Pharmacy Benefit Managers Compliance and Enforcement

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.

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

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

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

• 2023.12.22 - Proposed Permanent Rules - OAC 75.45

Patients & Consumers

• Patient’s Right to Pharmacy Choice Act
• Pharmacy Audit Integrity Act
• Pharmacy Benefit Plans

Complaint Forms

• Patient & Consumers
• Pharmacist & Pharmacy
• PSAO

Pharmacy Benefits Managers

• Reporting Requirements
• FAQs
• Section 6962 Quarterly Report Template
• Network Access Adequacy Standards Template