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Pharmacy Benefit Managers Compliance and Enforcement

Overview

The Pharmacy Benefit Managers Compliance and Enforcement Unit is committed to ensuring a safe and fair marketplace for pharmaceuticals in Oklahoma.

Patient's Right to Pharmacy Choice Act

The Patient's Right to Pharmacy Choice Act created prohibitions on restrictions of an Oklahoman’s right to choose a pharmacy provider.

The Act also prohibits PBMs from:

  • Charging certain fees;
  • Reimbursing a pharmacy an amount less than the amount that the PBM reimburses a pharmacy owned by the PBM for providing the same covered services;
  • Failing to make any payment due to a pharmacy for covered services properly rendered in the event a PBM terminates a provider from a pharmacy benefits manager network; and/or
  • Utilizing “spread pricing” in reimbursements to pharmacists or pharmacies.

Read information about the Oklahoma Patient's Right to Pharmacy Choice Act, 36 O.S. §§ 6958 – 6969.

If you believe you have been the victim of any violation of Oklahoma's PBM laws, please submit a complaint to the PBMCE Unit using our complaint forms on the right side of this page.

Pharmacy Audit Integrity Act

Read about the pharmacy’s rights and responsibilities under the Pharmacy Audit Integrity Act, 36 O.S. §§ 6958-6968.

Pharmacy Benefits Plans

Read information about the laws regulating PBM’s in Oklahoma.

Permanent Administrative Rules

Effective July 25, 2024

Rules for PBM Unit as defined by Okla. Admin. Code sec. 75-45

Last Modified on Nov 14, 2024
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