PURPOSE: This amendment updates and clarifies
requirements for nonresident pharmacies.
(1) Nonresident pharmacies shall not ship,
mail , or deliver prescription drugs into Missouri without first obtaining a
pharmacy license from the Missouri Board of Pharmacy. An exemption to licensure
is allowed when a nonresident pharmacy provides a prescription drug in an
emergency situation or supplies lawful refills to a patient from a prescription
that was originally filled and delivered to a patient within the state in which
the nonresident pharmacy is located.
(2) To obtain a Missouri pharmacy license , a
nonresident pharmacy must -
(A) Maintain a
pharmacy license in good standing from the state in which the nonresident
pharmacy is located;
(C) Pay all appropriate licensing
fees;
(D) Submit a copy of the state
pharmacy license from the state in which the nonresident pharmacy is
located;
(E) If controlled
substances will be shipped into Missouri, submit a copy of the applicant's
federal controlled substance registration and, if applicable, a copy of the
applicant's state controlled substance registration from the state where the
applicant is located;
(F) If the
designated pharmacist-in-charge does not have a current and active Missouri
pharmacist license issued by the board, submit an official verification from
the state board of pharmacy or equivalent state pharmacist licensing agency
verifying that the designated pharmacist-in-charge holds a current and active
pharmacist license in the state in which the nonresident pharmacy is located;
and
(G) Submit a copy of the
applicant's most recent pharmacy inspection by the applicant's resident state
board of pharmacy or its equivalent state regulatory body. The inspection must
have occurred within the last eighteen (18) months for sterile compounding
pharmacy applicants or within the last twenty-four (24) months for all other
pharmacy applicants. If a state inspection is unavailable, an inspection by the
Missouri Board of Pharmacy or from the Verified Pharmacy Program (VPP) of the
National Association of State Boards of Pharmacy or a similar inspection by an
entity approved by the board may be accepted.
(3) Each nonresident pharmacy shall supply
any inspection reports, warning notices, notice of deficiency reports , or any
other related reports requested by the board or the board's authorized designee
to review compliance with state and federal drug law
(4) The Missouri Board of Pharmacy will
extend reciprocal cooperation to any state that licenses and regulates
nonresident pharmacies for the purpose of investigating complaints against
pharmacies located in Missouri or the sharing of information and investigative
reports, as long as the other state will extend the same reciprocal cooperation
to the Missouri Board of Pharmacy.