Illinois legislation · 104th General Assembly
Illinois HB4793: PHARMACIST DISPENSING ABILITY
Status: Signed into law, July 31, 2026
Amends the Pharmacy Practice Act. Provides that a pharmacist who is exercising his or her professional judgment may add missing non-pharmaceutical devices or durable medical equipment that aid in the appropriate clinical usage of a medication or in achieving a positive therapeutic outcome to a prescription. Provides that a pharmacist may complete missing information on a prescription if there is evidence to support the change. Requires any adaptations to a prescription to be documented in the patient's record. In provisions concerning the distribution of a prescription drug for less than its fair market value, provides that it shall be unlawful to require a pharmacist or pharmacy to dispense a prescription drug for less than its fair market value, including the cost of dispensing. Provides that a payor that reimburses a pharmacy for less than fair market value, including the cost of dispensing, shall not be able to include the pharmacy toward any network adequacy requirements and shall not be deemed in compliance with any willing provider provisions.
What the bill says
A bill FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB4793Introduced , by Rep. Rick RyanSYNOPSIS AS INTRODUCED: ILCS 85/20.5 new225 ILCS 85/24from Ch. 111, par. 4144 225 ILCS 85/20.5 new 225 ILCS 85/24 from Ch. 111, par. 4144 ILCS 85/20.5 new ILCS 85/24 from Ch. 111, par. 4144 Amends the Pharmacy Practice Act. Provides that a pharmacist who isexercising his or her professional judgment may add missingnon-pharmaceutical devices or durable medical equipment that aid in theappropriate clinical usage of a medication or in achieving a positivetherapeutic outcome to a prescription…
From the introduced text, February 2, 2026:
A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB4793Introduced , by Rep. Rick RyanSYNOPSIS AS INTRODUCED: ILCS 85/20.5 new225 ILCS 85/24from Ch. 111, par. 4144 225 ILCS 85/20.5 new 225 ILCS 85/24 from Ch. 111, par. 4144 ILCS 85/20.5 new ILCS 85/24 from Ch. 111, par. 4144 Amends the Pharmacy Practice Act. Provides that a pharmacist who isexercising his or her professional judgment may add missingnon-pharmaceutical devices or durable medical equipment that aid in theappropriate clinical usage of a medication or in achieving a positivetherapeutic outcome to a prescription. Provides that a pharmacist maycomplete missing information on a prescription if there is evidence tosupport the change. Requires any adaptations to a prescription to bedocumented in the patient's record. In provisions concerning thedistribution of a prescription drug for less than its fair market value,provides that it shall be unlawful to require a pharmacist or pharmacy todispense a prescription drug for less than its fair market value,including the cost of dispensing. Provides that a payor that reimburses apharmacy for less than fair market value, including the cost ofdispensing, shall not be able to include the pharmacy toward any networkadequacy requirements and shall not be deemed in compliance with anywilling provider provisions. LRB104 19413 AAS 32861 b LRB104 19413 AAS 32861 b LRB104 19413 AAS 32861 b A BILL FOR …