Missouri State Route 154 runs east-west in West-Central Pike County. It is only in Pike County for a short time. MO St Rt 154 does not pass through any towns in Pike County. MO St Rt 154 is not multi-plexed in Pike County. MO St Rt 154 intersects the following highway in Pike County. U.S. Rt. 54, near Curryville.
