Section 24.36.01.404 - FILLING PRESCRIPTION DRUG ORDERS: DRUG PRODUCT SUBSTITUTIONDrug product substitutions in which a pharmacist dispenses a drug product other than that prescribed are allowed only as follows:
01.Hospital. Pursuant to a formulary or drug list prepared by the pharmacy and therapeutics committee of a hospital;02.Institutional Facility. At the direction of the quality assessment and assurance committee of an institutional facility;03.Biosimilars. A pharmacist may substitute an interchangeable biosimilar product for a prescribed biological product if:a. The biosimilar has been determined by the FDA to be interchangeable and published in the Purple Book;b. The name of the drug and the manufacturer or the NDC number is documented in the patient medical record.04.Therapeutic Interchange. A pharmacist may substitute a drug with another drug in the same therapeutic class, provided the substitution lowers the cost to the patient or occurs during a drug shortage.Idaho Admin. Code r. 24.36.01.404