Virginia bills · 2026 Regular Session
Virginia SB 418
Therapeutic interchange; authorizes pharmacists to perform, adaptation of prescriptions.
- Introduced
- In committee
- Passed Senate
- Passed House
- To Governor
- Became law
Sponsors
- Barbara A. Favola (Democratic)
Summary
Official abstract published by the Virginia legislature· SUMMARY AS PASSED
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.
Text versions
Roll-call votes
State vote data last updated Oct 15, 2026, 4:19 PM.
| Date | Vote | Result | Your legislators |
|---|---|---|---|
| Feb 27, 2026 House | H VOTE: | pass | Set your home in Virginia to see |
| Feb 24, 2026 House | Reported from Health and Human Services | pass | Set your home in Virginia to see |
| Feb 19, 2026 House | Subcommittee recommends reporting | pass | Set your home in Virginia to see |
| Feb 10, 2026 Senate | Passage R | pass | Set your home in Virginia to see |
| Feb 6, 2026 Senate | Constitutional reading dispensed R | pass | Set your home in Virginia to see |
| Feb 5, 2026 Senate | Reported from Education and Health | pass | Set your home in Virginia to see |
Actions
- Apr 13, 2026
Approved by Governor-Chapter 888 (effective 7/1/2026) - Mar 10, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026 - Mar 10, 2026 · Senate
Enrolled Bill communicated to Governor on March 10, 2026 - Mar 4, 2026 · Senate
Signed by President - Mar 4, 2026 · House
Signed by Speaker - Mar 4, 2026 · Senate
Fiscal Impact Statement from Department of Planning and Budget (SB418) - Mar 4, 2026 · Senate
Bill text as passed Senate and House (SB418ER) - Mar 4, 2026 · Senate
Enrolled - Feb 27, 2026 · House
Passed House (87-Y 8-N 0-A) - Feb 27, 2026 · House
Read third time - Feb 26, 2026 · House
Read second time - Feb 24, 2026 · House
Reported from Health and Human Services (19-Y 3-N) - Feb 19, 2026 · House
Subcommittee recommends reporting (10-Y 0-N) - Feb 16, 2026 · House
Assigned sub: Health Professions - Feb 13, 2026 · House
Referred to Committee on Health and Human Services - Feb 13, 2026 · House
Read first time - Feb 13, 2026 · House
Placed on Calendar - Feb 11, 2026 · Senate
Fiscal Impact Statement from Department of Planning and Budget (SB418) - Feb 10, 2026 · Senate
Read third time and passed Senate (40-Y 0-N 0-A) - Feb 9, 2026 · Senate
Engrossed by Senate as amended (Voice Vote) - Feb 9, 2026 · Senate
Senator Favola Amendment agreed to - Feb 9, 2026 · Senate
Reading of amendment waived (Voice Vote) - Feb 9, 2026 · Senate
Floor offered Senator Favola Amendment - Feb 9, 2026 · Senate
Read second time - Feb 6, 2026 · Senate
Passed by for the day - Feb 6, 2026 · Senate
Passed by for the day - Feb 6, 2026 · Senate
Passed by for the day (Voice Vote) - Feb 6, 2026 · Senate
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A) - Feb 6, 2026 · Senate
Rules suspended - Feb 5, 2026 · Senate
Reported from Education and Health (14-Y 0-N) - Jan 30, 2026 · Senate
Assigned Education sub: Health Professions - Jan 29, 2026 · Senate
Fiscal Impact Statement from Department of Planning and Budget (SB418) - Jan 13, 2026 · Senate
Referred to Committee on Education and Health - Jan 13, 2026 · Senate
Prefiled and ordered printed; Offered 01-14-2026 26104862D