MO SB878

Pharmacists may order and administer FDA-approved vaccines to persons age 7 or older (or CDC-recommended age, whichever is older) as of January 1, 2026, excluding certain vaccines such as cholera, monkeypox, rabies, yellow fever, smallpox, and others not jointly approved by the Board of Pharmacy and State Board of Registration for the Healing Arts

Pharmacists with medication therapeutic plan authority may provide influenza, group A streptococcus, and COVID-19 medication therapy services pursuant to jointly promulgated rules, replacing the previous requirement for a statewide standing order from the Department of Health and Senior Services

Pharmacists may dispense ivermectin and hydroxychloroquine without a prescription upon approval of warning labels and in accordance with written protocols issued by the Board of Pharmacy

Pharmacists may prescribe FDA Class I or Class II medical devices authorized by joint rules of the Board of Pharmacy and State Board of Registration for the Healing Arts, with rules required within six months of the act's effective date

Nonprofit 501(c)(3) pharmacies licensed in Missouri may receive waivers from state rules to dispense and ship prescription drugs to other states or U.S. territories during declared disasters or emergencies, provided they comply with federal laws and emergency regulations of the receiving jurisdiction