| Customer verification | Federal rules apply |
|---|---|
| Records to keep | 3 years |
| Separate device or DME distributor license | In some cases |
What Missouri requires before you ship
We did not find a Missouri rule beyond federal law that spells out how a distributor must verify its customers. Federal rules still require it. Missouri's distributor rules focus on where a distributor buys from, not who it sells to. A Missouri distributor may not knowingly buy from an unlicensed distributor or pharmacy, and pharmacies may not knowingly buy from unlicensed sources. We found no Missouri rule that expressly requires a distributor to check a customer's license before selling. Federal DSCSA trading-partner rules still apply.
Source: 20 CSR 2220-5.020(1); RSMo 338.315
Records to keep
Distributors must keep records of every receipt and distribution of prescription drugs, showing the source, the drug and quantity, and the dates. Records must be available for inspection for three years after the drugs are disposed of. Records kept off-site that are not electronically retrievable must be produced within two working days.
Source: 20 CSR 2220-5.030(3)(I)-(K)
Licenses a distributor needs in Missouri
Prescription drug wholesale distributor
Anyone who acts as a wholesale drug distributor, pharmacy distributor, drug outsourcer or third-party logistics provider in Missouri needs a license from the Board of Pharmacy first. This includes out-of-state distributors that ship into Missouri. A Missouri distributor may not knowingly buy legend drugs or drug-related devices from a distributor or pharmacy the board has not licensed or registered.
Source: RSMo 338.330, 338.333; 20 CSR 2220-5.020
Medical device and DME distributors
Missouri's wholesale drug distributor definition covers the transfer of a drug or a drug-related device. The board's rule defines a drug-related device as a device that meets the federal device definition and the federal restricted-device rule (21 U.S.C. 321(h) and 360j(e)), so prescription (restricted) devices fall inside the drug distributor license. We found no separate Missouri license for medical device or DME distributors, and no rule limiting who device distributors may sell to.
Source: RSMo 338.330; 20 CSR 2220-5.030(9)
Controlled substances
Anyone who manufactures, distributes or dispenses controlled substances in Missouri must first get a registration from the Department of Health and Senior Services, in addition to DEA registration.
Source: RSMo 195.030.2
Where to look up a Missouri license
- Pharmacies and pharmacy permits: Missouri Board of Pharmacy
- Physicians and other practitioners: Missouri State Board of Registration for the Healing Arts
- NPI: NPPES NPI Registry
- DEA registrations: DEA Diversion Control Division
Federal rules that apply in every state
- A prescription device "is to be sold only to or on the prescription or other order of such practitioner," or to a business lawfully distributing it (21 CFR 801.109).
- A prescription drug wholesale distributor's trading partners "may be only authorized trading partners," which for a pharmacy means one licensed under state law (21 U.S.C. 360eee-1(c)(3)).
How WorkdID handles Missouri accounts
WorkdID by Workd checks every Missouri customer you sell to against the state's pharmacy and medical boards, the NPI registry, and the DEA, every day. It flags an expiration or a board action within a day of posting, and in Workd order entry it can hold the order until your compliance team clears the account. Every check is saved with the date and the board record, so your Missouri file is ready when someone asks for it.
Other states
Alabama · Alaska · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming