BNDD EXAM STUDY GUIDE 2025
What should an individual practitioner do to conduct any activities with controlled drugs
in MO? - ANSWER 1) must obtain registrations from both the Missouri Bureau of
Narcotics and Dangerous Drugs (BNDD) first and then the federal Drug Enforcement
Administration (DEA) secondly.
2) A person must have their state registration first before applying for their federal
registration.
A person may apply for a Missouri registration with the BNDD..... - ANSWER at the
Bureau's website
how should an application be submitted? - ANSWER either electronically with a
click-to-pay online system, or a person may print out the application and mail in a
written application
How long is a registration issued for? - ANSWER 1 year period and then they expire
How long in advance the Bureau notify registrants about their expiration? - ANSWER the
Bureau will send registrants an email reminder 60 days in advance of their expiration
date to remind them that their registration expires in 60 days.
Which location can a Missouri registration be issued? - ANSWER A Missouri registration
may only be issued at a Missouri practice location where patient care occurs and
controlled substance activities take place.
This must be a physical street address, not PO box
Does the Bureau issue registrations at an out-of-state address or a location that only
serves as a business address? - ANSWER No
Can we change "patient's address, Dr's address and phone number, Dr's DEA number"
on a controlled Rx? - ANSWER Yes
Once a person has obtained a state registration then the federal DEA registration may
be issued.... - ANSWER at the same address
A registration is issued at the principal practice location where... - ANSWER the
practitioner spends the majority of their time.
When must a practitioner notify the BNDD and update their registration? - ANSWER
When the practitioner moves, changes addresses or changes the location of the
majority of their practice
Can we change "date of written" of a controlled Rx after contacting doctor? - ANSWER
,Yes
Does a registrant need to pay for address changing fee? - ANSWER No. Can change it
online at BNDD website
How much time does a registrant have to update their registrant in the case of address
changing? - ANSWER 30 days
What happens if a practitioner changes addresses and does not notify the BNDD? -
ANSWER their registration automatically terminates on the 31st day
Is a LTCF required to have DEA registration? - ANSWER No. It has BNDD registration,
but do not have DEA number
Are physicians who practice in a hospital required to have DEA registration? - ANSWER
1. No.
2. Physicians who practice in a hospital only must have a state BNDD registration but
then may use the hospital's DEA registration with the hospital's permission. The hospital
must assign a special suffix to the hospital DEA number to identify these physicians.
Physicians in residency are limited by their limited license to treating patients of the
hospital in which they are practicing.
Are associate veterinarians working for an employer who has a DEA number required to
have a DEA number? - ANSWER No.
These associate may administer and dispense, but not prescribe
How does a registration certificate get to registrant? - ANSWER Registrants may view,
verify and print their own registration certificates online from BNDD website
how many registrations does a practitioner have? - ANSWER Most practitioners have
only one registration.
They can purchase, stock, administer, dispense and prescribe at their principal and
registered location. They can travel all over Missouri and prescribe from any location
When would additional registrations required? - ANSWER 1) Begin stocking and storing
controlled substances at more than one location. There must be a separate registration
at every separate location controlled drugs are stored and dispensed;
2) Perform other activities other than being a practitioner, such as becoming a
manufacturer, distributor, researcher, analytical lab, importer or exporter.
What must mid-level obtain in order to prescribe controls? - ANSWER must first obtain a
certificate of authority from their respective licensing board, and then can submit
applications to the BNDD for a state controlled drug registration
What to do in case a registrant need to purchase and obtain controlled substances from
a pharmacy, wholesaler, distributor, or have drugs transferred to you by another DEA
, registrant? - ANSWER should call the other registrant and share required information
for documenting the drug transfer such the name, addresses and DEA numbers of the
supplier and the receiver
Can a practitioner issue a Rx to obtain office stock? and why? - ANSWER May never do.
Rx is for patients only and must have a patient name
Can prescriber write a Rx. for office stock? - ANSWER Never. It is prohibited by law
No practitioner may accept any portion of a patient's controlled substance prescription
for any reason, unless you were the original practitioner who initially dispensed the
drugs - ANSWER True
What happens when you dispensed drugs and patient wants to return them? - ANSWER
you can take them back for destruction
If patient wants to return meds back and you were not the dispenser (drugs came from a
pharmacy or other practitioner)... - ANSWER you may not take possession of the drugs
Can patient's controlled drugs be stored in your practice? - ANSWER Never store
patients' controlled drugs for them in your practice
Can we store a patient's unused meds and use them for dispensing to other patients? -
ANSWER Never
Can we transport drugs from your primary clinic to a second clinic location you do not
have registered? - ANSWER May never do
How are controlled substances documented and tracked? - ANSWER from the day they
are made until they are dispensed
to a patient. Every time the drugs change hands there must be a documented paper
trail.
what info does transferring record include? - ANSWER Records must be maintained of
the drug names, strengths, dosage forms and quantities you received and
the dates you received them. You must also document the names, addresses and DEA
numbers of other
registrants you transfer with
what must a registrant know? - ANSWER must be able to know
what balance you should have on hand so that if any are missing it can be reported
immediately.
What types of record keeping requirements BNDD look for when they visit practice site?
- ANSWER 1. Purchasing/Receipt Records
What should an individual practitioner do to conduct any activities with controlled drugs
in MO? - ANSWER 1) must obtain registrations from both the Missouri Bureau of
Narcotics and Dangerous Drugs (BNDD) first and then the federal Drug Enforcement
Administration (DEA) secondly.
2) A person must have their state registration first before applying for their federal
registration.
A person may apply for a Missouri registration with the BNDD..... - ANSWER at the
Bureau's website
how should an application be submitted? - ANSWER either electronically with a
click-to-pay online system, or a person may print out the application and mail in a
written application
How long is a registration issued for? - ANSWER 1 year period and then they expire
How long in advance the Bureau notify registrants about their expiration? - ANSWER the
Bureau will send registrants an email reminder 60 days in advance of their expiration
date to remind them that their registration expires in 60 days.
Which location can a Missouri registration be issued? - ANSWER A Missouri registration
may only be issued at a Missouri practice location where patient care occurs and
controlled substance activities take place.
This must be a physical street address, not PO box
Does the Bureau issue registrations at an out-of-state address or a location that only
serves as a business address? - ANSWER No
Can we change "patient's address, Dr's address and phone number, Dr's DEA number"
on a controlled Rx? - ANSWER Yes
Once a person has obtained a state registration then the federal DEA registration may
be issued.... - ANSWER at the same address
A registration is issued at the principal practice location where... - ANSWER the
practitioner spends the majority of their time.
When must a practitioner notify the BNDD and update their registration? - ANSWER
When the practitioner moves, changes addresses or changes the location of the
majority of their practice
Can we change "date of written" of a controlled Rx after contacting doctor? - ANSWER
,Yes
Does a registrant need to pay for address changing fee? - ANSWER No. Can change it
online at BNDD website
How much time does a registrant have to update their registrant in the case of address
changing? - ANSWER 30 days
What happens if a practitioner changes addresses and does not notify the BNDD? -
ANSWER their registration automatically terminates on the 31st day
Is a LTCF required to have DEA registration? - ANSWER No. It has BNDD registration,
but do not have DEA number
Are physicians who practice in a hospital required to have DEA registration? - ANSWER
1. No.
2. Physicians who practice in a hospital only must have a state BNDD registration but
then may use the hospital's DEA registration with the hospital's permission. The hospital
must assign a special suffix to the hospital DEA number to identify these physicians.
Physicians in residency are limited by their limited license to treating patients of the
hospital in which they are practicing.
Are associate veterinarians working for an employer who has a DEA number required to
have a DEA number? - ANSWER No.
These associate may administer and dispense, but not prescribe
How does a registration certificate get to registrant? - ANSWER Registrants may view,
verify and print their own registration certificates online from BNDD website
how many registrations does a practitioner have? - ANSWER Most practitioners have
only one registration.
They can purchase, stock, administer, dispense and prescribe at their principal and
registered location. They can travel all over Missouri and prescribe from any location
When would additional registrations required? - ANSWER 1) Begin stocking and storing
controlled substances at more than one location. There must be a separate registration
at every separate location controlled drugs are stored and dispensed;
2) Perform other activities other than being a practitioner, such as becoming a
manufacturer, distributor, researcher, analytical lab, importer or exporter.
What must mid-level obtain in order to prescribe controls? - ANSWER must first obtain a
certificate of authority from their respective licensing board, and then can submit
applications to the BNDD for a state controlled drug registration
What to do in case a registrant need to purchase and obtain controlled substances from
a pharmacy, wholesaler, distributor, or have drugs transferred to you by another DEA
, registrant? - ANSWER should call the other registrant and share required information
for documenting the drug transfer such the name, addresses and DEA numbers of the
supplier and the receiver
Can a practitioner issue a Rx to obtain office stock? and why? - ANSWER May never do.
Rx is for patients only and must have a patient name
Can prescriber write a Rx. for office stock? - ANSWER Never. It is prohibited by law
No practitioner may accept any portion of a patient's controlled substance prescription
for any reason, unless you were the original practitioner who initially dispensed the
drugs - ANSWER True
What happens when you dispensed drugs and patient wants to return them? - ANSWER
you can take them back for destruction
If patient wants to return meds back and you were not the dispenser (drugs came from a
pharmacy or other practitioner)... - ANSWER you may not take possession of the drugs
Can patient's controlled drugs be stored in your practice? - ANSWER Never store
patients' controlled drugs for them in your practice
Can we store a patient's unused meds and use them for dispensing to other patients? -
ANSWER Never
Can we transport drugs from your primary clinic to a second clinic location you do not
have registered? - ANSWER May never do
How are controlled substances documented and tracked? - ANSWER from the day they
are made until they are dispensed
to a patient. Every time the drugs change hands there must be a documented paper
trail.
what info does transferring record include? - ANSWER Records must be maintained of
the drug names, strengths, dosage forms and quantities you received and
the dates you received them. You must also document the names, addresses and DEA
numbers of other
registrants you transfer with
what must a registrant know? - ANSWER must be able to know
what balance you should have on hand so that if any are missing it can be reported
immediately.
What types of record keeping requirements BNDD look for when they visit practice site?
- ANSWER 1. Purchasing/Receipt Records
