<html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-29E-8 - Substitute drug--Dispensation.</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s63218b110ad94d55ab78d228e55194bbNormal { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s63218b110ad94d55ab78d228e55194bbSENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s63218b110ad94d55ab78d228e55194bbCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s63218b110ad94d55ab78d228e55194bbStatute { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont-000000 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s63218b110ad94d55ab78d228e55194bb000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s63218b110ad94d55ab78d228e55194bbNoIndent { text-indent: 0.00in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s63218b110ad94d55ab78d228e55194bbSCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-29E-8 - Substitute drug--Dispensation."><meta property="og:description" content="SDLRC Codified Law 58-29E-8 - Substitute drug--Dispensation."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes?Statute=58-29E-8"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbNormal"><a href="https://sdlegislature.gov/Statutes?Statute=58-29E-8" rel="noopener"><span class="s63218b110ad94d55ab78d228e55194bbSENU">58-29E-8</span></a><span xml:space="preserve" class="s63218b110ad94d55ab78d228e55194bbSENU">. </span><span class="s63218b110ad94d55ab78d228e55194bbCL">Substitute drug--Dispensation.</span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbStatute"><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">A pharmacy benefit manager may request that a lower</span><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont-000000">-</span><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">priced generic and therapeutically equivalent prescription drug be dispensed to a covered individual, as a substitute for a higher</span><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont-000000">-</span><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">priced prescription drug.</span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbStatute"><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">If the substitute prescription drug's net cost is higher for the covered individual or the third-party payor than the originally prescribed drug, the substitution may be made only for medical reasons that benefit the covered individual.</span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbStatute"><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">If a substitution is being requested pursuant to this section, the pharmacy benefit manager must obtain the approval of the prescribing health professional.</span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbStatute"><span xml:space="preserve" class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">Nothing in this section permits the substitution of an equivalent drug product contrary to § </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-46.2" rel="noopener"><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">36-11-46.2</span></a><span class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont">.</span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbNormal"><span xml:space="preserve" class="s63218b110ad94d55ab78d228e55194bb000001"> </span></p><p dir="ltr" class="s63218b110ad94d55ab78d228e55194bbNoIndent"><span xml:space="preserve" class="s63218b110ad94d55ab78d228e55194bbDefaultParagraphFont-000002">Source: </span><span class="s63218b110ad94d55ab78d228e55194bbSCL">SL 2004, ch 311, § 8; SL 2023, ch 166, § 9.</span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-29E-8 - Substitute drug--Dispensation.</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s5b5335d1980344689e401f81faca53aeNormal { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s5b5335d1980344689e401f81faca53aeSENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5b5335d1980344689e401f81faca53aeCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s5b5335d1980344689e401f81faca53aeStatute { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s5b5335d1980344689e401f81faca53aeDefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s5b5335d1980344689e401f81faca53aeStatuteNumber1 { margin-left: 0.75in; text-indent: -0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-right: 0; margin-bottom: .001pt; } span.s5b5335d1980344689e401f81faca53ae000000 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s5b5335d1980344689e401f81faca53aeNoIndent { text-indent: 0.00in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s5b5335d1980344689e401f81faca53aeDefaultParagraphFont-000001 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s5b5335d1980344689e401f81faca53aeSCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } body { text-decoration-skip-ink: none; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-29E-8.1 - Provision of information to a patient."><meta property="og:description" content="SDLRC Codified Law 58-29E-8.1 - Provision of information to a patient."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes?Statute=58-29E-8.1"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeNormal"><a href="https://sdlegislature.gov/Statutes?Statute=58-29E-8.1" rel="noopener"><span class="s5b5335d1980344689e401f81faca53aeSENU">58-29E-8.1</span></a><span xml:space="preserve" class="s5b5335d1980344689e401f81faca53aeSENU">. </span><span class="s5b5335d1980344689e401f81faca53aeCL">Provision of information to a patient.</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeStatute"><span class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont">A pharmacy benefit manager may neither prohibit a pharmacist or pharmacy from, nor penalize a pharmacist or pharmacy for, informing a covered individual about:</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeStatuteNumber1"><span class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont">(1)    The cost of a prescription drug;</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeStatuteNumber1"><span class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont">(2)    The amount of reimbursement that the pharmacy will receive for dispensing the prescription drug;</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeStatuteNumber1"><span class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont">(3)    The cost and clinical efficacy of a more affordable alternative prescription drug, if one is available; and</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeStatuteNumber1"><span class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont">(4)    Any differential between the amount a covered individual would pay under the covered individual s prescription drug benefit and a lower price the covered individual would pay for the prescription drug, if the covered individual obtained the prescription drug without making a claim for benefits on the covered individual s prescription drug benefit.</span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeNormal"><span xml:space="preserve" class="s5b5335d1980344689e401f81faca53ae000000"> </span></p><p dir="ltr" class="s5b5335d1980344689e401f81faca53aeNoIndent"><span xml:space="preserve" class="s5b5335d1980344689e401f81faca53aeDefaultParagraphFont-000001">Source: </span><span class="s5b5335d1980344689e401f81faca53aeSCL">SL 2018, ch 281, § 1; SL 2023, ch 166, § 10.</span></p></div></body></html>