PURPOSE: This rule establishes the process for practitioners to obtain waivers to the electronic prescribing requirements established by section 195.550, RSMo.

1. (1) Practitioners required to utilize electronic prescribing pursuant to section 195.550, RSMo may request a waiver of this requirement from the Department of Health and Senior Services.

   1. (A) Applications shall only be submitted by practitioners with active Missouri Controlled Substance Registrations. Applications shall not be submitted by a registrant’s designee or representative.
   2. (B) Applicants requesting a waiver shall submit an application for a waiver by sending their application to BNDDRxWaiver@ health.mo.gov. A sample application may be found on the Department’s website, www.health.mo.gov/safety/bndd.

   3. (C) The application shall include:

      1. 1. Applicant’s first and last name;
      2. 2. Applicant’s licensure type;
      3. 3. Applicant’s Missouri Controlled Substance Registration

number;

1. 4. Applicant’s email address;
2. 5. The Applicant shall indicate for which of the following

reasons they are seeking a waiver:

1. A. Economic hardship;
2. B. Technological limitations; or
3. C. Other exceptional circumstances;
4. 6. The Applicant shall provide any additional details they

consider necessary to support their waiver request;

1. 7. The Applicant shall certify that the information included

in their application is true and accurate; and

1. 8. The Applicant shall sign and date the application. An

electronic signature will satisfy this requirement.

1. (D) Waivers granted by the department shall be valid for one

1. (1) year after the date on which they are issued.

   1. (E) Waivers shall be kept on file at the practitioner’s primary, principle practice location and available for review by the department.

AUTHORITY: section 195.550, RSMo Supp. 2020.* Emergency rule filed Dec. 15, 2020, effective Dec. 31, 2020, expired June 28, 2021. Original rule filed Dec. 15, 2020, effective June 30, 2021. *Original authority: 195.550, RSMo 2019.