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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.)