STATE BILLVA SB 418PASSED

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.

Status: Passed; Signed or otherwise enacted
Status date: Apr 13, 2026; 213 days ago
Current chamber: Senate
Session: 2026 Regular Session

VA SB 418 · PassedApr 13

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Bill details

Last action: Acts of Assembly Chapter text (CHAP0888) · Apr 13, 2026

Sponsor

BFBarbara FavolaSenator · Democrat · SD-040Primary sponsor

Bill history

Newest first.

Apr 13, 2026Acts of Assembly Chapter text (CHAP0888)

Apr 13, 2026Approved by Governor-Chapter 888 (effective 7/1/2026)

Mar 10, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026

Mar 10, 2026Enrolled Bill communicated to Governor on March 10, 2026Senate

Mar 4, 2026Signed by PresidentSenate

Mar 4, 2026Signed by SpeakerHouse

Mar 4, 2026Fiscal Impact Statement from Department of Planning and Budget (SB418)Senate

Mar 4, 2026Bill text as passed Senate and House (SB418ER)Senate

Show 27 earlier actions

Mar 4, 2026EnrolledSenate

Feb 27, 2026Passed House (87-Y 8-N 0-A)House

Feb 27, 2026Read third timeHouse

Feb 26, 2026Read second timeHouse

Feb 24, 2026Reported from Health and Human Services (19-Y 3-N)House

Feb 19, 2026Subcommittee recommends reporting (10-Y 0-N)House

Feb 16, 2026Assigned sub: Health ProfessionsHouse

Feb 13, 2026Referred to Committee on Health and Human ServicesHouse

Feb 13, 2026Read first timeHouse

Feb 13, 2026Placed on CalendarHouse

Feb 11, 2026Fiscal Impact Statement from Department of Planning and Budget (SB418)Senate

Feb 10, 2026Read third time and passed Senate (40-Y 0-N 0-A)Senate

Feb 9, 2026Engrossed by Senate as amended (Voice Vote)Senate

Feb 9, 2026Senator Favola Amendment agreed toSenate

Feb 9, 2026Reading of amendment waived (Voice Vote)Senate

Feb 9, 2026Floor offered Senator Favola AmendmentSenate

Feb 9, 2026Read second timeSenate

Feb 6, 2026Passed by for the daySenate

Feb 6, 2026Passed by for the day (Voice Vote)Senate

Feb 6, 2026Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)Senate

Feb 6, 2026Rules suspendedSenate

Feb 5, 2026Reported from Education and Health (14-Y 0-N)Senate

Jan 30, 2026Assigned Education sub: Health ProfessionsSenate

Jan 29, 2026Fiscal Impact Statement from Department of Planning and Budget (SB418)Senate

Jan 13, 2026Referred to Committee on Education and HealthSenate

Jan 13, 2026Prefiled and ordered printed; Offered 01-14-2026 26104862DSenate

Recorded votes

Reported from Education and Health (14-Y 0-N)Feb 5, 2026 · Senate · 14 yea · 0 nayPassed

Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)Feb 6, 2026 · Senate · 39 yea · 0 nayPassed

Read third time and passed Senate (40-Y 0-N 0-A)Feb 10, 2026 · Senate · 40 yea · 0 nayPassed

Subcommittee recommends reporting (10-Y 0-N)Feb 19, 2026 · House · 10 yea · 0 nayPassed

Reported from Health and Human Services (19-Y 3-N)Feb 24, 2026 · House · 19 yea · 3 nayPassed

Passed House (87-Y 8-N 0-A)Feb 27, 2026 · House · 87 yea · 8 nayPassed

Read the bill at the source

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