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Senate amends Medicaid preferred drug list to allow handwritten "dispense as written" overrides; reporting requirement discussed
Summary
Senate Bill 42, establishing a preferred drug list for Medicaid, was amended on the floor to allow a handwritten "dispense as written" override while prohibiting preprinted DAW pads; senators debated physician discretion, patient access, and tracking/monitoring before approving the amended bill.
The Utah Senate amended and passed Senate Bill 42, a measure to implement a preferred drug list (PDL) intended to control Medicaid prescription costs, after extensive floor debate that produced a key amendment allowing limited "dispense as written" (DAW) overrides.
Sponsor Senator Christensen, who described the PDL as a tool to make Medicaid pharmacy spending more reasonable and cost-effective, resisted the DAW amendment as potentially diluting savings. Opponents of the original PDL — including Senators Kilpach and Knudson — argued DAW is necessary to protect patients and permit physicians to prescribe what they believe…
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