PDFWAC 246-945-340

Prescriptions—Drug product substitutions.

(1) A pharmacist may substitute a drug or biologic product dispensed pursuant to a prescription if in compliance with applicable laws and rules.
(2) A pharmacist may substitute a drug product or a biologic product when any of the following applies:
(a) The substitution is permitted by RCW 69.41.120;
(b) The substitution is permitted by a formulary developed by an interdisciplinary team of an institutional facility; or
(c) The substitution is otherwise permitted by law.
(3) In addition to any other applicable requirements, a pharmacist shall only substitute a drug or a biologic product pursuant to subsection (2)(b) of this section if:
(a) An employee or contractor of the institutional facility prescribed the drug or biologic product to be substituted;
(b) The interdisciplinary team was composed of a nonpharmacist prescriber listed in RCW 69.41.030 and a pharmacist; and
(c) The formulary is readily retrievable by the pharmacist.
[Statutory Authority: RCW 18.64.005, 18.64.080, 18.130.075, 18.64.043, 18.64.044, 18.64.045, 18.64.046, 18.64.370, 18.64.460, 69.50.310, 18.64.011, 18.64.245, 18.64.470, 18.64.255, 18.64.205, 18.64.253, 18.64.410, 18.64.500, 18.64.590. WSR 20-12-072, § 246-945-340, filed 6/1/20, effective 7/1/20.]