OHCA Policies and Rules

OHCA Policies and Rules Main Page

317:30-5-180.2. Eligibility

[Issued 02-01-07]

In order to be eligible for the OPDDP, an individual must:

(1) be an Oklahoma resident;

(2) apply with the Pharmacy Benefit Manager (PBM);

(3) not have insurance to cover all or part of prescriptions;

(4) pay an enrollment fee when income is above 150% Federal Poverty Level (FPL); and

(5) provide verification of income to determine enrollment fee, co-pay, and eligibility for the manufacturer's PAP.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.