WHEREAS, on April 22, 2011, by Executive Order 11-06, I declared a State of Emergency and directed the Missouri State Emergency Operations Plan to be activated; and

WHEREAS, on May, 20, 2011, by Executive Order 11-09, I extended the declaration of emergency contained in Executive Order 11-06 through June 20, 2011; and

WHEREAS, on May 22, 2011, the City of Joplin was hit by a tornado and severe storms causing a natural disaster of historic proportions; and

WHEREAS, medical practitioners entering the State of Missouri to provide mutual aid and assistance to individuals affected by the disaster may need to prescribe, dispense and administer medications; and

WHEREAS, some individuals affected by this disaster have a continuing need for prescription medications that had been duly prescribed by licensed physicians in Missouri or other states, but the pharmacist is unable to contact the original prescribing physician and records of such prescriptions are unavailable as a result of the current disaster and its impact; and

WHEREAS, appropriate measures must be taken in response to the disaster to ensure that those individuals affected by the disaster whose prescriptions were lost or destroyed, and whose records are not available, and whose original prescribing physician is unavailable, will be able to continue to receive prescribed medications to assure their health, safety, and welfare; and

WHEREAS, in order to respond to the emergency, it is necessary to adjust, on a temporary and short-term basis, certain rules and regulations relating to prescribing and dispensing medications to individuals affected by the disaster.

NOW THEREFORE, I, JEREMIAH W. (JAY) NIXON, GOVERNOR OF THE STATE OF MISSOURI, by virtue of the authority vested in me by Chapter 44, RSMo, do hereby issue the following order:

The Director of the Missouri Department of Health and Senior Services and the State Board of Pharmacy are vested with full discretionary authority to temporarily waive or suspend the operation of any statutory or administrative rule or regulation currently in place under their purview in order to best serve the interests of the public health and safety during the period of the emergency and the subsequent recovery period.

This order shall terminate on June 20, 2011, unless extended in whole or in part.

IN WITNESS WHEREOF, I have hereunto set my hand and caused to be affixed the Great Seal of the State of Missouri, in the City of Jefferson, on this 24th day of May, 2011.

[Jay Nixon's signature]

Jeremiah W. (Jay) Nixon


[Robin Carnahan's signature]

Robin Carnahan
Secretary of State

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