Modifies provisions relating to the licensure of entities involved in the distribution of drugs

HB 1465 requires all entities distributing drugs in Missouri - including wholesale distributors, pharmacies, drug outsourcers, and third-party logistics providers - to obtain a license from the Missouri Board of Pharmacy before operating, including during emergencies or supply shortages. It mandates separate licenses for each distribution site and allows temporary licenses while applications are processed. The bill also establishes reciprocity rules for out-of-state companies with comparable licenses or National Association of Boards of Pharmacy accreditation, ensuring they can operate in Missouri under specific conditions. This directly affects pharmaceutical distributors and logistics businesses operating within the state.