58-17b-606 - Restrictive drug formulary prohibited.
58-17b-606. Restrictive drug formulary prohibited.
(1) As used in this section:
(a) "Generic form" means a prescription drug that is available in generic form and has anA rating in the United States Pharmacopeia and Drug Index.
(b) "Legend drug" has the same meaning as prescription drug.
(c) "Restrictive drug formulary" means a list of legend drugs, other than drugs forcosmetic purposes, that are prohibited by the Department of Health from dispensation, but areapproved by the Federal Food and Drug Administration.
(2) A practitioner may prescribe legend drugs in accordance with this chapter that, in hisprofessional judgment and within the lawful scope of his practice, he considers appropriate forthe diagnosis and treatment of his patient.
(3) Except as provided in Subsection (4), the Department of Health may not maintain arestrictive drug formulary that restricts a physician's ability to treat a patient with a legend drugthat has been approved and designated as safe and effective by the Federal Food and DrugAdministration, except for drugs for cosmetic purposes.
(4) When a multisource legend drug is available in the generic form, the Department ofHealth may only reimburse for the generic form of the drug unless the treating physiciandemonstrates to the Department of Health a medical necessity for dispensing the nongeneric,brand-name legend drug.
(5) The Department of Health pharmacists may override the generic mandate provisionsof Subsection (4) if a financial benefit will accrue to the state.
(6) This section does not affect the state's ability to exercise the exclusion optionsavailable under the Federal Omnibus Budget Reconciliation Act of 1990.
Amended by Chapter 101, 2010 General Session