Missouri stock epinephrine law
Missouri does not issue a statewide standing order. You'll need a prescriber to sign one.
Last checked 2026-08-14. Every row below links to its own source.
Statewide standing order
No[NO]
A statewide standing order exists only for fire protection districts in nonmetropolitan areas.
RSMo 321.621
No source on file; treat as unverified.
How to get it in Missouri
Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.
- Everyone
- Missouri does not issue a statewide standing order, so a prescriber signs yours. Any physician can, and in most states a nurse practitioner or PA can too.
Then the devices
Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.
Every status for Missouri
Nasal spray allowed for stock use
Pending[PENDING]'Epinephrine delivery system' effective August 28, 2026. The Missouri Revisor site already displays the post-effective text, which can mislead.
Childcare
Policy / training required[POLICY / TRAINING REQUIRED]Licensed child care providers must adopt a food-allergy policy by July 1, 2028. Stocking permitted, not required.
Other public places
Permitted[PERMITTED]First responders, licensed facilities, restaurants, recreation camps, youth sports leagues, child care facilities, amusement parks, sports arenas. Public and charter schools expressly excluded.
Pending legislation
HB 2372
Device neutrality plus Elijah's Law for childcare.
Signed July 13, 2026; effective August 28, 2026
Something out of date?
We keep this current because it's hard to find in one place. Report an update and we'll check it.
This page is a starting point, not legal advice.
Laws change frequently and we may not have caught the latest amendment in Missouri. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.
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Source: allergyrescuekit.com/free-epinephrine/mo · verified 2026-08-14