SENATE AMENDMENT
    Bill No. SB 342
    Amendment No. ___   Barcode 771524
                            CHAMBER ACTION
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11  Senator Horne moved the following substitute for amendment
12  (580080):
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14         Senate Amendment (with title amendment) 
15         On page 1, lines 21-27, delete those lines
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17  insert:  
18         Section 2.  Subsection (2) of section 465.025, Florida
19  Statutes, is amended to read:
20         465.025  Substitution of drugs.--
21         (2)  A pharmacist who receives a prescription for a
22  brand name drug shall, unless requested otherwise by the
23  purchaser, substitute a less expensive, generically equivalent
24  drug product that is:
25         (a)  Distributed by a business entity doing business,
26  and subject to suit and service of legal process, in the
27  United States; and
28         (b)  Listed in the formulary of generic and brand name
29  drug products as provided in subsection (5) for the brand name
30  drug prescribed,
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                                                  SENATE AMENDMENT
    Bill No. SB 342
    Amendment No. ___   Barcode 771524
 1  unless the prescriber signs the "Medically Necessary Dispense
 2  As Written" line on the prescription form as provided in s.
 3  465.0251, writes the words "MEDICALLY NECESSARY," in her or
 4  his own handwriting, on the face of a written prescription or
 5  unless, in the case of an oral prescription, the prescriber
 6  expressly indicates to the pharmacist whether or not a
 7  generically equivalent drug may be substituted in its place.
 8  The pharmacist shall note the instructions on the file copy of
 9  the prescription. The pharmacist shall note the manufacturer
10  of the drug dispensed on the file copy of a written or oral
11  prescription that the brand name drug prescribed is medically
12  necessary.
13         Section 3.  Section 465.0251, Florida Statutes, is
14  created to read:
15         465.0251  Prescription instructions for generically
16  equivalent drugs.--Every drug prescription shall contain an
17  instruction on whether or not a generically equivalent drug
18  may be substituted in its place, unless substitution is
19  permitted under a prior-consent authorization.
20         (1)  If a written prescription is involved, the form
21  must have two signature lines at opposite ends on the bottom
22  of the form. Under the line at the right side must be clearly
23  printed the words "MEDICALLY NECESSARY DISPENSE AS WRITTEN."
24  Under the line at the left side must be clearly printed the
25  words "SUBSTITUTION PERMITTED." The practitioner shall
26  communicate the instructions to the pharmacist by signing the
27  appropriate line. A prescription is not valid without the
28  signature of the practitioner on one of these lines. In the
29  case of a prescription issued by a practitioner in another
30  state that uses a one-line prescription form or variation
31  thereof, the pharmacist may substitute a generically
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    11:37 AM   04/30/01                               s0342c-06r4x
                                                  SENATE AMENDMENT
    Bill No. SB 342
    Amendment No. ___   Barcode 771524
 1  equivalent drug unless otherwise instructed by the
 2  practitioner through the use of the words "dispense as
 3  written," words of similar meaning, or some other indication.
 4         (2)  If an oral prescription is involved, the
 5  practitioner or the practitioner's agent shall instruct the
 6  pharmacist as to whether or not a generically equivalent drug
 7  may be substituted in its place. The pharmacist shall note the
 8  instructions on the file copy of the prescription.
 9         (3)  The pharmacist shall note the manufacturer of the
10  drug dispensed on the file copy of a written or oral
11  prescription.
12         Section 4.  This act shall take effect February 1,
13  2002.
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16  ================ T I T L E   A M E N D M E N T ===============
17  And the title is amended as follows:
18         On page 1, lines 5-10, delete those lines
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20  and insert:
21         established in s. 465.025(6), F.S.; amending s.
22         465.025, F.S.; revising provisions relating to
23         substitution of drugs; creating s. 465.0251;
24         providing criteria for written and oral drug
25         prescriptions; providing an effective date.
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