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Compounding may also be defined as the preparation, incorporation, mixing and packaging, or labeling of a drug or device, for the purpose of, or as an incident to, research, teaching, or chemical analysis and not for sale or dispensing purposes. Please consult an attorney for guidance. (1) compounding is defined as the preparation, incorporation, mixing and packaging, or labeling of a drug or device as the result of a prescriber's prescription or prescription drug order based on the prescriber/patient/pharmacist relationship in the course of professional practice.

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Class b hospital pharmacies may distribute medication to other hospital clinics or facilities that are under common control, management or ownership of the same hospital or hospital system without a missouri drug distributor license. Missouri law is silent on a pharmacist’s authority to perform generic or biosimilar substitution on a medication order The missouri division of professional registration is comprised of 38 professional boards that are responsible for safeguarding public health, safety and welfare.

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Clear and informative labeling guides proper use for any medication, but it’s even more important when compounding is involved In addition to other requirements by the board, a pharmacist shall receive additional training as required by the board and evidenced by receiving a certificate from the board upon completion, and shall display the certification in his or her pharmacy where vaccines are delivered.