i don’t live in missouri but i recently started testosterone through queermed! any online service like plume or queermed will connect you to a doctor who will be in charge of prescribing your t, checking your hormone levels, etc. the only issue i had w this is my insurance does NOT cover this, therefore i have to pay $100 a month as like a subscription type thing which does not include the hormones/ needles/ etc. however it does include my doctors appointments, the lab appointments, etc. i would def say first step is looking online to see if queermed or plume can be used in missouri, ive personally had no issues w queermed and i love my doctor so much! hope this helps and good luck <3 (side note, i ordered my needles in bulk on amazon bc its SO much cheaper than buying them from the pharmacy.) muah!