Missouri – Stock Epinephrine Law

Missouri has a law in place for using epinephrine in emergency situations.

Allows school nurses to keep on hand and administer prefilled syringes of epinephrine to any student who the nurse believes is having an anaphylactic reaction.


Congratulations!  Your state has passed stock-epinephrine laws or regulations that permit an emergency supply of epinephrine auto-injectors to be used in a school. However, our job is not done yet. Each law or regulation must be implemented or put into action by a board or an agency.The agency or board will then issue administrative rules, guidelines or best practices explaining in detail how it intends to put the law into effect and what a mother, father, caregiver, physician, pharmacist or school nurse must do to comply with the law. The Network is an active resource in these states assisting administrators in a seamless rollout of the stock-epinephrine laws. 

ACE Teams:

Ray Davis, MD of Allergy Consultants
St. Louis, MO

Lila Kertz, MSN, RN, CPNP of Washington University in St. Louis, Department of Pediatrics
St. Louis, MO

Maleewan Kitcharoensakkul, MD of Washington University School of Medicine, Department of Pediatrics, Division of Rheumatology
St. Louis, MO

Deborah Scales, RN of St. Justin the Martyr Catholic School
St. Louis, MO

Manoj Warrier, MD of Allergy, Asthma & Sinus Care Center
St. Louis, MO

Sample ACE Team Activities:

Dr. Davis delivered an ACE web conference titled, “What Every EMT Should Know About Anaphylaxis: The Updated Guidelines” to 50 EMTs from firehouses in St. Louis, MO.  As a result of the presentation the entire West St. Louis County Ambulance Bureau changed their policy from mandatory subcutaneous epinephrine to IM epinephrine.

Allergy & Asthma Network wrote an ACE spotlight article for the Winter 2014 Allergy & Asthma Today magazine about Dr. Davis and his work with the West St. Louis County Ambulance Bureau. The article is titled, “Anaphylaxis Readiness for Ambulance Teams”.

During the 2014 AAAAI meeting held in San Diego, Dr. Davis co-presented a Problem Based Learning (PBL) workshop, interactive group discussion, about stinging insect anaphylaxis.

In April 2015, Dr. Warrier was interviewed by local news affiliate, KSDK on the topic of alpha gal meat allergy.  

In November 2014, Dr. Warrier was interviewed by local news affiliate, KSDK about food allergies.


Questions about state legislation, ACE activities or getting involved?



About Anaphylaxis Community Experts (ACEs):
Anaphylaxis Community Experts is a national, award-winning education, advocacy and outreach partnership program developed and hosted by The Network and the American College of Allergy, Asthma & Immunology, sponsored by Mylan Specialty L.P. 

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