2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 510B - REGULATION OF PHARMACY BENEFITS MANAGERS
510B.6 - DISPENSING OF SUBSTITUTE PRESCRIPTION DRUG FOR PRESCRIBED DRUG.

        510B.6  DISPENSING OF SUBSTITUTE PRESCRIPTION DRUG FOR
      PRESCRIBED DRUG.
         1.  The following provisions shall apply when a pharmacy benefits
      manager requests the dispensing of a substitute prescription drug for
      a prescribed drug to a covered individual:
         a.  The pharmacy benefits manager may request the substitution
      of a lower priced generic and therapeutically equivalent drug for a
      higher priced prescribed drug.
         b.  If the substitute drug's net cost to the covered
      individual or covered entity exceeds the cost of the prescribed drug,
      the substitution shall be made only for medical reasons that benefit
      the covered individual.
         2.  A pharmacy benefits manager shall obtain the approval of the
      prescribing practitioner prior to requesting any substitution under
      this section.
         3.  A pharmacy benefits manager shall not substitute an equivalent
      prescription drug contrary to a prescription drug order that
      prohibits a substitution.  

         2007 Acts, ch 193, §6, 9