1. (1) As used in this section, "exhausted prescription" means a prescription for an insulin that the patient is currently using that:

   1. (a) expired no earlier than six months before the patient requests the pharmacist for a refill; or
   2. (b) is not expired and has no refills remaining.
2. (2) If a valid prescription for insulin includes an authorization for one or more refills, a pharmacist may combine refills to dispense a supply for 100 days but may not exceed the total supply authorized by the refills.
3. (3) Notwithstanding Section 58-17b-608 and Subsection (2), a pharmacist may, on an emergency basis, dispense a refill for an exhausted prescription based on the prescribing practitioner's instructions for the exhausted prescription in an amount up to a supply for 60 days.
4. (4) A pharmacist may dispense insulin for an exhausted prescription described in Subsection (3) no more than one time per exhausted prescription.

5. (5) Before a pharmacist may dispense insulin under Subsection (3), the pharmacist shall:

   1. (a) attempt to contact the prescribing practitioner to inform the prescribing practitioner that the patient's prescription has expired; and
   2. (b) notify the patient of the outcome of the attempt described in Subsection (5)(a).

6. (6) Within 30 days after the day on which a pharmacist dispenses insulin under Subsection (3), the pharmacist shall inform the prescribing practitioner of:

   1. (a) the amount of insulin dispensed; and
   2. (b) the type of insulin dispensed.

7. (7) A pharmacist may dispense a therapeutic equivalent when filling a prescription for:

   1. (a) a glucometer;
   2. (b) diabetes test strips;
   3. (c) lancets;
   4. (d) syringes;
   5. (e) needles; or
   6. (f) other supplies for treating diabetes designated by rule made by the division in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.

Amended by Chapter 465, 2022 General Session