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Pharmacy Benefit Managers Compliance and Enforcement

Pharmacy Benefit Managers Compliance and Enforcement Unit

 

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.

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

If you believe you have been the victim of any violation to the Patient's Right to Pharmacy Choice Act, please submit a complaint to the PBMCE Unit using the appropriate form below.

Patient's Right to Pharmacy Choice Act

For information about the Oklahoma Patient's RIght to Pharmacy Choice Act, 36 O.S. §§ 6958 – 6969, click here.

Pharmacy Audit Integrity Act

To understand more about the pharmacy’s rights and responsibilities under the Pharmacy Audit Integrity Act, 36 O.S. §§ 6958-6968, click here.

Pharmacy Benefits Plans

For more information about the laws regulating PBM’s in Oklahoma, click here.

Pharmacy Benefits Managers