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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.
Introduced
Jan 13, 2026
Last Action
Mar 10, 2026
Session
VA 2026
Sponsors
1 primary · 0 co
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 10, 2026
Signed by Speaker
Fiscal Impact Statement from Department of Planning and Budget (SB418)
Bill text as passed Senate and House (SB418ER)
Signed by President
Enrolled
Passed House (87-Y 8-N 0-A)
Read third time
Read second time
Reported from Health and Human Services (19-Y 3-N)
Subcommittee recommends reporting (10-Y 0-N)
Assigned sub: Health Professions
Placed on Calendar
Read first time
Referred to Committee on Health and Human Services
Fiscal Impact Statement from Department of Planning and Budget (SB418)
Read third time and passed Senate (40-Y 0-N 0-A)
Senator Favola Amendment agreed to
Reading of amendment waived (Voice Vote)
Floor offered Senator Favola Amendment
Engrossed by Senate as amended (Voice Vote)
Read second time
Passed by for the day
Passed by for the day (Voice Vote)
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)
Rules suspended
Reported from Education and Health (14-Y 0-N)
Assigned Education sub: Health Professions
Fiscal Impact Statement from Department of Planning and Budget (SB418)
Prefiled and ordered printed; Offered 01-14-2026 26104862D
Referred to Committee on Education and Health
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Governor's Action Deadline 11:59 p.m., April 13, 2026
Barbara A. Favola