MO · State regulatory reference
Missouri.
Moderate
Missouri regulates telemedicine prescribing under RSMo § 191.1145 (telehealth definitions), § 191.1146 (physician-patient relationship), and § 334.108 (telemedicine/internet prescriptions), which permit establishing a physician-patient relationship via a telemedicine encounter where the standard of care does not require an in-person visit but bar prescribing based solely on an internet questionnaire. The Board of Pharmacy adopts USP Chapter 797 by reference for sterile compounding under 20 CSR 2220-2.200, standard 503A oversight without unusual state-specific peptide restrictions. No documented Missouri-specific board enforcement targeting peptides or compounded GLP-1s was found.
Last reviewed · 2026-05-25 · verified entry
Agencies
TPC notes
Telehealth
Under RSMo § 191.1146 and § 334.108, a physician-patient relationship may be established through a telemedicine encounter when the standard of care does not require an in-person exam; the technology must support an informed diagnosis, and prescribing based solely on an internet or telephone questionnaire is prohibited. No blanket prior-in-person-visit requirement.
Compounding
Missouri incorporates USP standards by reference and directs 503A sterile compounders to follow USP Chapter 797 for cleaning, environmental monitoring, media-fill and sterility/endotoxin testing under 20 CSR 2220-2.200 — standard-intensity oversight rather than peptide-specific additions.
Sources