OK HB1808

Requires health insurers and pharmacy benefits managers to post prior authorization requirements, clinical criteria, and drug formularies on their websites, with 60 days advance notice to providers and affected patients before implementing changes

Mandates that adverse determinations (denials) on prescription drug prior authorizations be made by licensed physicians, pharmacists, or mental health professionals with appropriate training, and appeals must be reviewed by specialists in the same or similar field

Establishes response deadlines of 24 hours for urgent prescription drugs and 4 business days for non-urgent drugs; requests are automatically approved if deadlines are missed when providers submit through authorized systems

Prior authorizations for chronic condition medications remain valid for 3 years (excluding opioids, controlled substances, and weight loss drugs), and new health plans must honor existing authorizations for at least 60 days during coverage transitions

Violations may result in penalties up to $5,000 per violation, enforceable by the Insurance Commissioner or Attorney General; effective November 1, 2025