Oklahoma § 36-6570.52 - Adverse determinations to include alternative
Full text of Oklahoma Oklahoma Statutes § 36-6570.52 — Adverse determinations to include alternative, with citation guidance and answers to common questions.
§ 36-6570.52. Adverse determinations to include alternative
prescription drugs — Qualifications of reviewers.
A utilization review entity shall ensure that all adverse
determinations include alternative prescription drugs covered by the
health plan's formulary and are made by a physician, pharmacist, or
licensed mental health professional. The physician, pharmacist, or
licensed mental health professional shall:
1. Possess a current and valid nonrestricted license in any
United States jurisdiction;
2. Have the appropriate training, knowledge, or expertise to
apply appropriate clinical guidelines to the health care service
being requested; and
3. Make the adverse determination under the clinical direction
provided by the committee or board responsible for developing
policies for drug use, evaluating clinical appropriateness, and
ensuring effective drug use when reviewing prescription drug prior
authorizations to enrollees of Oklahoma. All such medical directors
shall be physicians licensed in any United States jurisdiction.
Added by Laws 2025, c. 447, § 4, eff. Nov. 1, 2025.
Frequently Asked Questions About Oklahoma § 36-6570.52
What does Oklahoma Statutes § 36-6570.52 cover?
Section 36-6570.52 ("Adverse determinations to include alternative") is part of the Oklahoma Statutes, the codified statutory law of Oklahoma. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Oklahoma § 36-6570.52?
A common citation format is "Oklahoma Statutes § 36-6570.52" (Oklahoma). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Oklahoma law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Oklahoma official source linked on this page or consult a licensed Oklahoma attorney.
How does Oklahoma § 36-6570.52 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Oklahoma can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Oklahoma.