hb523_LC_38_0831ER_a_2.html
09 LC 38 0831ER
House Bill 523
By: Representatives Lunsford of the 110th, Cooper of the 41st, Harbin of the 118th, Randall of the 138th, Jerguson of the 22nd, and others

A BILL TO BE ENTITLED
AN ACT


To amend Article 5 of Chapter 4 of Title 26 of the Official Code of Georgia Annotated, relating to prescription drugs, so as to provide that a brand necessary indication applies to refills; to prohibit a pharmacist from engaging in drug product selection or substitution for a patient undergoing immunosuppressive therapy to prevent transplant rejection without prior consent of the patient and prescribing physician; to provide for related matters; to repeal conflicting laws; and for other purposes.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:

SECTION 1.
Article 5 of Chapter 4 of Title 26 of the Official Code of Georgia Annotated, relating to prescription drugs, is amended by revising subsection (g) of Code Section 26-4-81, relating to substitution of generic drugs for name brand drugs, as follows:
"(g) A practitioner of the healing arts may instruct the pharmacist not to substitute a generic name drug in lieu of a brand name drug by including the words 'brand necessary' in the body of the prescription. When a prescription is a hard copy prescription drug order, such indication of brand necessary must be in the practitioner's own handwriting and shall not be printed, applied by rubber stamp, or any such similar means. Such indication by a practitioner of the healing arts shall apply to all refills of such prescription."

SECTION 2.
Said article is further is further amended by adding a new Code section to read as follows:
"26-4-91.
Notwithstanding any other provision of law, a pharmacist shall not engage in drug product selection or substitution of any pharmaceutical that is prescribed as part of immunosuppressive therapy for a patient that has received an organ or tissue transplant to inhibit or prevent immune system activity that might increase the probability of the rejection of such transplanted organs or tissues without first obtaining the consent of the patient and of the prescribing physician or his or her designee. If the pharmacist, after reasonable attempts, is unable to contact the prescribing physician as required under this Code section, the pharmacist may substitute a generically equivalent immunosuppressive drug for a period of no longer than 72 hours until communication can be established with the prescribing physician or designee. A physician may specify a generic manufacturer for immunosuppressive drugs by indicating such designation on the prescription. This Code section shall not apply to a pharmacist who is a member of the staff of and dispenses drugs from the pharmacy of a hospital issued a permit as an institution under Code Section 31-7-1."

SECTION 3.
All laws and parts of laws in conflict with this Act are repealed.