MO SB914

Repeals and replaces sections 338.333, 338.335, and 338.337 of Missouri law relating to wholesale drug distribution licensing requirements.

Allows wholesale drug distributors with Missouri in-state distribution sites to operate out-of-state distribution sites without separate Missouri licenses if those out-of-state sites comply with their respective state licensing laws and only deliver drug-related devices to the licensed in-state Missouri site.

Makes Missouri wholesale drug distributors receiving shipments of drug-related devices from unlicensed out-of-state facilities responsible for all shipments received.

Exempts out-of-state wholesale drug manufacturers from licensing requirements if they maintain FDA inspection approval, current FDA authorization, and provide the most recent FDA Establishment Inspection Report to the Missouri Board of Pharmacy, but requires them to register their business name and address and pay a filing fee.

Permits reciprocal licensing for out-of-state wholesale and pharmacy distributors based on comparable state standards and reciprocal treatment from the distributor's home state.