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.]