OK SB659

Health benefit plans providing prescription drug coverage and issued or renewed on or after January 1, 2018 must permit prorated cost-sharing amounts (deductibles, coinsurance, copayments) for partial drug supplies when synchronizing a covered person's medication refill dates with prescriber or pharmacist determination and covered person agreement.

Prorated cost-sharing amounts must be calculated based on the number of days and actual supply of drug dispensed, but plans cannot prorate the dispensing fee paid to the pharmacy.

Health benefit plans must allow pharmacists or pharmacies to override plan denials of coverage when prescriptions are dispensed in partial supply for medication synchronization purposes, even if the refill occurs before the plan's standard refill guidelines.

Pharmacists must inform covered persons of additional options related to their prescription medications, including the cost and clinical efficacy of available alternative medications, with no contractual or legal penalties for non-compliance.

The act becomes effective November 1, 2017.