S T A T E O F N E W Y O R K
________________________________________________________________________
2732
2011-2012 Regular Sessions
I N A S S E M B L Y
January 20, 2011
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Introduced by M. of A. CROUCH, KOLB, CALHOUN, HAWLEY -- read once and
referred to the Committee on Consumer Affairs and Protection
AN ACT to amend the education law, in relation to authorizing the
substitution of brand name prescription drugs by a pharmacist
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph (a) of subdivision 6 of section 6810 of the
education law, as amended by chapter 649 of the laws of 1993, is amended
to read as follows:
(a) Every prescription written in this state by a person authorized to
issue such prescription shall be on prescription forms containing one
line for the prescriber's signature. The prescriber's signature shall
validate the prescription. Imprinted conspicuously in eight point upper
case type immediately below the signature line shall be the words: "THIS
PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES 'd a w'
IN THE BOX BELOW". Unless the prescriber writes d a w in such box in the
prescriber's own handwriting, the prescriber's signature shall designate
approval of substitution by a pharmacist of a drug product pursuant to
paragraph (o) of subdivision one of section two hundred six of the
public health law. No other letters or marks in such box shall prohibit
substitution. No prescription forms used or intended to be used by a
person authorized to issue a prescription shall have 'd a w' preprinted
in such box. Such box shall be placed directly under the signature line
and shall be three-quarters inch in length and one-half inch in height.
Immediately below such box shall be imprinted in six point type the
words "Dispense As Written". Notwithstanding any other provision of law,
no state official, agency, board or other entity shall promulgate any
regulation or guideline modifying those elements of the prescription
form's contents specified in this subdivision. To the extent otherwise
permitted by law, a prescriber may modify only those elements of the
prescription form's contents not specified in this subdivision. Notwith-
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04752-01-1
A. 2732 2
standing any other provision of this section or any other law, when a
generic drug is not available and the brand name drug originally
prescribed is available and the pharmacist agrees to dispense the brand
name product for a price that will not exceed the price that would have
been charged for the generic substitute had it been available, substi-
tution of a generic drug product will not be required. If the generic
drug product is not available and a medical emergency situation, which
for purposes of this section is defined as any condition requiring alle-
viation of severe pain or which threatens to cause disability or take
life if not promptly treated, exists, then the pharmacist may dispense
the brand name product at his regular price. In such instances the
pharmacist must record the date, hour and nature of the medical emergen-
cy on the back of the prescription and keep a copy of all such
prescriptions. NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, OR
OF ANY OTHER LAW, IF A GENERIC DRUG PRODUCT IS AVAILABLE, A PHARMACIST
MAY INFORM THE PATIENT THAT THE BRAND NAME DRUG IS ALSO AVAILABLE AND
THAT THE PRICE OF SUCH BRAND NAME DRUG WILL EXCEED THE PRICE OF THE
GENERIC DRUG PRODUCT. UPON THE REQUEST OF THE PATIENT, THE PHARMACIST
MAY DISPENSE THE BRAND NAME PRODUCT AT THE REGULAR PRICE. IN SUCH
INSTANCES THE PHARMACIST MUST RECORD THE DATE AND HOUR OF THE PATIENT
REQUEST ON THE BACK OF THE PRESCRIPTION AND KEEP A COPY OF ALL SUCH
PRESCRIPTIONS.
S 2. This act shall take effect on the one hundred twentieth day after
it shall have become a law. Effective immediately any rule or regulation
necessary for the timely implementation of this act on its effective
date may be promulgated on or before such date.