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3 | 3 | | Req. No. 6687 Page 1 1 |
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28 | 28 | | STATE OF OKLAHOMA |
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29 | 29 | | |
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30 | 30 | | 1st Session of the 58th Legislature (2021) |
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31 | 31 | | |
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32 | 32 | | HOUSE BILL 2549 By: Virgin |
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37 | 37 | | |
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38 | 38 | | AS INTRODUCED |
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39 | 39 | | |
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40 | 40 | | An Act relating to pharmacy; defining terms; |
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41 | 41 | | providing for the substitution of an interchangeable |
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42 | 42 | | biological product for a prescribed bio logical |
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43 | 43 | | product under certain conditions; requiring |
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44 | 44 | | electronic notice of substitution; providing |
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45 | 45 | | exceptions; directing State Board of Pharmacy to |
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46 | 46 | | maintain link of all interchangeable biological |
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47 | 47 | | products; providing for codification; and providing |
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48 | 48 | | an effective date. |
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49 | 49 | | |
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53 | 53 | | |
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54 | 54 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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55 | 55 | | SECTION 1. NEW LAW A new section of law to be codified |
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56 | 56 | | in the Oklahoma Statutes as Section 353.18B of Title 59, unless |
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57 | 57 | | there is created a duplication in numb ering, reads as follows: |
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58 | 58 | | A. As used in this section: |
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59 | 59 | | 1. "Biological product" has the same meaning g iven to that term |
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60 | 60 | | in 42 U.S.C., Section 262; and |
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61 | 61 | | 2. "Interchangeable biological product " means a biological |
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62 | 62 | | product that the United States Food and Drug Administration (FDA): |
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63 | 63 | | |
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89 | 89 | | a. has licensed and determined it to meet the standards |
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90 | 90 | | for interchangeability pursuant to 42 U.S.C., Section |
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91 | 91 | | 262(k)(4), or |
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92 | 92 | | b. has determined is therapeutically equivalent as set |
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93 | 93 | | forth in the latest edition of or supplement to the |
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94 | 94 | | FDA's Approved Drug Products with Therapeutic |
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95 | 95 | | Equivalence Evaluations (Orange Book). |
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96 | 96 | | B. A pharmacist may substitute an interchangeable biological |
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97 | 97 | | product for a prescribed biological product only if: |
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98 | 98 | | 1. The substituted product has been determined by the FDA t o be |
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99 | 99 | | interchangeable with the prescribed biological product; |
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100 | 100 | | 2. The prescribing physician has permitted substitution; and |
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101 | 101 | | 3. The pharmacy informs the patient of the substitution. |
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102 | 102 | | C. Within five (5) business days following the dispensing of a |
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103 | 103 | | biological product, the dispensing pharmacist or the pharmacist's |
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104 | 104 | | designee shall make an entry of the specific product provided to the |
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105 | 105 | | patient, including the name of the product and the manufacturer. |
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106 | 106 | | The entry shall be conveyed in a manner electronically accessible by |
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107 | 107 | | the prescriber through: |
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108 | 108 | | 1. An interoperable electronic medical records system; |
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109 | 109 | | 2. An electronic prescribing technology; |
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110 | 110 | | 3. A pharmacy benefit management system; or |
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111 | 111 | | 4. A pharmacy record. |
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112 | 112 | | |
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137 | 137 | | |
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138 | 138 | | D. Entry into an electronic medical records system as describe d |
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139 | 139 | | in subsection C of this section is presumed to provide notice to the |
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140 | 140 | | prescriber. If the pharmacist is unable to comply with the |
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141 | 141 | | provisions of subsection C of this section, the pharmacist shall |
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142 | 142 | | communicate the biological product dispensed to the prescrib er using |
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143 | 143 | | facsimile, telephone, electronic transmission or other prevailing |
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144 | 144 | | means, except that communication shall not be required if: |
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145 | 145 | | 1. There is no FDA-approved interchangeable biological product |
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146 | 146 | | for the product prescribed; or |
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147 | 147 | | 2. A refill prescription i s not changed from the product |
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148 | 148 | | dispensed on the prior filling of the prescription. |
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149 | 149 | | E. The State Board of Pharmacy shall maintain a link on its |
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150 | 150 | | website to the current list of all biological products determined by |
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151 | 151 | | the FDA to be interchangeable with a specif ic biological product. |
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152 | 152 | | SECTION 2. This act shall become effective November 1, 2021 . |
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153 | 153 | | |
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154 | 154 | | 58-1-6687 AB 12/18/20 |
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