundred twenty-hour supply without refill.
3. A , in good faith and in the course of the veterinarian's professional practice only, and not for use by a human being, may prescribe, administer, and dispense controlled substances and the veterinarian may cause them to be administered by an assistant or orderly under his or her direction and supervision.
4. A shall not accept any portion of a controlled substance unused by a patient, for any reason, if such practitioner did not originally dispense the drug, except:
(1) When the controlled substance is delivered to the practitioner to administer to the patient for whom the medication is prescribed as authorized by federal law. Practitioners shall maintain records and secure the medication as required by this chapter and regulations pursuant to this chapter; or
(2) As provided in section 195.265.
5. An individual practitioner shall not prescribe or dispense a controlled substance for such practitioner's personal use except in a medical emergency.
(RSMo 1939 § 9838, A.L. 1971 H.B. 69, A.L. 1988 H.B. 1242 Revision, A.L. 1993 H.B. 564, A.L. 1997 H.B. 635, A.L. 2001 H.B. 471, A.L. 2008 S.B. 724, A.L. 2009 S.B. 296, A.L. 2014 S.B. 716 merged with S.B. 754, A.L. 2015 H.B. 709, A.L. 2018 S.B. 718 merged with S.B. 826 merged with S.B. 951, A.L. 2020 H.B. 1682, A.L. 2023 H.B. 115 & 99 merged with H.B. 402 merged with S.B. 70 merged with S.B. 157)
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Legal information, not legal advice. Always confirm with the official source at revisor.mo.gov.