Florida Senate - 2013 COMMITTEE AMENDMENT Bill No. CS for SB 732 Barcode 613416 LEGISLATIVE ACTION Senate . House Comm: RCS . 04/25/2013 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Appropriations (Galvano) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Subsection (6) of section 465.019, Florida 6 Statutes, is amended to read: 7 465.019 Institutional pharmacies; permits.— 8 (6) In a Class II institutional pharmacy, an institutional 9 formulary system may be adopted with approval of the medical 10 staff for the purpose of identifying those medicinal drugs,and11 proprietary preparations, biologics, biosimilars, and biosimilar 12 interchangeables that may be dispensed by the pharmacists 13 employed in such institution. A facility with a Class II 14 institutional permit which is operating under the formulary 15 system shall establish policies and procedures for the 16 development of the system in accordance with the joint standards 17 of the American Hospital Association and American Society of 18 Hospital Pharmacists for the utilization of a hospital formulary 19 system, which formulary shall be approved by the medical staff. 20 Section 2. Section 465.0252, Florida Statutes, is created 21 to read: 22 465.0252 Substitution of interchangeable biosimilar 23 products.— 24 (1) As used in this section, the terms “biological 25 product,” “biosimilar,” and “interchangeable” have the same 26 meanings as defined in s. 351 of the federal Public Health 27 Service Act, 42 U.S.C. s. 262. 28 (2) A pharmacist may only dispense a substitute biological 29 product for the prescribed biological product if: 30 (a) The United States Food and Drug Administration has 31 determined that the substitute biological product is biosimilar 32 to and interchangeable for the prescribed biological product. 33 (b) The prescribing health care provider does not express a 34 preference against substitution in writing, verbally, or 35 electronically. 36 (c) The pharmacist notifies the person presenting the 37 prescription of the substitution in the same manner as provided 38 in s. 465.025(3)(a). 39 (d) The pharmacist retains a written or electronic record 40 of the substitution for at least 2 years. 41 (3) A pharmacist who practices in a class II or modified 42 class II institutional pharmacy shall comply with the 43 notification provisions of paragraph (2)(c) by entering the 44 substitution in the institution’s written medical record system 45 or electronic medical record system. 46 (4) The board shall maintain on its public website a 47 current list of biological products that the United States Food 48 and Drug Administration has determined are biosimilar and 49 interchangeable as provided in paragraph (2)(a). 50 Section 3. This act shall take effect July 1, 2013. 51 52 ================= T I T L E A M E N D M E N T ================ 53 And the title is amended as follows: 54 Delete everything before the enacting clause 55 and insert: 56 A bill to be entitled 57 An act relating to pharmacy; amending s. 465.019, 58 F.S.; permitting a class II institutional pharmacy 59 formulary to include biologics, biosimilars, and 60 biosimilar interchangeables; creating s. 465.0252, 61 F.S.; providing definitions; providing requirements 62 for a pharmacist to dispense a substitute biological 63 product that is determined to be biosimilar to and 64 interchangeable for the prescribed biological product; 65 providing notification requirements for a pharmacist 66 in a class II or modified class II institutional 67 pharmacy; requiring the Board of Pharmacy to maintain 68 a current list of interchangeable biosimilar products; 69 providing an effective date.