Okla. Stat. tit. 36, § 36-6969
This is the official text of Okla. Stat. tit. 36, § 36-6969, 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.
Not legal advice. This page reproduces the official text of a government statute for reference only. Laws change, and how a statute applies depends on your specific facts. For advice about your situation, consult a licensed attorney in your state.
Restrictions on health benefit plans and pharmacy benefit
Official statutory text
managers — White bagged drugs.
A. As used in this section:
1. "Health benefit plan" means a health benefit plan as defined
pursuant to Section 6060.4 in Title 36 of the Oklahoma Statutes;
2. "Pharmacy benefits manager" means a person that performs
pharmacy benefits management and any other person acting for such
person under a contractual or employment relationship in the
performance of pharmacy benefits management for a managed-care
company, not-for-profit hospital, medical services organization,
insurance company, third-party payor, or a health program
administered by a state agency; and
3. "White bagged drugs" means the distribution of physician
administered medication from a pharmacy, typically a specialty
pharmacy, to the physician's office, hospital, or clinic for
administration.
B. All health benefit plans and pharmacy benefits managers in
this state shall not refuse to authorize, approve, or pay a
Oklahoma Statutes - Title 36. Insurance Page 1444
participating provider for providing covered physician-administered
drugs to covered persons.
C. All white bagged drugs distributed in this state shall meet
supply chain security controls set forth by the federal Drug Supply
Chain Security Act as amended.
D. A health benefit plan or a pharmacy benefits manager of a
plan shall not require a covered patient to self-administer an
injectable drug against a health care provider's recommendation in
accordance with the manufacturer's approved guidelines.
E. Health benefit plans shall not require a covered patient to
pay additional fees for white bagged drugs beyond cost-sharing
obligations as outlined in the individual's plan.
F. Providers and health care facilities shall be permitted to
dispense and administer a covered physician-administered drug based
on a patient's best interest, provided that the health care facility
or provider that administers the drug shall agree to the terms and
conditions of network participation and accept, as payment in full,
reimbursement for the drug at the health insurer's negotiated
contracted rate. The health care facility or provider is prohibited
from billing or collecting from the patient any amount in excess of
or in addition to the patient's cost sharing obligations as outlined
in the individual's plan.
G. Any payor in violation of this act shall be fined a minimum
of Five Thousand Dollars ($5,000.00) per violation, but not more
than Ten Thousand Dollars ($10,000.00) per violation. Fines related
to this section shall not be used when calculating payors, plans, or
members loss ratios and losses incurred pursuant to this subsection
shall not be passed on to the consumer in future rate increases.
A. As used in this section:
1. "Health benefit plan" means a health benefit plan as defined
pursuant to Section 6060.4 in Title 36 of the Oklahoma Statutes;
2. "Pharmacy benefits manager" means a person that performs
pharmacy benefits management and any other person acting for such
person under a contractual or employment relationship in the
performance of pharmacy benefits management for a managed-care
company, not-for-profit hospital, medical services organization,
insurance company, third-party payor, or a health program
administered by a state agency; and
3. "White bagged drugs" means the distribution of physician
administered medication from a pharmacy, typically a specialty
pharmacy, to the physician's office, hospital, or clinic for
administration.
B. All health benefit plans and pharmacy benefits managers in
this state shall not refuse to authorize, approve, or pay a
Oklahoma Statutes - Title 36. Insurance Page 1444
participating provider for providing covered physician-administered
drugs to covered persons.
C. All white bagged drugs distributed in this state shall meet
supply chain security controls set forth by the federal Drug Supply
Chain Security Act as amended.
D. A health benefit plan or a pharmacy benefits manager of a
plan shall not require a covered patient to self-administer an
injectable drug against a health care provider's recommendation in
accordance with the manufacturer's approved guidelines.
E. Health benefit plans shall not require a covered patient to
pay additional fees for white bagged drugs beyond cost-sharing
obligations as outlined in the individual's plan.
F. Providers and health care facilities shall be permitted to
dispense and administer a covered physician-administered drug based
on a patient's best interest, provided that the health care facility
or provider that administers the drug shall agree to the terms and
conditions of network participation and accept, as payment in full,
reimbursement for the drug at the health insurer's negotiated
contracted rate. The health care facility or provider is prohibited
from billing or collecting from the patient any amount in excess of
or in addition to the patient's cost sharing obligations as outlined
in the individual's plan.
G. Any payor in violation of this act shall be fined a minimum
of Five Thousand Dollars ($5,000.00) per violation, but not more
than Ten Thousand Dollars ($10,000.00) per violation. Fines related
to this section shall not be used when calculating payors, plans, or
members loss ratios and losses incurred pursuant to this subsection
shall not be passed on to the consumer in future rate increases.
Status: in_force · Read it on the official government site
Need a lawyer in Oklahoma?
Find a Oklahoma lawyer
About this page: Statute text is reproduced from official government publishers via the
Open US Law dataset
(Vaquill AI, snapshot v2026.08, CC BY 4.0). Primary legislative text like this is public domain under the government-edicts doctrine
(Georgia v. Public.Resource.Org, 2020). We link every section back to its official source so you can verify it independently.