VA SB 418
enactedTherapeutic interchange; authorizes pharmacists to perform, adaptation of prescriptions.
Virginia · 2026 Regular Session · upper
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Quick answers
Did VA SB 418 pass?
Yes. VA SB 418 has been enacted into law. Latest recorded action (2026-04-13): Approved by Governor-Chapter 888 (effective 7/1/2026)
What is VA SB 418 about?
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.
Who sponsors VA SB 418?
Barbara A. Favola is the primary sponsor of VA SB 418.
Description
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.
- Introduced
- 2026-01-13
- Latest action
- 2026-04-13 — Approved by Governor-Chapter 888 (effective 7/1/2026)
- Bill type
- bill
- Last updated
- —
Sponsors
- Barbara A. Favolaprimary
Committees
Not provided by source.
Action timeline
Newest first
2026-04-13
Approved by Governor-Chapter 888 (effective 7/1/2026)
executive-signature
2026-03-10
Governor's Action Deadline 11:59 p.m., April 13, 2026
executive-receipt
2026-03-10
Enrolled Bill communicated to Governor on March 10, 2026
enrolled,executive-receipt
2026-03-04
Signed by President
passage
2026-03-04
Signed by Speaker
passage
2026-03-04
Fiscal Impact Statement from Department of Planning and Budget (SB418)
2026-03-04
Bill text as passed Senate and House (SB418ER)
passage
2026-03-04
Enrolled
enrolled
2026-02-27
Passed House (87-Y 8-N 0-A)
passage
2026-02-27
Read third time
reading-3
2026-02-26
Read second time
reading-2
2026-02-24
Reported from Health and Human Services (19-Y 3-N)
committee-passage
2026-02-19
Subcommittee recommends reporting (10-Y 0-N)
2026-02-16
Assigned sub: Health Professions
referral-committee
2026-02-13
Referred to Committee on Health and Human Services
referral-committee
2026-02-13
Read first time
reading-1
2026-02-13
Placed on Calendar
2026-02-11
Fiscal Impact Statement from Department of Planning and Budget (SB418)
2026-02-10
Read third time and passed Senate (40-Y 0-N 0-A)
passage,reading-3
2026-02-09
Engrossed by Senate as amended (Voice Vote)
2026-02-09
Senator Favola Amendment agreed to
amendment-passage
2026-02-09
Reading of amendment waived (Voice Vote)
2026-02-09
Floor offered Senator Favola Amendment
2026-02-09
Read second time
reading-2
2026-02-06
Passed by for the day
2026-02-06
Passed by for the day
2026-02-06
Passed by for the day (Voice Vote)
2026-02-06
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 0-A)
2026-02-06
Rules suspended
2026-02-05
Reported from Education and Health (14-Y 0-N)
committee-passage
2026-01-30
Assigned Education sub: Health Professions
referral-committee
2026-01-29
Fiscal Impact Statement from Department of Planning and Budget (SB418)
2026-01-13
Referred to Committee on Education and Health
referral-committee
2026-01-13
Prefiled and ordered printed; Offered 01-14-2026 26104862D
filing,introduction
Versions
Documents
Votes
Reported from Education and Health
2026-02-05 · pass · 14-0
Member-level votes (15)
- Barbara A. Favola: yes
- L. Louise Lucas: yes
- Mamie E. Locke: yes
- David R. Suetterlein: yes
- Mark J. Peake: yes
- Todd E. Pillion: not voting
- Jennifer B. Boysko: yes
- Lamont Bagby: yes
- Christopher T. Head: yes
- Lashrecse D. Aird: yes
- Schuyler T. VanValkenburg: yes
- Tara A. Durant: yes
- Stella G. Pekarsky: yes
- Christie New Craig: yes
- Russet Perry: yes
Constitutional reading dispensed R
2026-02-06 · pass · 39-0
Member-level votes (40)
- Lashrecse D. Aird: yes
- Lamont Bagby: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: yes
- Adam P. Ebbin: yes
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: not voting
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: yes
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: yes
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: yes
Passage R
2026-02-10 · pass · 40-0
Member-level votes (40)
- Lashrecse D. Aird: yes
- Lamont Bagby: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: yes
- Adam P. Ebbin: yes
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: yes
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: yes
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: yes
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: yes
Subcommittee recommends reporting
2026-02-19 · pass · 10-0
Member-level votes (10)
- Marcia S. "Cia" Price: yes
- C.E. Cliff Hayes, Jr.: yes
- Kathy K.L. Tran: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Mark C. Downey: yes
- Garrett McGuire: yes
- M. Keith Hodges: yes
- Mike A. Cherry: yes
- Wren M. Williams: yes
Reported from Health and Human Services
2026-02-24 · pass · 19-3
Member-level votes (22)
- Rodney T. Willett: yes
- Kathy K.L. Tran: yes
- Patrick A. Hope: yes
- Marcia S. "Cia" Price: yes
- C.E. Cliff Hayes, Jr.: yes
- Sam Rasoul: yes
- Charniele L. Herring: yes
- Irene Shin: yes
- Joshua G. Cole: yes
- Rozia A. Henson, Jr.: yes
- Debra D. Gardner: yes
- Laura Jane Cohen: yes
- Mark C. Downey: yes
- Nicole Cole: yes
- Garrett McGuire: yes
- M. Keith Hodges: yes
- Wendell S. Walker: yes
- Mike A. Cherry: yes
- Phillip A. Scott: no
- H. Otto Wachsmann, Jr.: no
- Mitchell Cornett: no
- Wren M. Williams: yes
H VOTE:
2026-02-27 · pass · 87-8
Member-level votes (99)
- Jessica L. Anderson: yes
- Bonita G. Anthony: yes
- Alex Q. Askew: yes
- Terry L. Austin: yes
- Jason S. Ballard: yes
- Robert S. Bloxom, Jr.: yes
- Gretchen M. Bulova: yes
- Katrina Callsen: yes
- Karen R. "Kacey" Carnegie: yes
- Betsy B. Carr: yes
- Stacey Annie Carroll: yes
- Mike A. Cherry: yes
- Nadarius E. Clark: yes
- Laura Jane Cohen: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Kelly K. Convirs-Fowler: not voting
- Mitchell Cornett: yes
- Rae Cousins: yes
- Will Davis: yes
- Karrie K. Delaney: yes
- Lindsey Dougherty: yes
- Mark C. Downey: yes
- Michael B. Feggans: yes
- Hyland F. "Buddy" Fowler, Jr.: yes
- Lily V. Franklin: yes
- Margaret A. Franklin: yes
- Debra D. Gardner: yes
- Thomas A. Garrett, Jr.: not voting
- Jackie H. Glass: yes
- Timothy P. Griffin: no
- Elizabeth R. Guzman: not voting
- Karen Hamilton: yes
- C.E. Cliff Hayes, Jr.: yes
- Dan I. Helmer: yes
- Rozia A. Henson, Jr.: yes
- Phil M. Hernandez: yes
- Charniele L. Herring: yes
- M. Keith Hodges: yes
- Patrick A. Hope: yes
- Hillary Pugh Kent: yes
- Karen Keys-Gamarra: yes
- Terry G. Kilgore: yes
- Paul E. Krizek: yes
- Amy J. Laufer: yes
- James A. "Jay" Leftwich: yes
- Destiny LeVere Bolling: yes
- Alfonso H. Lopez: yes
- Michelle Lopes Maldonado: yes
- Marty Martinez: yes
- John Chilton McAuliff: yes
- Adele Y. McClure: yes
- Garrett McGuire: yes
- Ellen H. McLaughlin: yes
- Joseph P. McNamara: yes
- Kirk McPike: yes
- Delores L. McQuinn: yes
- Leslie Chambers Mehta: yes
- James W. Morefield: yes
- May Nivar: yes
- Delores Oates: yes
- Israel D. O'Quinn: yes
- Justin Pence: no
- Eric Phillips: yes
- Kimberly Pope Adams: yes
- Marcia S. "Cia" Price: yes
- Sam Rasoul: yes
- Atoosa R. Reaser: yes
- David A. Reid: yes
- Chris S. Runion: yes
- Charlie Schmidt: yes
- Don Scott: yes
- Phillip A. Scott: not voting
- Holly M. Seibold: yes
- Briana D. Sewell: yes
- Irene Shin: yes
- Marcus B. Simon: yes
- Shelly A. Simonds: yes
- JJ Singh: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Anne Ferrell Tata: yes
- Joshua E. Thomas: yes
- Virgil Thornton: yes
- Luke E. Torian: yes
- Kathy K.L. Tran: yes
- H. Otto Wachsmann, Jr.: no
- Wendell S. Walker: yes
- Jeion A. Ward: yes
- R. Lee Ware: yes
- Vivian E. Watts: yes
- Michael J. Webert: yes
- Madison Whittle: no
- Bill Wiley: no
- Rodney T. Willett: yes
- Wren M. Williams: yes
- Tony O. Wilt: no
- Thomas C. Wright, Jr.: no
- Scott A. Wyatt: no
- Eric R. Zehr: yes
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z
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