§328-92  Drug product selection.  (a) 
When filling a prescription order for a drug prescribed by its brand name, a
pharmacist or the pharmacist's authorized agent shall:



(1)  Offer to the consumer an equivalent generic drug
product from the formulary adopted pursuant to section 328-96; and



(2)  Upon the request of the
consumer, inform the consumer of the savings; and



(3)  Inform the consumer of
the consumer's right to refuse substitution.



The pharmacist shall substitute an equivalent
generic drug product if the practitioner does not prohibit substitution under
subsection (b), and the substitute equivalent generic drug product results in a
savings.  The pharmacist shall not substitute if the consumer refuses.



(b)  The pharmacist shall not substitute an equivalent generic drug product if
the practitioner indicates "brand medically necessary" or words of
similar meaning on the prescription.  The designation "brand medically
necessary" or other similar words or phrases must be handwritten by the
practitioner and shall not be preprinted or stamped on the written
prescription.  The pharmacist shall not substitute an equivalent generic drug
product if a prescription is orally or electronically ordered and the
practitioner or authorized employee of the practitioner indicates "brand
medically necessary" or other similar words or phrases.



The pharmacist shall
note the practitioner's instructions on the prescription record required to be
maintained under section 328-17.7.



This subsection shall
not apply when it does not comply with any federal requirement for services
reimbursable by medicaid or medicare.



(c)  The pharmacist shall not substitute an
equivalent generic drug product for any prescription for an anti-epileptic
drug, except upon the consent of the practitioner and the patient or the
patient's parent or guardian.  This narrow exception for epileptic patients
shall not be construed as a policy decision to make exceptions for any other
conditions.



(d)  The county
prosecutors and the attorney general may bring action upon complaint by an
aggrieved person or upon their own motion in the name of the State against any
person to enjoin any violation of this part. [L 1980, c 187, pt of §1;
am L 1982, c 122, §1(4); gen ch 1985; am L 1992, c 193, §§1, 5; am L 1996, c 209,
§3; am L 1997, c 214, §6; am L 2003, c 56, §6]