SB 418 VA

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Became Law

Therapeutic interchange and adaptation. Authorizes pharmacists to perform therapeutic interchanges by substituting a drug with another drug in the same therapeutic class when such substitution lowers the cost or is cost-neutral to the patient or the prescribed drug is in a drug shortage and the substitution conforms to Board of Pharmacy regulations. The bill directs the Board of Pharmacy to determine which therapeutic classes of drugs shall be eligible for therapeutic interchange and which classes shall be prohibited. The bill also authorizes pharmacists to adapt prescriptions by changing the dosage form or quantity of a medication or by completing missing information on a prescription when there is evidence to support such change.

• Barbara A. Favola Democratic · primary

1. Jan 13, 2026 Prefiled and ordered printed; Offered 01-14-2026 26104862D · upper
2. Jan 13, 2026 Referred to Committee on Education and Health · upper
3. Jan 29, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB418) · upper
4. Jan 30, 2026 Assigned Education sub: Health Professions · upper
5. Feb 5, 2026 Reported from Education and Health (14-Y 0-N) · upper
6. Feb 6, 2026 Rules suspended · upper
7. Feb 6, 2026 Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A) · upper
8. Feb 6, 2026 Passed by for the day (Voice Vote) · upper
9. Feb 6, 2026 Passed by for the day · upper
10. Feb 6, 2026 Passed by for the day · upper
11. Feb 9, 2026 Read second time · upper
12. Feb 9, 2026 Floor offered Senator Favola Amendment · upper
13. Feb 9, 2026 Reading of amendment waived (Voice Vote) · upper
14. Feb 9, 2026 Senator Favola Amendment agreed to · upper
15. Feb 9, 2026 Engrossed by Senate as amended (Voice Vote) · upper
16. Feb 10, 2026 Read third time and passed Senate (40-Y 0-N 0-A) · upper
17. Feb 11, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB418) · upper
18. Feb 13, 2026 Placed on Calendar · lower
19. Feb 13, 2026 Read first time · lower
20. Feb 13, 2026 Referred to Committee on Health and Human Services · lower
21. Feb 16, 2026 Assigned sub: Health Professions · lower
22. Feb 19, 2026 Subcommittee recommends reporting (10-Y 0-N) · lower
23. Feb 24, 2026 Reported from Health and Human Services (19-Y 3-N) · lower
24. Feb 26, 2026 Read second time · lower
25. Feb 27, 2026 Read third time · lower
26. Feb 27, 2026 Passed House (87-Y 8-N 0-A) · lower
27. Mar 4, 2026 Enrolled · upper
28. Mar 4, 2026 Bill text as passed Senate and House (SB418ER) · upper
29. Mar 4, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB418) · upper
30. Mar 4, 2026 Signed by Speaker · lower
31. Mar 4, 2026 Signed by President · upper
32. Mar 10, 2026 Enrolled Bill communicated to Governor on March 10, 2026 · upper
33. Mar 10, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
34. Apr 13, 2026 Approved by Governor-Chapter 888 (effective 7/1/2026) · executive

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Enrolled · PDF
• Enrolled · HTML
• Engrossed · PDF
• Engrossed · HTML
• Senator Favola Amendment · HTML
• Introduced · PDF
• Introduced · HTML