SB673 Summary

• Limits prescription claim documentation and record-keeping requirements to standards set by Oklahoma Pharmacy Act and applicable state or federal laws unless parties agree otherwise in contract.

• Requires auditing entities to identify specific prescription numbers to be audited in written notice provided at least two weeks before on-site audits, and permits pharmacies to reschedule audits up to seven days from original notification date.

• Caps initial audits at 75 prescriptions maximum and prohibits audits during the first seven calendar days of each month unless pharmacy consents.

• Exempts pharmacies from recoupment for clerical and record-keeping errors (typographical, scrivener's, or computer errors) unless auditor proves intent to commit fraud or actual financial harm occurred.

• Reduces preliminary audit report delivery time from 120 to 90 calendar days and final report delivery from six months to 120 calendar days after appeal completion; prohibits interest accrual during audit and appeal periods.

• Restricts auditing vendors contracting with multiple pharmacy benefit managers from using audit information from one client to conduct audits for another client.