Bureau of Narcotics and Dangerous Drugs Index of Citations

Index of Citations (09/01/2024)

Citations apply to controlled substances only

Statutes are in Chapter 195 and Chapter 579, RSMo.

Regulations are in 19 CSR 30 Chapter 1

DEA Federal Regulations are in Title 21 CFR Section 1300

Registration Issues

ViolationAuthority/Citation
Registration required before activities take place195.030.2 RSMo; 19 CSR 30-1.017(2)(A)
Activity must be within authority of license and registration195.030.3 RSMo; 19 CSR 30-1.026(2)
When registrations are required at multiple locations195.030.6 RSMo; 19 CSR 30-1.026(3)
Fees for registration & exemptions & fees not refundable19 CSR 30-1.015(3)
Missouri practice locations required for full registrations19 CSR 30-1.019(2)
Requirement to notify BNDD of change in address or name19 CSR 30-1.023(1)(c)
Failure to notify BNDD of change in address within 30 days19 CSR 30-1.023(2)
DEA Certificate must be on site and retrievable21 CFR 1301.35(c)
Disposal drug box requires registration modification19 CSR 30-1.078(1)(D)

Grounds for Denying/Revoking Registration

Reason for Denial/RevocationAuthority/Citation
Person abusing drugs cannot have a registration195.040.2 RSMo
No registration for 7 years if guilty plea to felony drug crime195.040.2 RSMo
No registration for 2 years if guilty plea to misdemeanor drug crime195.040.2 RSMo
Applicant did not maintain controls to prevent diversion195.040.3(1) RSMo
Noncompliance with applicable state and local laws195.040.3(2) RSMo
Conviction(s) under state or federal laws195.040.3(3) RSMo
Establishment lacks controls against diversion195.040.3(4) RSMo
Provided false information on application195.040.3(5) RSMo
DEA registration has been revoked/suspended195.040.3(6) RSMo
Other factors consistent with public health195.040.3(7) RSMo
Professional license not currently active19 CSR 30-1.017(5)(H)
Application not completed – no response in 60 days19 CSR 30-1.017(3)(D)

DEA Form 222 – Official Order Forms

ViolationAuthority/Citation
C2 purchasing/receipt procedures not followed195.050.3 RSMo
Order form not used to obtain/transfer C221 CFR 1305.03
Agent/employee executing forms without power of attorney21 CFR 1305.04/1305.05
Electronic 3rd copy off computer – no date of receipt21 CFR 1305.22(g)

Agencies with Access to Records

Access DetailAuthority/Citation
BNDD has access to drug record195.050.6 RSMo
195.375.5 RSMo
579.084 RSMo
19 CSR 30-1.041(2)
Law Enforcement has access to drug records195.375.5 RSMo
Records must be produced to BNDD within 3 days19 CSR 30-1.044(5)

Record Keeping

ViolationAuthority/Citation
Required records must be maintained195.050.6 RSMo
Pharmacy prescription records not readily available195.060.1 RSMo
Pharmacy prescription records not maintained for 2 years195.060.1 RSMo
Failure to keep, maintain or furnish any drug record579.084 RSMo
Drug records not kept for 2 years19 CSR 30-1.041(2)
Drug records not maintained at registered location19 CSR 30-1.041(2)
Drug records stored at central location without permit19 CSR 30-1.041(2)
Drug records not available for inspection19 CSR 30-1.041(2)
C2 records not separate from C3-C5 – pharmacy19 CSR 30-1.041(4)
C2 records not separate from C3-C5 – pract, dist, import, export19 CSR 30-1.041(3)
Manuf, Distrib, Import and Export records not readily retrievable19 CSR 30-1.041(3)
Pharmacy records not readily retrievable19 CSR 30-1.041(4)
Separate inventory lacking for separate location19 CSR 30-1.042(1)(B)
Initial Inventory lacking (must be within 2 years)19 CSR 30-1.042(2)(A)
Annual Inventory lacking19 CSR 30-1.042(3)
New controlled substance not on inventory19 CSR 30-1.042(4)
Drug records are to be current, complete and accurate19 CSR 30-1.044(1)
Dispensing log – what information is required19 CSR 30-1.048(1)
Dispensing log non-existent19 CSR 30-1.048(1)
Receipt records incomplete- what is required19 CSR 30-1.048(1)
Receipt records non-existent19 CSR 30-1.048(1)
Disposal/waste/destruction records incomplete19 CSR 30-1.048(1)
Disposal/waste/destruction records non-existent19 CSR 30-1.048(1)
Administration records C2-C5 incomplete-what is required19 CSR 30-1.048(2)
Prescribing records for C2 incomplete19 CSR 30-1.048(2)
Drug transfer records incomplete19 CSR 30-1.048(4)
Drug transfer records non-existent19 CSR 30-1.048(4)
DEA Order Form 222 not used to transfer C219 CSR 30-1.048(5)
Practitioner not filing faxed scripts in separate chronological file19 CSR 30-1.048(7)
LTCF not maintaining E-kit transfer records19 CSR 30-1.052(1)
Expired drug destruction records incomplete/non-existent19 CSR 30-1.078(1)
Pharmacy computer system unable to retrieve records21 CFR 1306.22(b)
Records not available for inspection19 CSR 30-1.041(2)
Daily printout of electronic communicated transmissions Not maintained properly19 CSR 30-1.048(9)

Practitioners Required to Maintain Patient Charts

ViolationAuthority/Citation
Requirements for charts and contents by physicians334.097 RSMo
Requirements for charts and contents by dentists332.052 RSMo
Requirements for charts and contents by veterinarians340.284 RSMo
20 CSR 2270-4.041
20 CSR 2270-6.011(8)

Controlled Substance Security

ViolationAuthority/Citation
Controls and procedures must be adequate to detect and prevent diversion19 CSR 30-1.031(1)
Physical security not commensurate with types and quantities of drugs19 CSR 30-1.031(2)
Non-practitioner lacks system to detect suspicious orders19 CSR 30-1.032(2)
Non-practitioner fails to notify BNDD of loss/theft19 CSR 30-1.032(3)
Practitioner must lock C2 drugs19 CSR 30-1.034(1)(A)
Practitioner must lock C3-C5 drugs19 CSR 30-1.034(1)(B)
Person with guilty pleas for drug crimes must have waivers to access drugs19 CSR 30-1.034(2)(A)
Practitioner failed to notify BNDD of loss/theft19 CSR 30-1.034(2)(B)(1)
Records inadequate to conduct audit of drugs19 CSR 30-1.031(1)
Prescription pads left out unattended in patient area19 CSR 30-1.031(1)
Pre-signing a blank prescription-still found blank19 CSR 30-1.062(3)
Pre-signing a blank prescription-drugs were dispensed19 CSR 30-1.062(3)

Packaging and Labeling

ViolationAuthority/Citation
Childproof containers required19 CSR 30-1.066(1)(B)
Labeling requirements for containers195.100.5 RSMo
19 CSR 30-1.066(1)(C)
Label that warns patient against illegal transfer195.100.3 RSMo

Retail Pharmacy Dispensing

ViolationAuthority/Citation
Prescription valid for only 6 months195.060.1 RSMo
Dispensed fraudulent/invalid or incomplete prescription195.060.1 RSMo
Dispensed C2 prescription without practitioner’s signature195.060.1 RSMo
19 CSR 30-1.062(1)
Dispensed Rx must document pharmacy employee and date dispensed195.060.1 RSMo
Dispensing must occur in good faith195.060.1 RSMo
Unauthorized refill of C2 prescription195.060.1 RSMo
C3-C5 prescriptions refilled more than 5 times195.060.1 RSMo
Dispensing more than allowable supply195.080.2 RSMo
Fail to notify BNDD when prescriber did not supply original C2 prescription for emergency19 CSR 30-1.070(1)(D)
Practice pharmacy without license338.010.2 RSMo
Partial dispensing of prescriptions19 CSR 30-1.064
Prescriber must fill out prescription/pharmacy cannot fill out21 CFR 1306.04
21 CFR 1306.05

Practitioner Prescribing

ViolationAuthority/Citation
Prescription must bear the date it was issued – no post dating195.060.1 RSMo
Prescription must be signed by prescriber195.060.1 RSMo
Prescribed outside of scope of professional practice195.070.1 RSMo
Prescribed without established practitioner/patient relationship195.070.1 RSMo
Prescribed outside scope of veterinary practice195.070.2 RSMo
Practitioner cannot prescribe or dispense to self195.070.4 RSMo
Cannot prescribe to obtain office stock for administering and dispensing in office19 CSR 30-1.048(6)
Pre-signing a blank prescription – found blank19 CSR 30-1.062(3)
Pre-signing a blank prescription – drugs were dispensed19 CSR 30-1.062(3)
Emergency oral C2 prescription issued in a non-emergency19 CSR 30-1.070(1)
Prescribed opiates to addict for unauthorized detoxification21 CFR 1306.07
Requirements of a prescription – prescriber must complete21 CFR 1306.05(a)
Use of false DEA numberUSC CSA 843(c)(a)(2)
Refills overlapping too soon causes diversion19 CSR 30-1.031(1)
Patient chart not documented to determine if a refill is timely19 CSR 30-1.048(2) 19 CSR 30-1.031(1)
Written C2 prescription must be written to cover emergency oral prescription within 7 days19 CSR 30-1.070(1)(D)
Physical examination required by practitionerDEA case law
Faxed prescription must bear fax number, date and time of transmission19 CSR 30-1.048(7)
Prescriber must fill out prescription/pharmacy can not21 CFR 1306.04 21 CFR 1306.05
Mid-Level practitioners limited to only a 5 day supply of opiates195.070.2 RSMo
Mid-Level’s only C2 drug authority is for hydrocodone only195.070.2 RSMo
First time or new prescription for opiates is limited to 7 days195.080.2 RSMo
Patients receiving opiate prescriptions must receive counseling195.080.2 RSMo
C2 prescriptions must be issued to patient or pharmacy on same date issued19 CSR 30-1.062(3) 21 CFR 1306.05
Electronic prescribing required unless practitioner has waiver195.550 RSMo
Practitioner may take possession of patient prescription for office use, only if authorized by DEA195.070 RSMo

Practitioner Dispensing

ViolationAuthority/Citation
Dispense without established practitioner-patient relationship195.070.1 RSMo
19 CSR 30-1.066(1)(D)
Dispense outside of scope of practice195.070.1 RSMo
Unsupervised dispensing by staff195.070.1 RSMo
19 CSR 30-1.066(1)(A)
Dispensing outside of scope of veterinary practice195.070.3 RSMo
Dispensing drugs to self for personal use195.070.5 RSMo
For non-controlled drugs, physician must follow State Regulation20 CSR 2150-5.020
Dispensing log must have required information19 CSR 30-1.048(2)
Disposing of partial doses contaminated by patient contact19 CSR 30-1.078(2)
Disposing of drugs that are expired, not contaminated by patient19 CSR 30-1.078(1)

Criminal Violations

ViolationAuthority/Citation
Drug activities without a registration579.084 RSMo
Fraudulently obtain a drug by fraud/misrepresentation579.045 RSMo
Fail to make, keep, maintain or provide a drug record579.084 RSMo
Falsifying a drug record for theft/diversion579.045 RSMo
Possess or utter a forged prescription579.045 RSMo
Possess illegal drug paraphernalia579.074 RSMo
Practicing pharmacy without a license338.010.2 RSMo
Practicing medicine without a license334.010 RSMo
Stealing a controlled substance570.030.5(m) RSMo