Idaho Admin. Code r. 24.36.01.404 - FILLING PRESCRIPTION DRUG ORDERS: DRUG PRODUCT SUBSTITUTION
Drug product substitutions in which a pharmacist dispenses a drug product other than that prescribed are allowed only as follows: (3-28-23)
01.
Hospital.
Pursuant to a formulary or drug list prepared by the pharmacy and therapeutics
committee of a hospital; (3-28-23)
02.
Institutional Facility. At
the direction of the quality assessment and assurance committee of an
institutional facility; (3-28-23)
03.
Biosimilars. A pharmacist
may substitute an interchangeable biosimilar product for a prescribed
biological product if: (3-28-23)
a. The
biosimilar has been determined by the FDA to be interchangeable and published
in the Purple Book; (3-28-23)
b.
The name of the drug and the manufacturer or the NDC number is documented in
the patient medical record. (3-28-23)
04.
Therapeutic Interchange. A
pharmacist may substitute a drug with another drug in the same therapeutic
class, provided the substitution lowers the cost to the patient or occurs
during a drug shortage. (3-28-23)
Notes
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