State of Illinois
91st General Assembly
Legislation

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91_HB2861

 
                                               LRB9104985DJcd

 1        AN ACT to amend the Illinois Food, Drug and Cosmetic  Act
 2    by changing Section 3.14.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section  5.  The Illinois Food, Drug and Cosmetic Act  is
 6    amended by changing Section 3.14 as follows:

 7        (410 ILCS 620/3.14) (from Ch. 56 1/2, par. 503.14)
 8        Sec.  3.14.  Dispensing  or  causing  to  be  dispensed a
 9    different drug  in place of the drug or brand of drug ordered
10    or prescribed without the express permission  of  the  person
11    ordering  or  prescribing.  However,  this  Section  does not
12    prohibit the interchange of  different  brands  of  the  same
13    generically  equivalent drug product, when such drug products
14    are not required to bear the  legend  "Caution:  Federal  law
15    prohibits dispensing without prescription", provided that the
16    same dosage form is dispensed and there is no greater than 1%
17    variance  in  the  stated amount of each active ingredient of
18    such drug products. Nothing in this  Section  shall  prohibit
19    the  selection  of different brands of the same generic drug,
20    based  upon  a  positive  drug  formulary  listing  which  is
21    developed, maintained, and issued by the Department of Public
22    Health under which drug product selection  within  a  generic
23    class,   or   selection   of   specific  products  for  those
24    prescribed, is permitted.  Determination  of  products  which
25    may  be selected shall be recommended by a Technical Advisory
26    Council of the Department, selected by the Director of Public
27    Health, which council shall consist of 7 persons including  2
28    physicians,  2  pharmacists,  2 pharmacologists and one other
29    prescriber who have special knowledge of  generic  drugs  and
30    formulary.   Technical  Advisory  Council members shall serve
31    without pay, and shall be appointed for a  3  year  term  and
 
                            -2-                LRB9104985DJcd
 1    until  their  successors  are  appointed  and qualified.  The
 2    procedures  for  operation  of  the  Drug  Product  Selection
 3    Program shall be promulgated by  the  Director,  however  the
 4    actual  list  of products approved for drug product selection
 5    need not be promulgated. The Technical Advisory Council shall
 6    take cognizance of federal studies, the U.S. Pharmacopoeia  -
 7    National   Formulary,   or   other  recognized  authoritative
 8    sources, and shall  advise  the  Director  of  any  necessary
 9    modifications.
10        Timely  notice  of  revisions  to  the formulary shall be
11    furnished at no charge to all pharmacies by  the  Department.
12    Single  copies  of the drug formulary shall be made available
13    at no charge upon request to  licensed  prescribers,  student
14    pharmacists,  and  pharmacists  practicing  pharmacy  in this
15    State under a reciprocal license. The Department shall  offer
16    subscriptions  to  the  drug  formulary  and its revisions to
17    other  interested  parties  at  a  reasonable  charge  to  be
18    established by rule. Before the  Department  makes  effective
19    any  additions  to  or  deletions  from  the  procedures  for
20    operation  of  the  Drug Product Selection Program under this
21    Section, the Department shall file proposed  rules  to  amend
22    the  procedures  for  operation  of the program under Section
23    5-40 of  the  Illinois  Administrative  Procedure  Act.   The
24    Department  shall  issue  necessary rules and regulations for
25    the implementation of this Section.
26        Nothing in this Section shall prohibit the dispensing  of
27    a   different   drug  product  in  place  of  a  specifically
28    prescribed drug product by  a  pharmacy  licensed  under  the
29    Pharmacy  Practice  Act  of  1987  to a patient in a hospital
30    licensed under the Hospital Licensing Act or  the  University
31    of  Illinois  Hospital  Act,  or  a  facility operated by the
32    Department  of  Human   Services   or   the   Department   of
33    Corrections,  or  to  a resident of a facility licensed under
34    the Nursing Home Care Act, provided that  dispensing  of  the
 
                            -3-                LRB9104985DJcd
 1    drug  product  is permitted pursuant to written guidelines or
 2    procedures (i)  previously  established  by  a  Pharmacy  and
 3    Therapeutics  Committee  of  the  hospital  or facility, (ii)
 4    approved by the medical staff of the  hospital  or  facility,
 5    (iii)  specifically  approved, in writing, by the prescribing
 6    physician  for  his  or  her  patients  in  the  hospital  or
 7    facility, and (iv) providing that the physician  retains  the
 8    right  to  insist  upon  the  dispensing  of the specifically
 9    prescribed drug to his or her patient.
10    (Source: P.A. 87-860; 87-1237; 88-45.)

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