Pursuant to Chapter 338, of the Revised Statutes of Missouri, the Board has regulatory authority over the practice of pharmacy in Missouri which includes, but is not limited to, regulating and licensing pharmacists, intern pharmacists, pharmacy technicians, pharmacies, drug distributors, drug outsourcers and third-party logistics providers. The Board’s administrative rules are promulgated in Chapter 20 CSR 2220 of the Missouri Code of State Regulations. • The Missouri Bureau of Narcotics and Dangerous Drugs (“BNDD”) regulates controlled substance distribution in Missouri. However, the Board monitors and inspects compliance with applicable controlled substance drug laws. For controlled substance questions, contact BNDD at (573) 751-6321 or e-mail bndd@health.mo.gov. E-mail is preferred. • The Missouri Department of Health and Senior Services (DHSS) has regulatory jurisdiction over pharmacy services provided within the “licensed premises” of a Missouri hospital (see Chapter 197). However, Class-B hospital pharmacies are under the Board’s jurisdiction (see D.10). DHSS related hospital questions should be addressed to (573) 751-6303 or HSRelectronic2567@health.mo.gov. A.2 COMPLIANCE AND EDUCATION The Board is committed to promoting voluntary compliance through education and awareness. A variety of free practice resources are available on the Board’s website including: 1. Brochures/Compliance Guides: Brochures on a variety of compliance topics are available online at https:// pr.mo.gov/pharmacists-publications-resources.asp, including, Inspector Tips for Preventing Drug Diversion, theCompliance Top 10, the Pharmacist Immunization/Administration Checklist and the Pharmacy Self-AssessmentGuide. Resources are also available for technicians such as the Technician Compliance Guide and a free online Technician Quiz. 2. Webinars: The Board periodically hosts free webinars to discuss emerging compliance issues and trends. Pharmacist CE is available for attending live webinars. Recorded webinars are available on the Board’s website for on-demand review at http://pr.mo.gov/pharmacists-publications-resources.asp#videos. 3. Newsletters/E-Alerts: Sign-up for the Board’s newsletter and e-alerts at public.govdelivery.com/accounts/MODIFP/subscriber/new to receive webinar notices and other regulatory updates, including, notification of technician disciplinary actions. A.3 DISCIPLINARY AUTHORITY The Board may impose discipline if a licensee/registrant, or any officer, owner, pharmacist-in-charge or manager-in-charge, has committed any act identified in § 338.055.2. Grounds for disciplinary action include, but are not limited to: 1. Using a controlled substance or alcoholic beverage to an extent that such use impairs a licensee’s/registrant’s ability to practice; 2. Being finally adjudicated and found guilty, or entering a plea of guilty or nolo contendere, for any criminal offense reasonably related to the qualifications, functions or duties of any profession licensed or regulated by Chapter 338, for any offense an essential element of which is fraud, dishonesty or an act of violence, or for any offense involving moral turpitude (this includes a suspended imposition of sentence or “SIS”); 3. Obtaining or attempting to obtain any fee or other compensation by fraud, deception or misrepresentation; 4. Incompetence, misconduct, gross negligence, fraud, misrepresentation or dishonesty in the performance SECTION A: REGULATORY INFORMATION Table of Contents Practice Guide 2023.

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