Okla. Stat. tit. 36, § 36-6570.56
This is the official text of Okla. Stat. tit. 36, § 36-6570.56, part of Oklahoma’s Stat. tit. 36, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 36,." Browse the sections below, each linked to its official government source.
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Timeframe for validity of prior authorizations for
Official statutory text
chronic conditions.
A. If a prior authorization is required for a prescription drug
for the treatment of a chronic condition of an enrollee, and the
enrollee remains on the same health plan, then the prior
authorization shall remain valid for three (3) years from the date
the health care provider receives the prior authorization approval,
unless clinical criteria changes, the enrollee's health plan removes
the generic prescription drug from the formulary, or moves the
prescription drug to a less preferred tier status on its formulary.
B. This section shall not apply to prior authorizations
approved for:
1. A prescription drug that is an opioid or is a controlled
substance that is prohibited from being dispensed without a
prescription under the Federal Food, Drug, and Cosmetic Act, 21
U.S.C., Section 301 et seq., as amended; or
2. A prescription drug for the treatment of weight loss.
C. Provided the provisions of this section do not violate any
applicable law, regulation, or the Oklahoma Medicaid State Plan.
A. If a prior authorization is required for a prescription drug
for the treatment of a chronic condition of an enrollee, and the
enrollee remains on the same health plan, then the prior
authorization shall remain valid for three (3) years from the date
the health care provider receives the prior authorization approval,
unless clinical criteria changes, the enrollee's health plan removes
the generic prescription drug from the formulary, or moves the
prescription drug to a less preferred tier status on its formulary.
B. This section shall not apply to prior authorizations
approved for:
1. A prescription drug that is an opioid or is a controlled
substance that is prohibited from being dispensed without a
prescription under the Federal Food, Drug, and Cosmetic Act, 21
U.S.C., Section 301 et seq., as amended; or
2. A prescription drug for the treatment of weight loss.
C. Provided the provisions of this section do not violate any
applicable law, regulation, or the Oklahoma Medicaid State Plan.
Status: in_force · Read it on the official government site
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