SB2074

Oklahoma SB2074 regulates pharmacy benefit managers by prohibiting refusal of documentation and requiring information in appeals.

Oklahoma SB2074 amends pharmacy benefit manager regulations to ensure they cannot refuse to accept documentation from providers. It mandates that pharmacy benefit managers must respond to appeals within ten days and provide reasons for denials. If an appeal is approved, the pharmacy benefit manager must remit full reimbursement within thirty days. The bill also requires pharmacy benefit managers to include specific claim-level details in their reimbursement adjustments. The provisions apply retroactively to all contracted providers.