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Resource Guide to Prescribing, Administering
and Dispensing Controlled Substances
This Resource Guide to Prescribing, Administering and Dispensing Controlled Substances is based on the most current state law sourced from Bureau of Narcotics and Dangerous Drugs and the Missouri Department of Health and Senior Services (DHSS) guidelines.

NEW RULES authorize electronic prescribing of controlled substances (July 30, 2015)

Missouri’s Bureau of Narcotics and Dangerous Drugs (BNDD) promulgated regulations effective July 30 that formally authorize electronic prescribing of controlled substances in Missouri. The state’s rules now match federal DEA rules, which will eliminate some of the confusion that has plagued the e-prescribing process here. Now, electronic prescribing in Missouri may be performed in accordance with the DEA rules (21 CFR 1306.08, and 1311.100 - 1311.305).


From the BNDD/DHSS:  
From the Missouri Taskforce on Misuse, Abuse & Diversion of Prescription Drugs:

Controlled Substance Alert
Hydrocodone Products Moving to Schedule II

Effective October 6, 2014, hydrocodone combination products will officially be moved from Schedule III to the more-restrictive Schedule II for controlled substances. The change, ordered by U.S. Drug Enforcement Agency, will apply to all pharmaceuticals containing hydrocodone. Among other things, this means that any of those products will be subject to tighter prescribing rules.

Under Schedule III, a physician could prescribe a six month supply as a 30 day prescription with up to five refills. Now, however, refills will be prohibited. Prescriptions for these products can only be written in 30 day increments, must be filled sequentially, and cannot exceed 90 days duration. Also, all such prescriptions must be written and signed – they cannot be phoned in to the pharmacy – and nurses and physician assistants will no longer be able to prescribe them.

The AMA has published an excellent fact sheet regarding all the new requirements. See it here.

Rescheduling of Hydrocodone Products in Missouri: Source MO Department of Health Senior Services/BNDD 








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