California 2017-2018 Regular Session

California Assembly Bill AB2624

Introduced
2/15/18  

Caption

Prescriptions.

Impact

If enacted, AB 2624 would reinforce the existing framework under which pharmacists can exercise discretion in substituting medications to offer patients lower-cost alternatives. The bill emphasizes that pharmacists may substitute a drug product so long as it costs less than the originally prescribed medication, thus potentially aiding in reducing healthcare costs for patients. The legislation maintains safeguards ensuring that pharmacists communicate substitutions to patients and ensures prescribers retain the authority to request 'no substitutions'. This could enhance patient comprehension about their medication needs while promoting cost-effective choices in drug dispensing.

Summary

Assembly Bill 2624, introduced by Assembly Member Brough, aims to amend Section 4073 of the Business and Professions Code, focusing on the authority of pharmacists in California regarding the substitution of prescription drugs. The bill emphasizes the regulations surrounding the ability of pharmacists to select alternatives to drugs prescribed by their brand or trade names, provided the drugs have identical active ingredients, strength, quantity, and dosage form. This change, termed a 'nonsubstantive' amendment, is designed to streamline pharmaceutical practices within the state's healthcare system.

Conclusion

AB 2624 aims to clarify and enhance the capabilities of pharmacists in California to aid patient cost reduction through medication substitution. While the bill has the potential to contribute positively to healthcare affordability, ongoing discussions will need to address the balance between cost-saving measures and maintaining high standards of patient safety and individualized care.

Contention

There may be potential points of contention surrounding patient care and safety versus cost-saving measures. Critics could express concerns regarding the quality and effectiveness of substituted medications, particularly for patients who require specific treatments that are already established as effective for them. Additionally, while the bill does mandate that patients are informed of any substitution made, there may be apprehensions relating to the transparency and reliability of information provided to consumers in terms of the risks and benefits associated with substituted medications.

Companion Bills

No companion bills found.

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