S T A T E O F N E W Y O R K
________________________________________________________________________
9093
I N A S S E M B L Y
March 13, 2014
___________
Introduced by M. of A. PEOPLES-STOKES -- read once and referred to the
Committee on Higher Education
AN ACT to amend the education law, in relation to the dispensing, by a
pharmacist, of more than a ninety day supply of a dangerous drug
pursuant to a valid prescription
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 6810 of the education law is amended by adding a
new subdivision 14 to read as follows:
14. (A) A "DANGEROUS DRUG" IS DEFINED AS ANY DRUG THAT BEARS THE
LEGEND: "CAUTION: FEDERAL LAW PROHIBITS DISPENSING WITHOUT
PRESCRIPTION," "RX ONLY," OR WORDS OF SIMILAR IMPORT.
(B) A PHARMACIST MAY DISPENSE NOT MORE THAN A NINETY DAY SUPPLY OF A
DANGEROUS DRUG, OTHER THAN A CONTROLLED SUBSTANCE, PURSUANT TO A VALID
PRESCRIPTION THAT SPECIFIES AN INITIAL QUANTITY OF LESS THAN A NINETY
DAY SUPPLY FOLLOWED BY PERIODIC REFILLS OF THAT AMOUNT IF ALL OF THE
FOLLOWING REQUIREMENTS ARE SATISFIED:
(I) THE PATIENT HAS COMPLETED AN INITIAL THIRTY DAY SUPPLY OF THE
DANGEROUS DRUG.
(II) THE TOTAL QUANTITY OF DOSAGE UNITS DISPENSED DOES NOT EXCEED THE
TOTAL QUANTITY OF DOSAGE UNITS AUTHORIZED BY THE PRESCRIBER ON THE
PRESCRIPTION, INCLUDING REFILLS.
(III) THE PRESCRIBER HAS NOT SPECIFIED ON THE PRESCRIPTION THAT
DISPENSING THE PRESCRIPTION IN AN INITIAL AMOUNT FOLLOWED BY PERIODIC
REFILLS IS MEDICALLY NECESSARY.
(IV) THE PHARMACIST IS EXERCISING HIS OR HER PROFESSIONAL JUDGMENT.
(C) FOR PURPOSES OF THIS SECTION, IF THE PRESCRIPTION CONTINUES THE
SAME MEDICATION AS PREVIOUSLY DISPENSED IN A NINETY DAY SUPPLY, THE
INITIAL THIRTY DAY SUPPLY UNDER SUBPARAGRAPH (I) OF PARAGRAPH (B) OF
THIS SUBDIVISION IS NOT REQUIRED.
(D) A PHARMACIST DISPENSING AN INCREASED SUPPLY OF A DANGEROUS DRUG
PURSUANT TO THIS SECTION SHALL NOTIFY THE PRESCRIBER OF THE INCREASE IN
THE QUANTITY OF DOSAGE UNITS DISPENSED.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD14118-01-4
A. 9093 2
(E) IN NO CASE SHALL A PHARMACIST DISPENSE A GREATER SUPPLY OF A
DANGEROUS DRUG PURSUANT TO THIS SECTION IF THE PRESCRIBER PERSONALLY
INDICATES, EITHER ORALLY OR IN HIS OR HER OWN HANDWRITING, "NO CHANGE TO
QUANTITY," OR WORDS OF SIMILAR MEANING. NOTHING IN THIS SUBDIVISION
SHALL PROHIBIT A PRESCRIBER FROM CHECKING A BOX ON A PRESCRIPTION MARKED
"NO CHANGE TO QUANTITY," PROVIDED THAT THE PRESCRIBER PERSONALLY
INITIALS THE BOX OR CHECKMARK.
(F) NOTHING IN THIS SECTION SHALL BE CONSTRUED TO REQUIRE A HEALTH
CARE SERVICE PLAN, HEALTH INSURER, WORKERS' COMPENSATION INSURANCE PLAN,
PHARMACY BENEFITS MANAGER, OR ANY OTHER PERSON OR ENTITY, INCLUDING, BUT
NOT LIMITED TO, A STATE PROGRAM OR STATE EMPLOYER, TO PROVIDE COVERAGE
FOR A DANGEROUS DRUG IN A MANNER INCONSISTENT WITH A BENEFICIARY'S PLAN
BENEFIT.
S 2. This act shall take effect immediately.