Missouri law authorizes pharmacists to dispense Naloxone without a prescription under a statewide Standing Order issued by the Missouri Department of Health and Senior Services or by protocol with a licensed physician. The following resources have been provided by the Board to assist licensees and to help educate patients:

Patient Opioid Safety and Naloxone Brochure
Naloxone Standing Order
Standing Order Guidance
Naloxone Dispensing by Protocol FAQ

(The following resources from other state/federal agencies are provided for informational purposes only. Document content is from the sponsoring entity and does not constitute a recommendation or endorsement of the Board.)

Pharmacist Resources Patient Resources

Guidance For First Responder Agencies 
Section 190.255, RSMo, authorizes any licensed drug distributor or pharmacy to sell naloxone to a "qualified first responder agency". A qualified first responder agency is defined by statute as "any state or local law enforcement agency, fire department or ambulance service that provides documented training to its staff related to the administration of naloxone in an apparent narcotic or opiate overdose situation." Licensees can sell naloxone to a qualified first responder agency without a protocol. All sales/distributions should be documented in the pharmacy's/drug distributor's records. (See the Missouri Pharmacy Practice Guide for additional information)