SB 1573 – Oklahoma

Status: Inactive / Dead
Year Introduced: 2018
Link: http://www.oklegislature.gov/BillInfo.aspx?Bill=sb1573&Session=1800

AN ACT RELATING TO PHARMACY BENEFIT PLANS: Would require pharmacy claims payers to specify sources used to determine maximum allowable cost (MAC) reimbursement for generic drugs. Would require payers to update MAC generic pricing list every 7 days and would require readily available access to MAC amounts to be given to providers. Would create an appeals process for providers to contest reimbursement amounts. Would prohibit pharmacy benefit managers from requiring accreditation or licensing of providers other than by State Board of Pharmacy.

Prohibits pharmacy benefits managers from: 1. Requiring a covered individual to obtain prescription drugs from a mail order pharmacy or through the mail or other common carrier; or 2. Imposing an additional cost sharing, fee, limitation on benefits or other condition or requirement on a covered individual who obtains a prescription from a retail network pharmacy instead of through a mail order pharmacy.

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