Oklahoma § 36-6961 - Retail pharmacy network access standards
Full text of Oklahoma Oklahoma Statutes § 36-6961 — Retail pharmacy network access standards, with citation guidance and answers to common questions.
§ 36-6961. Retail pharmacy network access standards
A. Pharmacy benefits managers (PBMs) shall comply with the
following retail pharmacy network access standards:
1. At least ninety percent (90%) of covered individuals
residing in an urban service area live within two (2) miles of a
retail pharmacy participating in the PBM's retail pharmacy network;
2. At least ninety percent (90%) of covered individuals
residing in an urban service area live within five (5) miles of a
retail pharmacy designated as a preferred participating pharmacy in
the PBM's retail pharmacy network;
3. At least ninety percent (90%) of covered individuals
residing in a suburban service area live within five (5) miles of a
retail pharmacy participating in the PBM's retail pharmacy network;
4. At least ninety percent (90%) of covered individuals
residing in a suburban service area live within seven (7) miles of a
retail pharmacy designated as a preferred participating pharmacy in
the PBM's retail pharmacy network;
Oklahoma Statutes - Title 36. Insurance
5. At least seventy percent (70%) of covered individuals
residing in a rural service area live within fifteen (15) miles of a
retail pharmacy participating in the PBM's retail pharmacy network;
and
6. At least seventy percent (70%) of covered individuals
residing in a rural service area live within eighteen (18) miles of
a retail pharmacy designated as a preferred participating pharmacy
in the PBM's retail pharmacy network.
B. Mail-order pharmacies shall not be used to meet access
standards for retail pharmacy networks.
C. Pharmacy benefits managers shall not require patients to use
pharmacies that are directly or indirectly owned by the pharmacy
benefits manager, including all regular prescriptions, refills or
specialty drugs regardless of day supply.
D. Pharmacy benefits managers shall not in any manner on any
material, including but not limited to mail and ID cards, include
the name of any pharmacy, hospital or other providers unless it
specifically lists all pharmacies, hospitals and providers
participating in the preferred and nonpreferred pharmacy and health
networks.
Added by Laws 2019, c. 426, § 4, eff. Nov. 1, 2019.
Frequently Asked Questions About Oklahoma § 36-6961
What does Oklahoma Statutes § 36-6961 cover?
Section 36-6961 ("Retail pharmacy network access standards") 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 § 36-6961?
A common citation format is "Oklahoma Statutes § 36-6961" (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 § 36-6961 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.