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Oklahoma · Snapshot open-us-law v2026.08, retrieved 2026-09-14

Okla. Stat. tit. 36, § 36-6570.51: Online accessibility for prescription drug prior

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Where this section sits in the code
  1. OK Code
  2. Title 36

authorization requirements, restrictions, and formularies.

A utilization review entity shall make any current prescription

drug prior authorization requirements and restrictions, including

written clinical criteria, readily accessible on its website to

enrollees and health care providers. Prior authorization

requirements shall be described in detail but also in easily

understandable language.

Any health plan shall make any current prescription drug plan

formulary readily accessible on its website to enrollees and health

care providers.

All health benefit plans shall submit a secured webpage link for

the plan's formulary, to the Insurance Commissioner, on or before

October 1 of each year. The Commissioner shall issue guidance and

standardized reporting requirements to ensure compliance with the

provisions of this section. Any confidential or trade secret

information shall be redacted prior to submission to the

Commissioner. No later than December 31, 2025, and by December 31

of each year thereafter, the Commissioner shall make available to

the public the reports submitted by insurers, as required by this

section.

If a utilization review entity intends either to implement a new

prior authorization requirement or restriction, or amend an existing

requirement or restriction, the utilization review entity shall

ensure that the new or amended requirement or restriction is not

implemented unless the utilization review entity's website has been

updated to reflect the new or amended requirement or restriction.

If a utilization review entity intends either to implement a new

prior authorization requirement or restriction, or amend an existing

requirement or restriction, the utilization review entity shall

provide contracted health care providers credentialed to prescribe

the drug, or enrollees who have a chronic condition and are already

receiving the prescription drug which the prior authorization

changes will impact, notice of the new or amended requirement or

restriction no less than sixty (60) days before the requirement or

restriction is implemented.

Provided the provisions of this section do not violate any

applicable law, regulation, or the Oklahoma Medicaid State Plan.

Collected 2026-09-14T18:32:36Z. Source file · JSON

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