March 14, 2025 - Introduced by Senators Cabral-Guevara and Nass, cosponsored by Representatives Murphy, Sortwell, Behnke, Dittrich and Knodl. Referred to Committee on Licensing, Regulatory Reform, State and Federal Affairs.
SB137,1,5
1An Act to repeal 450.095 (1) (a); to amend 50.36 (6), 450.095 (title), 450.095 2(2) (intro.), 450.095 (2) (a), 450.095 (2) (b) and 450.095 (2) (c); to create 3450.095 (1) (am), 450.095 (2) (am), 450.095 (2m) and 632.865 (6m) of the 4statutes; relating to: the duty of a pharmacist to dispense lawfully prescribed
5drugs and devices. Analysis by the Legislative Reference Bureau
Under current law, a pharmacy has a duty to dispense lawfully prescribed contraceptive drugs and devices without delay unless certain factors apply, including that the prescription contains an obvious or known error or contains inadequate instructions, the prescription is contraindicated for the patient, the prescription is incompatible with another drug or device prescribed for the patient, or the prescription is potentially fraudulent. This bill expands that duty to require pharmacies to dispense any lawfully prescribed drug or device without delay. However, if any pharmacist at a pharmacy refuses to dispense a drug or device for reasons of conscience such that the pharmacy cannot fulfill the prescription order without delay, then the bill requires the pharmacy to transfer the prescription order to a different pharmacy, at the direction of the patient, that will dispense the prescribed drug or device without delay. The bill also specifies that a pharmacy may not dispense a lawfully prescribed drug or device if there is an absolute contraindication for the prescribed drug or device, rather than just a contraindication. Under the bill, “absolute contraindication” is defined to mean any condition present in a patient that makes a particular drug or device inadvisable under any circumstances.
Further, the bill prohibits a pharmacy benefit manager from penalizing in any way a pharmacy or pharmacist from dispensing a prescribed drug or device that is prescribed for a use other than a use approved by the federal Food and Drug Administration if the prescribed drug or device is dispensed pursuant to a valid prescription order.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
SB137,1
1Section 1. 50.36 (6) of the statutes is amended to read: SB137,2,5250.36 (6) If the department receives a credible complaint that a pharmacy 3located in a hospital has violated its duty to dispense contraceptive drugs and 4devices under s. 450.095 (2), the department shall refer the complaint to the 5department of safety and professional services. SB137,26Section 2. 450.095 (title) of the statutes is amended to read: SB137,2,77450.095 (title) Duty to dispense contraceptives. SB137,38Section 3. 450.095 (1) (a) of the statutes is repealed. SB137,49Section 4. 450.095 (1) (am) of the statutes is created to read: SB137,2,1310450.095 (1) (am) “Absolute contraindication” means any condition present in 11a patient that renders a particular drug or device not safe to be used as prescribed 12under any circumstance because of the severe or potentially life-threatening risks 13involved. SB137,514Section 5. 450.095 (2) (intro.) of the statutes is amended to read: SB137,3,415450.095 (2) (intro.) Unless one or more any of the following applies, except as
1provided in sub. (2m), a pharmacy shall dispense any lawfully prescribed 2contraceptive drugs and devices drug or device and shall deliver contraceptive 3drugs and devices restricted to distribution by a pharmacy the drug or device to a 4the patient without delay: SB137,65Section 6. 450.095 (2) (a) of the statutes is amended to read: SB137,3,76450.095 (2) (a) The prescription or prescription order contains an obvious or 7known error or contains inadequate instructions. SB137,78Section 7. 450.095 (2) (am) of the statutes is created to read: SB137,3,119450.095 (2) (am) A pharmacist determines after reviewing the prescription 10order and the patient’s medical records that there is an absolute contraindication 11for the prescribed drug or device. SB137,812Section 8. 450.095 (2) (b) of the statutes is amended to read: SB137,3,1513450.095 (2) (b) The prescription is contraindicated for the patient, prescribed 14drug or device is incompatible with another drug or device prescribed for the 15patient, or is prohibited by state or federal law. SB137,916Section 9. 450.095 (2) (c) of the statutes is amended to read: SB137,3,1817450.095 (2) (c) The prescription or prescription order is potentially 18fraudulent. SB137,1019Section 10. 450.095 (2m) of the statutes is created to read: SB137,4,220450.095 (2m) If any pharmacist at a pharmacy refuses to dispense a lawfully 21prescribed drug or device for reasons of conscience such that the pharmacy cannot 22fulfill a prescription or prescription order without delay, then the pharmacy shall 23transfer the prescription or prescription order to a different pharmacy, at the
1direction of the patient, that will dispense the prescribed drug or device without 2delay. SB137,113Section 11. 632.865 (6m) of the statutes is created to read: SB137,4,84632.865 (6m) Off-label therapies. No pharmacy benefit manager may in 5any way penalize a pharmacy or pharmacist for dispensing a prescribed drug or 6device that is prescribed for a use other than a use approved by the federal food and 7drug administration if the prescribed drug or device is dispensed pursuant to a 8valid prescription order, as defined in s. 450.01 (21).
