SB 418: Therapeutic interchange; authorizes pharmacists to perform, adaptation of prescriptions.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Therapeutic interchange and adaptation. Authorizes pharmacists to perform therapeutic interchanges by substituting a drug with another drug in the same therapeutic class when such substitution lowers the cost or is cost-neutral to the patient or the prescribed drug is in a drug shortage and the substitution conforms to Board of Pharmacy regulations. The bill directs the Board of Pharmacy to determine which therapeutic classes of drugs shall be eligible for therapeutic interchange and which classes shall be prohibited. The bill also authorizes pharmacists to adapt prescriptions by changing the dosage form or quantity of a medication or by completing missing information on a prescription when there is evidence to support such change.

Sponsors

Sponsors by party (alphabetical): Democratic 1

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. April 13, 2026Approved by Governor-Chapter 888 (effective 7/1/2026)
2. March 10, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026
3. March 10, 2026Enrolled Bill communicated to Governor on March 10, 2026
4. March 4, 2026Signed by President
5. March 4, 2026Signed by Speaker
6. March 4, 2026Fiscal Impact Statement from Department of Planning and Budget (SB418)
7. March 4, 2026Bill text as passed Senate and House (SB418ER)
8. March 4, 2026Enrolled
9. February 27, 2026Passed House (87-Y 8-N 0-A)
10. February 27, 2026Read third time
11. February 26, 2026Read second time
12. February 24, 2026Reported from Health and Human Services (19-Y 3-N)

Showing 12 most recent of 34 actions. Full history