NACDS participated in the Missouri PBM Reform Summit, which brought together pharmacy stakeholders to identify crucial provisions for PBM reform legislation in 2027. NACDS voiced support for a commercial rate floor and increased enforcement, as well as prohibiting clawbacks, retroactive fees and transaction fees.

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

MO HealthNet issued a provider bulletin on credentialing requirements for participation in Medicaid Managed Care.  

Also in Missouri, CPESN MO pharmacies have two opportunities to contract with Medicaid Managed Care Organizations (MCOs) to provide monthly patient care services while also participating in value-based care payments tied to improving patient outcomes. These opportunities give pharmacy teams a pathway to expand clinical services, strengthen patient relationships, and generate additional revenue through monthly service payments and value-based care incentives. 

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

Effective August 31, the MO HealthNet (Medicaid) Pharmacy Administration Helpdesk will update its hours of operation to Monday through Friday, 8:00 am-4:30 pm. Providers may email MHD.PharmacyAdmin@dss.mo.gov or call (573) 751-6963 for assistance with questions about the MO HealthNet Pharmacy Program, including claims adjudication, MORx inquiries, TPL coordination and pharmacy claims pricing issues. 

Also in Missouri, MO HealthNet (Medicaid) completed the required annual review of all drug coverage criteria per 13 CSR 70-20.200 Drug Prior Authorization Process – Pharmacy Clinical Edits and Preferred Drug Lists. 

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

The Board of Pharmacy opened registration for the August 27th Noon-1 PM “Lunch with the Inspector” CE webinar. Topics will include statute revisions from the 2026 legislative session and a presentation on the Missouri Pharmacy Well-Being Program.

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

Gov. Mike Kehoe (R) signed two bills that include a provision to raise the 12-month purchase limit for ephedrine, phenylpropanolamine and pseudoephedrine from 43.2 grams to 61.2 grams, while keeping existing daily and monthly limits. The bill also requires manufacturers to fund a real-time tracking system for the sale of the products beginning on October 1. For more information, see HB 2372 & SB 878. 

Also in Missouri, on August 1, pharmacists can begin renewing their license. To renew, pharmacists must complete 30 hours of approved continuing education (CE) prior to renewing.  

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

MO HealthNet is required to complete an annual review of all drug coverage criteria per 13 CSR 70-20.200 Drug Prior Authorization Process – Pharmacy Clinical Edits and Preferred Drug Lists.

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

Gov. Mike Kehoe (R) signed SB 878, legislation sponsored by former Senator Travis Fitzwater (R) that strengthens pharmacy practice by expanding patient access to care. The bill allows pharmacists to order and administer FDA-approved or authorized vaccines and prescribe certain medical devices.

Also in Missouri, Gov. Kehoe (R) approved HB 2372, legislation allowing pharmacists to order and administer certain FDA-approved or authorized vaccines. The bill also permits pharmacists to independently prescribe certain medical devices.

Finally in Missouri, Gov. Kehoe (R) SB 1233, legislation allowing ordering and administering of certain vaccines approved or authorized by the FDA.

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

Navigating the MO HealthNet (Missouri Medicaid) enrollment process can be complex. To get started, visit the provider enrollment application. Before reaching out for support, check the Provider Enrollment Guide on the Missouri Medicaid Audit and Compliance (MMAC) Provider Enrollment webpage. The fastest way to find answers in the Guide is to check the Index or select your specific Provider Type. 

Also in Missouri, the Board of Pharmacy posted the agenda and meeting materials for a virtual open meeting on July 15. 

Finally in Missouri, the Board will be hosting a two-hour webinar for Missouri pharmacists-in-charge (PIC) on July 23, covering the PIC's responsibilities, inspector tips for PICs, regulatory requirements/changes, recent compliance and inspection trends, expanded scope of practice and patient safety best practices.  

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

The Department of Health and Senior Services (DHSS) renewed the naloxone standing order with a June 2, 2027, expiration date.  

Also in Missouri, effective June 1, MOHealthNet no longer offers manual overrides for pharmacy claims rejected due to missing or incorrectly formatted ICD-10 diagnosis codes under the Diagnosis Code Required Policy Edit, as found in the Pharmacy Clinical Edits and Preferred Drug Lists. Claims for agents included in the Diagnosis Code Required Policy Edit must include a valid, billable ICD-10 code to be processed successfully. 

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