The Board of Pharmacy reminded pharmacy technicians that effective August 4 pharmacy technician applications must be submitted via the MOPRO online licensing portal and that paper applications will no longer be available. MOPRO is the new licensure system for the Division of Professional Registration.  

Also in Missouri, registration is open for the August 19 virtual Noon "Lunch with the Chief Inspector" update on pharmacy technicians. 

Also in Missouri, the Health Department (MHD) launched a self-service feature on the Pharmacy and Medical Pre-Certification Helpdesk Interactive Voice Response (IVR) system for prior authorization (PA) requests for drugs. This enhancement allows pharmacies and providers to check the status of faxed drug PA requests instantly. To use this feature, providers will need their National Provider Identifier (NPI), the participant's MO HealthNet ID (DCN) and the date the request was faxed. 

Finally in Missouri, the 2025 Pharmacy Practice Guide was recently updated.  

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

MO HealthNet announced that due to the increase in the state’s Pharmacy Reimbursement Allowance (Pharmacy Provider Tax), the adjustment to account for the Medicaid-reimbursed prescriptions increased effective July 1. In-state pharmacy providers will continue to receive a professional dispensing fee of $12.22, plus an adjustment to account for the cost of the Pharmacy Reimbursement Allowance attributable to Medicaid-reimbursed prescriptions. The professional dispensing fee plus the current adjusted amount will total $14.33. Out-of-state pharmacy providers will continue to receive a professional dispensing fee of $8.85. 

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

The Department of Social Services MO HealthNet Division (Medicaid) adopted an emergency rule for the Pharmacy Reimbursement Allowance (PRA). The emergency amendment was filed on June 23 and takes effect on July 8 and expires February 26, 2026.

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, 2026, expiration date.

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

The General Assembly adjourned on May 16.

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

MO HealthNet (Medicaid) is conducting a survey regarding the implementation of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act’s prescription drug monitoring program mandate. The SUPPORT Act required that states mandate that covered providers consult a qualified prescription drug monitoring program (PDMP) before prescribing controlled substances to covered individuals. States must report annual data about the use of PDMPs by covered providers before prescribing controlled substances to the Department of Health and Human Services (HHS).

Also in Missouri, effective January 9, 2025, the MO HealthNet Division (MHD) carved-out certain drugs from the 340B Drug Pricing Program reimbursement. It was necessary to allow the state to collect supplemental and value-based agreement rebates on certain therapies. The state cannot collect federal, supplemental, or value-based agreement rebates when a covered entity utilizes 340B stock.

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

The Board of Pharmacy amended rule 20 CSR 2220-4.010 governing new Board fees, that took effective on October 30.

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

MO HealthNet completed the annual review of all drug coverage criteria for the Prior Authorization Process.

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

The Consolidated Health Care Plan (MCHCP) issued an Emergency Rule clarifying member eligibility and responsibility for charges, effective January 1, 2025.  

Also in Missouri, the Department of Commerce and Insurance Board of Pharmacy posted a list of fee increases that went into effect on October 30, 2024. 

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