Prescription Requirements

PURPOSE: This rule establishes requirements for information required on prescriptions. (1) To be valid for purposes of dispensing, a prescription shall conform to all requirements of sections 338.056 or 338.196, RSMo, and shall contain the following information: (A) The date of prescribing; (B) The name of the patient(s), or if an animal, species and owner’s name; (C) The prescriber’s name, if an oral prescription, or written or electronic signature if a written, faxed, or an electronically transmitted prescription. Electronic signatures shall comply with all applicable provisions of 20 CSR 2220-2.085; (D) Name, strength and dosage of drug, device or poison prescribed and the directions for use; (E) The number of refills, if applicable; (F) The quantity prescribed in weight, volume, or number of units; AND INSURANCE (G) An indication of whether generic substitution has been authorized by the prescriber, as required by section 338.056, RSMo; (H) Any change or alteration made to the prescription dispensed based on contact with the prescriber to show a clear audit trail. This shall include, but is not limited to, a change in quantity, directions, number of refills, or authority to substitute a drug; (I) The address of the prescriber and the patient when the prescription is for a controlled substance; (J) The prescriber’s Drug Enforcement Administration (DEA) number when the prescription is for a controlled substance; and (K) Controlled substance prescriptions shall also comply with all requirements of federal and state controlled substance laws. AUTHORITY: sections 338.095, 338.100, 338.140, and 338.240, RSMo Supp. 2012, and section 338.280, RSMo 2000.* This rule originally filed as 4 CSR 220-2.018. Original rule filed May 4, 1995, effective Dec. 30, 1995. Amended: Filed March 15, 2000, effective Sept. 30, 2000. Amended: Filed Nov. 1, 2000, effective June 30, 2001. Moved to 20 CSR 2220-2.018, effective Aug. 28, 2006. Amended: Filed Jan. 10, 2013, effective Aug. 30, 2013. *Original authority: 338.095, RSMo 1993, amended 2007; 338.100, RSMo 1939, amended 1971, 1990, 1997, 1999, 2010; 338.140, RSMo 1939, amended 1981, 1989, 1997, 2011; and 338.240, RSMo 1951, amended 2011.