SB 878, legislation expanding the pharmacists scope of practice filed by Sen. Travis Fitzwater (R), was heard in the Senate Families, Seniors and Health Committee on January 14. Current law allows certain pharmacists to provide certain medication therapy services under a statewide order issued by the Director or the Chief Medical Officer of the Department of Health and Senior Services. The bill would eliminate the standing order and authorize pharmacists' medication therapy services pursuant to rules established by the Board of Pharmacy and the State Board of Registration for the Healing Arts. These jointly promulgated rules to implement this provision will take place within six months of the effective date of this act. In addition, it would allow pharmacists to prescribe durable medical equipment. 

Also in Missouri, in advance of the Senate Families, Seniors and Health Committee hearing on January 21, NACDS submitted a statement in support of SB 968, a PBM reform bill that includes key provisions for pharmacies: 

  • Requires fair and transparent PBM reimbursement to pharmacies, covering both drug acquisition and dispensing costs. 
  • Protects patient choice by prohibiting PBM steering and ensuring access to local pharmacies, especially for vulnerable populations. 
  • Sets a minimum dispensing fee at 90% of the Missouri HealthNet rate. 
  • Strengthens MAC price appeal rights for pharmacies, including a longer appeal window and better access to alternative drug sources. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.