Old | New | Differences | |
---|---|---|---|
1 | - | 01-23 11:03 1st Sub. (Buff) H.B. 123 | |
2 | - | Jennifer Dailey-Provost proposes the following substitute bill: | |
1 | + | 01-07 15:45 H.B. 123 | |
3 | 2 | 1 | |
4 | 3 | Pharmacy Accessibility Amendments | |
5 | 4 | 2025 GENERAL SESSION | |
6 | 5 | STATE OF UTAH | |
7 | 6 | Chief Sponsor: Jennifer Dailey-Provost | |
8 | 7 | 2 | |
9 | 8 | ||
10 | 9 | 3 | |
11 | 10 | LONG TITLE | |
12 | 11 | 4 | |
13 | 12 | General Description: | |
14 | 13 | 5 | |
15 | 14 | This bill addresses prescription drug labeling. | |
16 | 15 | 6 | |
17 | 16 | Highlighted Provisions: | |
18 | 17 | 7 | |
19 | 18 | This bill: | |
20 | 19 | 8 | |
21 | 20 | ▸ makes technical and conforming changes; and | |
22 | 21 | 9 | |
23 | 22 | ▸ requires a pharmacy to use an accessible prescription label for prescriptions dispensed to | |
24 | 23 | 10 | |
25 | 24 | a patient who identifies as visually impaired and requests an accessible prescription label. | |
26 | 25 | 11 | |
27 | 26 | Money Appropriated in this Bill: | |
28 | 27 | 12 | |
29 | 28 | None | |
30 | 29 | 13 | |
31 | 30 | Other Special Clauses: | |
32 | 31 | 14 | |
33 | - | ||
32 | + | None | |
34 | 33 | 15 | |
35 | 34 | Utah Code Sections Affected: | |
36 | 35 | 16 | |
37 | 36 | AMENDS: | |
38 | 37 | 17 | |
39 | 38 | 58-17b-602, as last amended by Laws of Utah 2023, Chapter 328 | |
40 | 39 | 18 | |
41 | 40 | ||
42 | 41 | 19 | |
43 | 42 | Be it enacted by the Legislature of the state of Utah: | |
44 | 43 | 20 | |
45 | 44 | Section 1. Section 58-17b-602 is amended to read: | |
46 | 45 | 21 | |
47 | 46 | 58-17b-602 . Prescription orders -- Information required -- Alteration -- Labels -- | |
48 | 47 | 22 | |
49 | 48 | Signatures -- Dispensing in pharmacies. | |
50 | 49 | 23 | |
51 | 50 | (1) Except as provided in Section 58-1-501.3, the minimum information that shall be | |
52 | 51 | 24 | |
53 | 52 | included in a prescription order, and that may be defined by rule, is: | |
54 | 53 | 25 | |
55 | 54 | (a) the prescriber's name, address, and telephone number, and, if the order is for a | |
56 | 55 | 26 | |
57 | 56 | controlled substance, the patient's age and the prescriber's DEA number; | |
58 | 57 | 27 | |
59 | 58 | (b) the patient's name and address or, in the case of an animal, the name of the owner | |
60 | 59 | 28 | |
61 | 60 | and species of the animal; | |
62 | 61 | 29 | |
63 | 62 | (c) the date of issuance; | |
64 | 63 | 30 | |
65 | - | (d) the name of the medication or device prescribed and dispensing instructions, if | |
64 | + | (d) the name of the medication or device prescribed and dispensing instructions, if | |
66 | 65 | 31 | |
67 | - | necessary; | |
66 | + | necessary; H.B. 123 01-07 15:45 | |
68 | 67 | 32 | |
69 | 68 | (e) the directions, if appropriate, for the use of the prescription by the patient or animal | |
70 | 69 | 33 | |
71 | 70 | and any refill, special labeling, or other instructions; | |
72 | 71 | 34 | |
73 | 72 | (f) the prescriber's signature if the prescription order is written; | |
74 | 73 | 35 | |
75 | 74 | (g) if the order is an electronically transmitted prescription order, the prescribing | |
76 | 75 | 36 | |
77 | 76 | practitioner's electronic signature; and | |
78 | 77 | 37 | |
79 | 78 | (h) if the order is a hard copy prescription order generated from electronic media, the | |
80 | 79 | 38 | |
81 | 80 | prescribing practitioner's electronic or manual signature. | |
82 | 81 | 39 | |
83 | 82 | (2) The requirement of Subsection (1)(a) does not apply to prescription orders dispensed for | |
84 | 83 | 40 | |
85 | 84 | inpatients by hospital pharmacies if the prescriber is a current member of the hospital | |
86 | 85 | 41 | |
87 | 86 | staff and the prescription order is on file in the patient's medical record. | |
88 | 87 | 42 | |
89 | 88 | (3) Unless it is for a Schedule II controlled substance, a prescription order may be | |
90 | 89 | 43 | |
91 | 90 | dispensed by a pharmacist or pharmacy intern upon an oral prescription of a practitioner | |
92 | 91 | 44 | |
93 | 92 | only if the oral prescription is promptly reduced to writing. | |
94 | 93 | 45 | |
95 | 94 | (4)(a) Except as provided under Subsection (4)(b), a pharmacist or pharmacy intern may | |
96 | 95 | 46 | |
97 | 96 | not dispense or compound any prescription of a practitioner if the prescription shows | |
98 | 97 | 47 | |
99 | 98 | evidence of alteration, erasure, or addition by any person other than the person | |
100 | 99 | 48 | |
101 | 100 | writing the prescription. | |
102 | 101 | 49 | |
103 | 102 | (b) A pharmacist or pharmacy intern dispensing or compounding a prescription may | |
104 | 103 | 50 | |
105 | 104 | alter or make additions to the prescription after receiving permission of the prescriber | |
106 | 105 | 51 | |
107 | 106 | and may make entries or additions on the prescription required by law or necessitated | |
108 | 107 | 52 | |
109 | 108 | in the compounding and dispensing procedures. | |
110 | 109 | 53 | |
111 | 110 | (5)(a) Each drug dispensed shall have a label securely affixed to the container indicating | |
112 | 111 | 54 | |
113 | 112 | the following minimum information: | |
114 | 113 | 55 | |
115 | 114 | (i) the name, address, and telephone number of the pharmacy; | |
116 | 115 | 56 | |
117 | 116 | (ii) the serial number of the prescription as assigned by the dispensing pharmacy; | |
118 | 117 | 57 | |
119 | 118 | (iii) the filling date of the prescription or its last dispensing date; | |
120 | 119 | 58 | |
121 | 120 | (iv) the name of the patient, or in the case of an animal, the name of the owner and | |
122 | 121 | 59 | |
123 | 122 | species of the animal; | |
124 | 123 | 60 | |
125 | 124 | (v) the name of the prescriber; | |
126 | 125 | 61 | |
127 | 126 | (vi) the directions for use, and cautionary statements, if any, which are contained in | |
128 | 127 | 62 | |
129 | 128 | the prescription order or are needed; | |
130 | 129 | 63 | |
131 | 130 | (vii) except as provided in Subsection [(7)] (8), the trade, generic, or chemical name, | |
132 | 131 | 64 | |
133 | 132 | amount dispensed and the strength of dosage form, but if multiple ingredient | |
134 | - | - 2 - 01-23 11:03 1st Sub. (Buff) H.B. 123 | |
135 | 133 | 65 | |
136 | 134 | products with established proprietary or nonproprietary names are prescribed, | |
135 | + | - 2 - 01-07 15:45 H.B. 123 | |
137 | 136 | 66 | |
138 | 137 | those products' names may be used; and | |
139 | 138 | 67 | |
140 | 139 | (viii) the beyond use date. | |
141 | 140 | 68 | |
142 | 141 | (b) The requirements described in Subsections (5)(a)(i) through (vi) do not apply to a | |
143 | 142 | 69 | |
144 | 143 | label on the container of a drug that a health care provider administers to a patient at: | |
145 | 144 | 70 | |
146 | 145 | (i) a pharmaceutical administration facility; or | |
147 | 146 | 71 | |
148 | 147 | (ii) a hospital licensed under Title 26B, Chapter 2, Part 2, Health Care Facility | |
149 | 148 | 72 | |
150 | 149 | Licensing and Inspection. | |
151 | 150 | 73 | |
152 | - | (6)(a) A pharmacy shall | |
151 | + | (6)(a) A pharmacy shall provide to a patient an accessible prescription label, in | |
153 | 152 | 74 | |
154 | - | affixed to | |
153 | + | accordance with Subsections (6)(b) and (c), affixed to the patient's prescription | |
155 | 154 | 75 | |
156 | - | patient: | |
155 | + | container, if a patient informs the pharmacy that the patient: | |
157 | 156 | 76 | |
158 | 157 | (i) identifies as a person who is blind, visually impaired, or otherwise unable to read a | |
159 | 158 | 77 | |
160 | 159 | standard prescription label; and | |
161 | 160 | 78 | |
162 | 161 | (ii) requests an accessible prescription label. | |
163 | 162 | 79 | |
164 | - | (b) A pharmacy shall | |
163 | + | (b) A pharmacy shall provide an accessible prescription label under Subsection (6)(a): | |
165 | 164 | 80 | |
166 | - | ||
165 | + | (i) in a timely manner comparable to other patient wait times; | |
167 | 166 | 81 | |
168 | - | ( | |
167 | + | (ii) that lasts for the duration of the prescription; | |
169 | 168 | 82 | |
170 | - | ( | |
169 | + | (iii) subject to Subsection (6)(c), in a format that: | |
171 | 170 | 83 | |
172 | - | of the | |
171 | + | (A) is appropriate to the disability and preference of the person making the request | |
173 | 172 | 84 | |
174 | - | ||
173 | + | through use of an audible, large-print, or braille label; and | |
175 | 174 | 85 | |
176 | - | ||
175 | + | (B) contains the minimum information required under Subsection (5). | |
177 | 176 | 86 | |
178 | - | label | |
177 | + | (c) A pharmacy shall use its best efforts to provide a prescription label that is compatible | |
179 | 178 | 87 | |
179 | + | with a patient's device designed to audibly convey the information contained on the | |
180 | + | 88 | |
181 | + | label of a prescription drug. | |
182 | + | 89 | |
180 | 183 | [(6)] (7) A hospital pharmacy that dispenses a prescription drug that is packaged in a | |
181 | - | ||
184 | + | 90 | |
182 | 185 | multidose container to a hospital patient may provide the drug in the multidose container | |
183 | - | ||
186 | + | 91 | |
184 | 187 | to the patient when the patient is discharged from the hospital if: | |
185 | - | ||
188 | + | 92 | |
186 | 189 | (a) the pharmacy receives a discharge order for the patient; and | |
187 | - | ||
190 | + | 93 | |
188 | 191 | (b) the pharmacy labels the drug with the: | |
189 | - | ||
192 | + | 94 | |
190 | 193 | (i) patient's name; | |
191 | - | ||
194 | + | 95 | |
192 | 195 | (ii) drug's name and strength; | |
193 | - | ||
196 | + | 96 | |
194 | 197 | (iii) directions for use of the drug, if applicable; and | |
195 | - | ||
198 | + | 97 | |
196 | 199 | (iv) pharmacy's name and phone number. | |
197 | - | ||
200 | + | 98 | |
198 | 201 | [(7)] (8) If the prescriber specifically indicates the name of the prescription product should | |
199 | - | ||
202 | + | 99 | |
200 | 203 | not appear on the label, then any of the trade, generic, chemical, established proprietary, | |
201 | - | 98 | |
204 | + | - 3 - H.B. 123 01-07 15:45 | |
205 | + | 100 | |
202 | 206 | and established nonproprietary names and the strength of dosage form may not be | |
203 | - | - 3 - 1st Sub. (Buff) H.B. 123 01-23 11:03 | |
204 | - | 99 | |
207 | + | 101 | |
205 | 208 | included. | |
206 | - | ||
209 | + | 102 | |
207 | 210 | [(8)] (9) Prescribers are encouraged to include on prescription labels the information | |
208 | - | ||
211 | + | 103 | |
209 | 212 | described in Section 58-17b-602.5 in accordance with the provisions of that section. | |
210 | - | ||
213 | + | 104 | |
211 | 214 | [(9)] (10) A pharmacy may only deliver a prescription drug to a patient or a patient's agent: | |
212 | - | ||
215 | + | 105 | |
213 | 216 | (a) in person at the pharmacy; or | |
214 | - | ||
217 | + | 106 | |
215 | 218 | (b) via the United States Postal Service, a licensed common carrier, or supportive | |
216 | - | ||
219 | + | 107 | |
217 | 220 | personnel, if the pharmacy takes reasonable precautions to ensure the prescription | |
218 | - | ||
221 | + | 108 | |
219 | 222 | drug is: | |
220 | - | ||
223 | + | 109 | |
221 | 224 | (i) delivered to the patient or patient's agent; or | |
222 | - | ||
225 | + | 110 | |
223 | 226 | (ii) returned to the pharmacy. | |
224 | - | ||
227 | + | 111 | |
225 | 228 | Section 2. Effective Date. | |
226 | - | ||
227 | - | This bill takes effect on May 7, | |
229 | + | 112 | |
230 | + | This bill takes effect on May 7, 2025. | |
228 | 231 | - 4 - |