Telehealth providers in Missouri

Verified telehealth providers serving Missouri

Telehealth prescribing rules in Missouri

RSMo 191.1145 defines telehealth and permits licensed providers to deliver services by telehealth under the in-person standard of care. RSMo 191.1146 requires a physician using telemedicine to ensure a properly established physician-patient relationship, which can be formed in person, through consultation with a physician who has an existing relationship, or through a telemedicine encounter if the standard of care does not require an in-person visit. Before prescribing, the physician must evaluate the patient, collect or review relevant history, and perform an examination sufficient for diagnosis and treatment. 2026 House Bill 2372 amended RSMo 191.1146 and 334.108 effective August 28, 2026. Under the amended 191.1146, a questionnaire completed by the patient online or by telephone counts only if the treating health care professional reviews it and it contains enough information to stand in for an in-person evaluation; a provider who uses a questionnaire to establish the relationship must be employed by or contracted with a business entity licensed to provide health care in Missouri, and must send a written report to the patient's primary care provider, if the patient names one, within 14 days. The amended 334.108 requires a valid physician-patient relationship under 191.1146 before any telemedicine or internet prescription, and its subsection 3 bars prescribing based solely on a telemedicine evaluation unless a previously established and ongoing physician-patient relationship exists. The House summary of the truly agreed bill describes it as permitting such questionnaires, but the statute text does not say how subsection 3 applies to a relationship first established by questionnaire under 191.1146, so this record leaves asynchronous prescribing unconfirmed rather than recording it as allowed or barred. [2] [3] [4]

Compounded GLP-1 access in Missouri

Missouri requires a real clinical evaluation before a telehealth GLP-1 prescription: since August 28, 2026 a questionnaire counts only when a treating health care professional reviews it and it holds enough information to stand in for an in-person evaluation, and RSMo 334.108 limits prescribing based solely on a telemedicine evaluation. The dispensing pharmacy needs a Missouri or Missouri nonresident license. [2] [3] [6] [11]

Research use only sellers in Missouri

Missouri food and drug law (RSMo chapter 196) prohibits selling adulterated or misbranded drugs, and chapter 338 limits dispensing of prescription drugs to licensed pharmacies. [5] [9] [12]