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HB69 Alabama 2019 Session

Updated Feb 24, 2026

Summary

Session
Regular Session 2019
Title
Prescriptions, practitioner, electronic prescription specify whether a generic may be dispensed, Sec. 34-23-8 am'd.
Summary

HB 69 requires electronic prescriptions to clearly state whether a generic substitution is allowed when dispensing the prescribed drug.

What This Bill Does

The bill amends Section 34-23-8 to require electronic prescriptions to instruct whether a less expensive generic drug may be dispensed. It maintains current rules for brand-name vs generic substitutions and adds specific instructions for how prescriptions communicate substitution permissions, plus documentation and labeling requirements. It also sets penalties for violations and specifies how and when the new rules take effect.

Who It Affects
  • Licensed practitioners (physicians and other prescribers) who issue prescriptions, who must indicate on electronic prescriptions whether a generic substitution is permitted and, for written prescriptions, use the prescribed signature lines to communicate substitution instructions.
  • Licensed pharmacists in Alabama who dispense medications, who must follow the substitution instructions, record the drug product and manufacturer, and ensure proper labeling and documentation, with penalties for noncompliance.
Key Provisions
  • Electronic prescriptions must instruct whether a less expensive pharmaceutically and therapeutically equivalent generic product may be dispensed.
  • Written prescriptions must include two signature lines: one for 'dispense as written' and one for 'product selection permitted,' indicating the pharmacist's or practitioner's instruction.
  • Oral or electronic prescriptions (including e-fax) must explicitly instruct whether a generic substitution may be dispensed, with the pharmacist recording this information and retaining copies as required by law.
  • Prescriptions must indicate the actual drug product dispensed on the label, including brand or generic name and the manufacturer.
  • Pharmacists must record the drug’s manufacturer or distributor and the prescription must comply with substitution rules; violations can result in fines up to $1,000.
  • The act becomes law on the first day of the third month after it is enacted.
AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Prescription Drugs

Bill Actions

H

Delivered to Governor at 1:33 p.m. on May 29, 2019.

H

Assigned Act No. 2019-441.

H

Clerk of the House Certification

S

Signature Requested

H

Enrolled

H

Passed Second House

S

Motion to Read a Third Time and Pass adopted Roll Call 1227

S

Third Reading Passed

S

Read for the second time and placed on the calendar

S

Read for the first time and referred to the Senate committee on Healthcare

H

Engrossed

H

Motion to Read a Third Time and Pass adopted Roll Call 479

H

Motion to Adopt adopted Roll Call 478

H

Mooney Amendment Offered

H

Motion to Adopt adopted Roll Call 477

H

Insurance Amendment Offered

H

Third Reading Passed

H

Read for the second time and placed on the calendar 1 amendment

H

Read for the first time and referred to the House of Representatives committee on Insurance

Bill Text

Votes

Motion to Adopt

May 2, 2019 House Passed
Yes 97
Abstained 1
Absent 6

Motion to Adopt

May 2, 2019 House Passed
Yes 98
Abstained 1
Absent 5

Motion to Read a Third Time and Pass

May 2, 2019 House Passed
Yes 96
No 1
Abstained 1
Absent 6

Documents

Source: Alabama Legislature