Missouri Administrative Code

or Urine Analysis and Drug Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19 CSR 25-30.021 Type I Permit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 19 CSR 25-30.031 Type II …

PURPOSE: This rule establishes the qualifications, duties, and responsibilities of a Type I permittee and the standards for labora- tories in which Type I permittees perform testing. (1) A Type I permit, included herein, authorizes an individual to perform analyses of blood, sali…

be used (see Report No. 3 included herein for example); and PURPOSE: This rule establishes the qualifications, duties, and re- (D) When performing a maintenance check on the Alco- sponsibilities of a Type II permittee and establishes a maintenance Sensor IV with printer, Report N…

PURPOSE: This rule establishes the qualifications, duties, and re- sponsibilities of a Type III permittee. (1) A Type III permit, included herein, authorizes an individual to operate breath analyzers. (2) An applicant for a Type III permit shall not be less than twenty-one (21) y…

2019, effective March 30, 2020. PURPOSE: This rule enumerates those breath analyzers which are approved by the Department of Health and Senior Services for the *Original authority: 192.006, RSMo 1993, amended 1995; 577.020, RSMo 1977, determination of the alcoholic content of blo…

PURPOSE: This rule establishes an operational checklist (including certification by the operator) for each of the approved breath an- alyzers in 19 CSR 25-30.050. Prosecuting attorneys have requested that these procedures be included as a rule so they can be intro- duced in court…

Determination of Blood Alcohol Content or the Presence of Drugs. . . . . . . . 23

Presence of Drugs (Rescinded March 30, 2020). . . . . . . . . . . . . . . . . . . . . . . . . 24 John R. Ashcroft (5/31/23) CODE OF STATE REGULATIONS 1 Secretary of State 19 CSR 25-30—DEPARTMENT OF HEALTH DIVISION 25—MISSOURI STATE AND SENIOR SERVICES PUBLIC HEALTH LABORATORY TIT…

(Rescinded May 30, 2026) AUTHORITY: section 196.045, RSMo (1986). This rule was previ- ously filed as 13 CSR 50-141.010 and 19 CSR 20-32.010. Original rule filed Jan. 31, 1966, effective Feb. 10, 1966. Rescinded and re- adopted: Filed Oct. 15, 1981, effective Feb. 11, 1982. Chang…

for Human Immunodeficiency Virus Antibodies ........................................3 MATT BLUNT (3/31/04) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 33—Laboratories for Serologic Tests for Human Immunodeficiency Virus Antibodies 19 CSR 25-33 Title 19—DEPARTMENT OF (2…

for Syphilis on Prenatal Blood .............................................................3 MATT BLUNT (3/31/04) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 34—Laboratories for Serologic Tests for Syphilis 19 CSR 25-34 Title 19—DEPARTMENT OF continues its testing ser…

for Hepatitis B on Prenatal Blood .........................................................3 Rebecca McDowell Cook (2/28/97) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 35—Laboratories for Serologic Tests for Hepatitis B 19 CSR 25-35 Title 19—DEPARTMENT OF HEALTH Divis…

and Genetic Disorders within fourteen (14) days of age if the initial date of the diagnosis for that infant to the specimen was collected before twenty-four appropriate newborn screening contracted PURPOSE: State law requires that all infants (24) hours of age. follow-up center a…

Fees PURPOSE: This rule establishes a fee for testing specimens for tuberculosis that are PURPOSE: This rule establishes a charge for submitted to the State Public Health Labora- handling samples and specimens submitted tory. for testing to the State Public Health Labora- tory an…

O. Beta-hydroxyfentanyl PURPOSE: The Department of Health and Senior Services has (N-(1-(2-hydroxy-2- prepared a list of all drugs falling within the purview of controlled phenethyl)-4-piperidinyl)- substances. N-phenylpropanamide) 9830 P. Beta-hydroxy-3- PUBLISHER’S NOTE: The se…

PURPOSE: The Department of Health is authorized to except AUTHORITY: section 195.195, RSMo 1994.* Material found in this by rule any compound, mixture or preparation containing any rule previously filed as 19 CSR 30-1.020. Original rule filed April 14, stimulant or depressant sub…

Implant Products Kalamazoo, MI (M) Implus-H Upjohn Co., Animal 06-0434-01 PURPOSE: This rule maintains a list of veterinary anabolic steroid Health Division, 01968327 products excluded from 19 CSR 30-1.002(1)(C)5. in conformance Orangeville, ON with federal law. (N) Revalor-G Hoe…

Norcross, GA (Rescinded November 30, 2000) (F) F-TO Animal Health, 00093351 Upjohn International, AUTHORITY: section 195.195, RSMo Supp. 1993. This rule was Kalamazoo, MI previously filed as 13 CSR 50-130.010 and 19 CSR 10-130.010. (G) Finaplix-H Hoechst Roussel Original rule fil…

within three working days of a request; PURPOSE: This rule contains definitions which establish the (O) Registration means a Missouri controlled substances Denny Hoskins (1/29/26) CODE OF STATE REGULATIONS 19 Secretary of State DIVISION 30—DIVISION OF REGULATION 19 CSR 30-1—DEPAR…

Senior Services shall exempt the following persons from PURPOSE: This rule establishes and fixes certain fees and charges payment of a fee for registration or re-registration: statutorily authorized to be made by the Department of Health in (A) Any official or agency of the Unite…

(E) Any registration that is exempt from payment pursuant PURPOSE: This rule establishes fees for various types of registration, to this section shall be valid only when authorized persons a late registration fee, manner of payment, and exemption from are conducting activities in…

sixty (60) days after notifying the applicant of the deficiency. PURPOSE: This rule establishes the period and expiration (E) An application may be withdrawn by making a written of registration, the process of applying for registration, and request to the Department of Health and…

(Rescinded November 30, 2000) (2) Termination of Registration. AUTHORITY: section 195.195, RSMo Supp. 1989. This rule was (A) The registration of any person shall terminate— previously filed as 13 CSR 50-130.020. Original rule filed Sept. 28, 1. On the expiration date assigned to…

PURPOSE: This rule establishes procedures for modifying an Enforcement Administration; existing registration, describes the conditions under which a 5. If and when the person discontinues business or registration automatically terminates, and prohibits the transfer changes busine…

(Rescinded November 30, 2000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 CSR 30-1.026 Separate Registrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 19 CSR 30-1.027 Investigative and A…

emergency medical service location where an emergency PURPOSE: This rule defines the requirements for controlled vehicle is housed that does not have a permanent location of substance registrations for separate activities and for separate operation; and sites, and defines when a …

(Rescinded November 30, 2000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 19 CSR 30-1.031 Physical Security Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 19 CSR 30-1.032 Security for Nonpractitione…

other records of distribution of controlled substances. In PURPOSE: This rule describes specific actions required of addition, the requirements for order forms shall be complied nonpractitioner registrants to maintain effective security. with for any distribution of a controlled …

(Rescinded November 30, 2000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Denny Hoskins (3/31/26) CODE OF STATE REGULATIONS 1 Secretary of State 19 CSR 30-1.034 Security for Practitioners . . . . . . . . . . . . . . . . . . . . . . . . . . . . .…

was reported to law enforcement; the name and phone PURPOSE: This rule describes specific actions required of number of the law enforcement agency reported to; the practitioner registrants to maintain effective security. This rule number of losses or thefts the registrant has exp…

Controlled Substances (Rescinded November 30, 2000) . . . . . . . . . . . . . . . . . 27

(Rescinded November 30, 2000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Situations (Rescinded July 30, 2003) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 19 CSR 30-1.041 Records Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 19 CSR 30-1.042 Inventory Requirements…

practitioner, manufacturer, distributor, importer and exporter PURPOSE: This rule defines the record keeping and inventory shall maintain inventories and records of controlled substances requirements for various classes of registrants. as follows: (A) Inventories and records of c…

(10 mg) tablets or ten milligram (10 mg) concentration per PURPOSE: This rule sets requirements for the maintenance of fluid ounce or milliliter); the number of units of finished ongoing controlled substance records. form manufactured; the quantity used in quality control; the qu…

Importers and Exporters containers, or both, received from other persons, including the date of and number of units, commercial containers, or both, PURPOSE: This rule sets requirements for record keeping by in each receipt and the name, address and registration number manufactur…

and 340, RSMo, the rules in 4 CSR 110, 4 CSR 150, 4 CSR 200, PURPOSE: This rule sets requirements for record keeping by long- 4 CSR 210, 4 CSR 220, 4 CSR 230 and 4 CSR 270, and protocols term care facility registrants. relating to the respective practitioners established and on f…

of Controlled Substances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 19 CSR 30-1.062 Transmission of Prescriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 19 CSR 30-1.064 Partial Filling o…

Prescriptions controlled substances, including the ability to retrieve the information pertaining to partially filled controlled substances; PURPOSE: This rule sets requirements for the partial filling of (C) The total quantity dispensed in all partial fillings cannot controlled …

authenticated by the ordering practitioner within a time frame PURPOSE: This rule sets requirements for individual practitioners and manner as defined by the medical staff in cooperation who dispense controlled substances. with nursing and administration. This policy shall be inc…

oral emergency prescription which had earlier been reduced PURPOSE: This rule sets requirements for administering controlled to writing. The pharmacist shall notify the Department of substances in hospital emergency rooms. Health if the prescribing practitioner fails to deliver a…

non-pharmacist employee even if under the supervision of a PURPOSE: This rule provides for the prescribing, administering pharmacist (although after the pharmacist has fulfilled his/ and dispensing of Schedule V drugs. her professional and legal responsibilities, the actual cash …

(C) Dispensers shall utilize the real-time electronic PURPOSE: This rule provides for dispensing Schedule V controlled pseudoephedrine tracking system established and maintained substances without a prescription in certain situations. by the Missouri Department of Health and Seni…

PURPOSE: This rule establishes the process for practitioners to obtain waivers to the electronic prescribing requirements established by section 195.550, RSMo. (1) Practitioners required to utilize electronic prescribing pursuant to section 195.550, RSMo may request a waiver of t…

(Moved to 19 CSR 10-10.010)

(Moved to 19 CSR 10-10.020)

Certificate (Moved to 19 CSR 10-10.030)

Live Birth (Moved to 19 CSR 10-10.040)

(Moved to 19 CSR 10-10.050)

(Moved to 19 CSR 10-10.060)