Am. Sub. H.B. No. 37 Summary

• Pharmacists may dispense dangerous drugs (excluding Schedule II controlled substances) without a prescription when the original prescription has no refills remaining and the prescriber cannot be reached, if the drug is essential to the patient's health and failure to dispense could cause harm.

• Non-controlled emergency refills are limited to one 72-hour supply per prescription, or up to three times in a 12-month period with a 30-day supply limit for the first dispensing and 7-day supply limit for subsequent dispensings.

• Pharmacists must notify the original prescriber or responsible provider within 72 hours of dispensing an emergency refill and maintain records for one year including drug amount, prescription number, and patient information.

• Health benefit plans must provide coverage for drugs dispensed under emergency refill authority with cost-sharing requirements no greater than those for regular prescriptions.

• Pharmacists may dispense naltrexone for substance use disorder treatment without a prescription under similar emergency conditions, limited to a 5-day oral supply or professional judgment for injectable forms, with notification required within five days.