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type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
type title description jurisdiction legislature session identifier citation classification subjects status primary_sponsors version_count action_count vote_count first_action last_action source source_identifier source_url source_hash vintage source_snapshot retrieved_at confidence tags
Bill Therapeutic interchange; authorizes pharmacists to perform, adaptation of prescriptions. Therapeutic interchange and adaptation. Authorizes pharmacists to perform therapeutic interchanges by substituting a drug with another drug in the same therapeutic class when such substitution lowers the cost or is cost-neutral to the patient or the prescribed drug is in a drug shortage and the substitution conforms to Board of Pharmacy regulations. The bill directs the Board of Pharmacy to determine which therapeutic classes of drugs shall be eligible for therapeutic interchange and which classes shall be prohibited. The bill also authorizes pharmacists to adapt prescriptions by changing the dosage form or quantity of a medication or by completing missing information on a prescription when there is evidence to support such change. us/states/va Virginia General Assembly 2026 SB 418 Virginia SB 418 (2026)
bill
enacted
Barbara A. Favola
4 34 6 2026-01-13 2026-04-13 openstates ocd-bill/06704873-a6d2-47d2-ae24-9ca35b4672e6 https://lis.virginia.gov/bill-details/20261/SB418 69ac7446a36cb66be1d6753be9f4b3a4aa492bb0fa3036a865c0a3e0a7d27cfe 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-va

Virginia SB 418 (2026) — Therapeutic interchange; authorizes pharmacists to perform, adaptation of prescriptions.

Therapeutic interchange and adaptation. Authorizes pharmacists to perform therapeutic interchanges by substituting a drug with another drug in the same therapeutic class when such substitution lowers the cost or is cost-neutral to the patient or the prescribed drug is in a drug shortage and the substitution conforms to Board of Pharmacy regulations. The bill directs the Board of Pharmacy to determine which therapeutic classes of drugs shall be eligible for therapeutic interchange and which classes shall be prohibited. The bill also authorizes pharmacists to adapt prescriptions by changing the dosage form or quantity of a medication or by completing missing information on a prescription when there is evidence to support such change.

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

  1. Introduced (filed) — source
  2. Engrossed (committee substitute) — source
  3. Senator Favola Amendment (committee substitute) — source
  4. Enrolled (enrolled) — source

Votes

  • Passage R — 400 (pass) · upper
  • Constitutional reading dispensed R — 390 (pass) · upper
  • H VOTE: — 878 (pass) · lower
  • Subcommittee recommends reporting — 100 (pass) · lower
  • Reported from Health and Human Services — 193 (pass) · lower
  • Reported from Education and Health — 140 (pass) · upper

Sponsors

  • Barbara A. Favola — primary (person)

Timeline

The legislative action history — every referral, reading, and vote.

  • 2026-01-13 Prefiled and ordered printed; Offered 01-14-2026 26104862D filing, introduction
  • 2026-01-13 Referred to Committee on Education and Health referral-committee
  • 2026-01-29 Fiscal Impact Statement from Department of Planning and Budget (SB418)
  • 2026-01-30 Assigned Education sub: Health Professions referral-committee
  • 2026-02-05 Reported from Education and Health (14-Y 0-N) committee-passage
  • 2026-02-06 Rules suspended
  • 2026-02-06 Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)
  • 2026-02-06 Passed by for the day (Voice Vote)
  • 2026-02-06 Passed by for the day
  • 2026-02-06 Passed by for the day
  • 2026-02-09 Read second time reading-2
  • 2026-02-09 Floor offered Senator Favola Amendment
  • 2026-02-09 Reading of amendment waived (Voice Vote)
  • 2026-02-09 Senator Favola Amendment agreed to amendment-passage
  • 2026-02-09 Engrossed by Senate as amended (Voice Vote)
  • 2026-02-10 Read third time and passed Senate (40-Y 0-N 0-A) passage, reading-3
  • 2026-02-11 Fiscal Impact Statement from Department of Planning and Budget (SB418)
  • 2026-02-13 Placed on Calendar
  • 2026-02-13 Read first time reading-1
  • 2026-02-13 Referred to Committee on Health and Human Services referral-committee
  • 2026-02-16 Assigned sub: Health Professions referral-committee
  • 2026-02-19 Subcommittee recommends reporting (10-Y 0-N)
  • 2026-02-24 Reported from Health and Human Services (19-Y 3-N) committee-passage
  • 2026-02-26 Read second time reading-2
  • 2026-02-27 Read third time reading-3
  • 2026-02-27 Passed House (87-Y 8-N 0-A) passage
  • 2026-03-04 Enrolled enrolled
  • 2026-03-04 Bill text as passed Senate and House (SB418ER) passage
  • 2026-03-04 Fiscal Impact Statement from Department of Planning and Budget (SB418)
  • 2026-03-04 Signed by Speaker passage
  • 2026-03-04 Signed by President passage
  • 2026-03-10 Enrolled Bill communicated to Governor on March 10, 2026 enrolled, executive-receipt
  • 2026-03-10 Governor's Action Deadline 11:59 p.m., April 13, 2026 executive-receipt
  • 2026-04-13 Approved by Governor-Chapter 888 (effective 7/1/2026) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/06704873-a6d2-47d2-ae24-9ca35b4672e6. Confidence: reported (aggregated from official Virginia legislature records).