ENGR. H. B. NO. 3609 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ENGROSSED HOUSE BILL NO. 3609 By: Echols, McDugle, Roe and Fugate of the House and Garvin of the Senate An Act relating to professions and occupations; amending 59 O.S. 2021, Section 353.24, which relates to the Oklahoma Pharmacy Act; modifying provisions related to unlawful acts by licens ees or other persons; providing certain restrictions or conditions imposed by pharmacy benefits manager to be un lawful; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 59 O.S. 2021, Section 353 .24, is amended to read as follows: Section 353.24 A. It shall be unlawful for any licens ee or other person to: 1. Forge or increase the quantity of drug in any prescription, or to present a prescription bearing forged, fictitious or altered information or to possess any drug secured by such forged, fictitious or altered prescription; 2. Sell, offer for sale, barter or give away any unused quantity of drugs obtained by prescription, except through a program ENGR. H. B. NO. 3609 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 pursuant to the Utilization of Unused Pre scription Medications Act or as otherwise provided by th e State Board of Pharmacy; 3. Sell, offer for sale, barter or give away any drugs damaged by fire, water, or other causes without first obtaining the written approval of the Board or the State Depar tment of Health; 4. No person, firm or business establis hment shall offer to the public, in any manner, their services as a "pick-up station" or intermediary for the purpose of having prescriptions filled or delivered, whether for profit or gratuitously. Nor may the owner of any pharmacy or drug store authoriz e any person, firm or business establishment to act for them in this manner with these exceptions: a. patient-specific filled prescriptions may be delivered or shipped to a prescriber 's clinic for pick-up by those patients whom the prescriber has individua lly determined and documented do not hav e a permanent or secure mailing address, b. patient-specific filled prescriptions for drugs which require special handling written by a prescriber may be delivered or shipped to the prescriber's clinic for administration or pick-up at the prescriber 's office, c. patient-specific filled prescriptions, including sterile compounded drugs, may be delivered or shipped to a prescriber's clinic where they shall be administered, ENGR. H. B. NO. 3609 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 d. patient-specific filled prescriptions for pa tients with end-stage renal disease (ESRD) may be delivered or shipped to a prescriber's clinic for administ ration or final delivery to the patient, e. patient-specific filled prescriptions for radiopharmaceuticals may be delivered or shipped to a prescriber's clinic for administration or pick -up, or f. patient-specific filled prescriptions may be delivered or shipped by an Indian Health Services (IHS) or federally recognized tribal health organization operating under the IHS in the delivery of the prescriptions to a pharmacy operated by the IHS or a federally recognized tribal health organization for pick-up by an IHS or tribal patient. However, nothing in this paragrap h shall prevent a pharmacist or an employee of the pharmacy from personally receiving a p rescription or delivering a legally fill ed prescription to a residence, office or place of employment of the patient for whom the prescription was written. Provided f urther, the provisions of this paragr aph shall not apply to any Department of Mental Heal th and Substance Abuse Services employee or any person whose facility contracts with the Department of Mental Health and Substance Abuse Services whose possession of any dangerous drug, as defined in Sect ion 353.1 of this title, is for the purpose of deliv ery of a mental health ENGR. H. B. NO. 3609 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 consumer's medicine to the consumer's home or residence. Nothing in this paragraph shall prevent veterinary prescription drugs from being shipped directly from an Oklahoma licensed wholesaler or distributor registered with the Oklah oma Board of Veterinary Medical Examiners to a client; provided, such drugs may be dispensed only on prescription of a licensed veterinarian and only when an existing veterinary-client-patient relationship exists. Nothing in this paragraph shall prevent d ialysate and peritoneal dialysis devices from being shipped directly from an Oklahoma licensed manufacturer, wholesaler or distributor to an ESRD patient or patient 's designee, consistent with subsection F of Section 353.18 of this title; 5. Sell, offer for sale or barter or buy any professiona l samples except through a program pursuant to the Utilization of Unused Prescription Medications Act; 6. Refuse to permit o r otherwise prevent members of the Bo ard or such representatives thereof from entering and inspecting any and all places, including premises, vehicles, equipment, contents, and records, where drugs, medicine, chemicals or poisons are stored, sold, vended, given away, compounded, dispensed, re packaged, transported, or manufactured; 7. Interfere, refuse to participate in, impede or oth erwise obstruct any inspection, investigation or disciplinary procee ding authorized by the Oklahoma Pharmacy Act; ENGR. H. B. NO. 3609 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 8. Possess dangerous drugs without a valid pr escription or a valid license to possess such drugs; pro vided, however, this provision shall not apply to any Department of Mental Health and Substance Abuse Servic es employee or any person whose facility contracts with the Department of Mental Health and Substance Abuse Services whose possession of any dangero us drug, as defined in Section 353.1 of this title, is for the purpose of delivery of a mental health consum er's medicine to the consumer's home or residence; 9. Fail to establish and maintain effec tive controls against the diversion of drugs for any othe r purpose than legitimate medical, scientific or industrial uses as provided by state, federal and local law; 10. Fail to have a written drug diversion detectio n and prevention policy; 11. Possess, sell, offer for sale, barter or give away any quantity of dangerous drugs not listed as a schedu led drug pursuant to Sections 2-201 through 2-212 of Title 63 of the Oklahoma Statutes when obtained by prescription bea ring forged, fictitious or altered information. a. A first violation of this section shall const itute a misdemeanor and upon conviction shall be punishable by imprisonment in the county jail for a term no t more ENGR. H. B. NO. 3609 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 than one (1) year and a fine in an amount no t more than One Thousand Dollars ($1, 000.00). b. A second violation of this section shall constit ute a felony and upon conviction shall b e punishable by imprisonment in the Department of Corrections for a term not exceeding five (5) years and a fine in an amount not more than Two Thousand Do llars ($2,000.00); 12. Violate a Board order or agreed order ; 13. Compromise the security of licens ure examination materials; or 14. Fail to notify the Board, in writ ing, within ten (10) days of a licensee or perm it holder's address change. B. 1. It shall be unlawful for any person o ther than a licensed pharmacist or physician to certify a prescripti on before delivery to the patient or the patient's representative or caregiver. Dialysate and peritoneal dialysis devices supplied pursuant to the provisions of subsection F of Section 35 3.18 of this title shall not be required to be certified by a pharma cist prior to being supplied by a manufacturer, wholesaler or distri butor. 2. It shall be unlawful for any perso n to institute or manage a pharmacy unless such person is a licensed pharma cist or has placed a licensed pharmacist in charge of such pharmacy. 3. No licensed pharmacist shall manage, supervise or be in charge of more than one pharmacy. ENGR. H. B. NO. 3609 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 4. No pharmacist being requested to sell, furnish or compound any drug, medicine, chemical o r other pharmaceutical prepa ration, by prescription or otherwise, sh all substitute or cause to be substituted for it, without authority of the prescriber or purchaser, any like dr ug, medicine, chemical or pharmaceuti cal preparation. 5. No pharmacy, pharma cist-in-charge or other pers on shall permit the practice of pharmacy except by a licensed pharmacist or assistant pharmacist. 6. No person shall subvert the authority of the ph armacist-in- charge of the pharmacy by impeding the management of the prescription department to act in comp liance with federal and state law. C. 1. It shall be unlawful for a pharmacy to resell dangerous drugs to any wholesale distributor. 2. It shall be unlawful for a wholesale distribu tor to purchase drugs from a pharmacy. 3. It shall be unlawful for a ph armacy benefits manager to impose restrictions or conditions on a pharmacy related to drug purchase sources or timing of drug purchases for payment of billed claims for drug products. SECTION 2. This act shall become effective November 1, 2022. ENGR. H. B. NO. 3609 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Passed the House of Representatives the 23rd day of March, 2022. Presiding Officer of the House of Representatives Passed the Senate the ___ day of __________, 2022. Presiding Officer of the Senate