Pharmacist Disciplinary Action Report

Any entity that employs or contracts with a Missouri licensed pharmacist to provide health care services to individuals is required to report to the Board:

  • Any disciplinary action against a Missouri licensed pharmacist that would be cause for Board discipline under section 338.055, OR
  • The voluntary resignation of a Missouri licensed pharmacist against whom any complaints or reports have been made which might have led to disciplinary action.

[Section 383.133, RSMo].

Reports must be submitted to the Board within fifteen days of the disciplinary action. Complete the sections below to submit an electronic report (items with an asterisk are required by § 383.133, RSMo):

You must fill out all required fields.
Provide the following information about the person making this report.
Provide the following information about the subject of this report
Background Information
Code