Electronic prescriptions required, when, exceptions
Starting January 1, 2021, doctors and other prescribers in Missouri have to send prescriptions for certain controlled substances (Schedule II, III, or IV drugs) electronically straight to a pharmacy. There are many exceptions — for example, if the technology fails, if a patient asks for a paper prescription, if the prescriber is a vet, or if waiting for an electronic prescription would harm the patient. A pharmacist does not have to check whether an exception applies before filling a paper, faxed, or called-in prescription. A prescriber who breaks this rule can face discipline from their professional licensing board.
195.550. s required, when, exceptions — violations. — 1. any other of this section or any other law to the contrary, beginning January 1, 2021, no person shall any in this state for any 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 to be by a pharmacy located outside the state;
(4) Issued when the r and are the same ;
(5) Issued that include elements that are not supported by the most recently implemented version of the ;
(6) Issued by a practitioner for a drug that the federal requires the prescription to contain certain elements that are not able to be accomplished with electronic ing;
(7) Issued by a practitioner allowing for the of a nonpatient specific prescription a , approved protocol for drug therapy, 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 ;
(9) Issued by practitioners who have received an annual , or a renewal thereof, from the requirement to use electronic prescribing, pursuant to a process established in by the , 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 , such practitioner reasonably 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 who receives a written, oral, or faxed prescription is not required to that the prescription properly falls under one of the exceptions from the requirement to electronically prescribe. Pharmacists may continue to 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 of this section may be subject to discipline by his or her .
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Source & history notes
(L. 2019 S.B. 514)
Legal information, not legal advice. Always confirm with the official source at revisor.mo.gov.