SB789

Oklahoma SB789 regulates pharmacy benefit managers, including audit requirements, reimbursement rates, and permissible contracts.

Oklahoma SB789 amends pharmacy benefit manager regulations, requiring audits to be conducted with specific notice periods and limitations on recoupment. It mandates that pharmacy benefit managers update maximum allowable cost pricing weekly and establish processes for providers to access this information. The bill also sets reimbursement rates for drugs, ensuring they are no less than 106% of the National Average Drug Acquisition Cost plus a professional fee. It prohibits audits based on certain errors and requires full refunds of recouped amounts to plan sponsors.