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

Okla. Stat. tit. 36, § 36-6961: Retail pharmacy network access standards

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

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;

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.

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

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