Oklahoma 2024 2024 Regular Session

Oklahoma House Bill HB3567 Introduced / Bill

Filed 01/18/2024

                     
 
 
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STATE OF OKLAHOMA 
 
2nd Session of the 59th Legislature (2024) 
 
HOUSE BILL 3567 	By: Manger 
 
 
 
 
 
AS INTRODUCED 
 
An Act relating to controlled dangerous drugs; 
amending 63 O.S. 2021, Section s 2-101, as last 
amended by Section 1, C hapter 375, O.S.L. 2023, 2-
305, as amended by Section 2, Chapter 176, O.S.L. 
2023, 2-309, as amended by Section 2, Chapter 304, 
O.S.L. 2023 and 2-406, as amended by Section 2, 
Chapter 235, O.S.L. 2023 (63 O.S. Supp. 2023, 
Sections 2-101, 2-305, 2-309 and 2-406), which relate 
to the Uniform Controlled Dangerous Substances Act; 
adding and alphabetizing definitions; providing 
exception to written order requirement; deeming 
written order as final under certain cir cumstances; 
directing registrants subject to administrative 
action to maintain registration; authorizing the 
utilization of electronic prescriptions under certain 
circumstances; requiring practitioners to purchase 
official prescription forms; providing r estrictions 
on use of official prescription forms; modifying 
scope of certain prohibited act; repealing 
63 O.S. 2021, Sections 2-101, as last amended by 
Section 10, Chapter 91, O.S.L. 2019, Section 1, 
Chapter 235, O.S.L. 2023, Section 1, Chapter 304, 
O.S.L. 2023, 2-305, as last amended by Section 4, 
Chapter 375, O.S.L. 2023, 2-309 as last amended by 
Section 1, Chapter 333, O.S.L. 2021 and 2-406, as 
last amended by Section 7, Chapter 375, O.S.L. 2023 
(63 O.S. Supp. 2023, Section s 2-101, 2-305, 2-309 and 
2-406), which relate to the Uniform Controlled 
Dangerous Substance Act; and providing an effective 
date. 
 
 
 
 
   
 
 
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BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
SECTION 1.     AMENDATORY     63 O.S. 2021, Section 2 -101, as 
last amended by Section 1, Chapter 375, O.S.L. 2023 (63 O.S. Supp. 
2023, Section 2-101), is amended to read as follows: 
Section 2-101. As used in the Uniform Controlled Dangerous 
Substances Act: 
1. "Acute pain" means pain, whether resulting from disease, 
accidental or intentional trauma or other cause, that the 
practitioner reasonably expects to last only a short period of time.  
Acute pain does not include chronic pain, pain being treated as part 
of cancer care, hospice or other end-of-life care, or pain being 
treated as part of palliative care; 
2. "Administer" means the direct application of a controlled 
dangerous substance, whether by injection, inhalation, ingestion or 
any other means, to the body of a patient, animal or research 
subject by: 
a. a practitioner (or, in the presence of the 
practitioner, by the authorized agent of the 
practitioner), or 
b. the patient or research subject at the direction and 
in the presence of the practitioner; 
2. 3.  "Agent" means a peace officer appointed by and who acts 
on behalf of the Director of the Oklahoma State Bureau of Narcotics 
and Dangerous Drugs Control or an authorized person who acts on   
 
 
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behalf of or at the direction of a person who manufactures, 
distributes, dispenses, prescribes, administers or uses for 
scientific purposes controlled dangerous substances but does not 
include a common or contract carrier, public warehouser or employee 
thereof, or a person required to register under the Uniform 
Controlled Dangerous Substances Act; 
4. "Anhydrous ammonia" means any substance that exhibits 
cryogenic evaporative behavior and tests positive for ammonia; 
5.  "Beneficial owner" means the natural person or natural 
persons who ultimately own or control a legal entity, as well as the 
natural person or natural persons on whose behalf a busi ness is 
conducted including those natural persons who exercise ultimate 
effective control over a legal entity or arrangement ; 
3. 6. "Board" means the Advisory Board to the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
4. 7.  "Bureau" means the Oklahoma State Bureau of Narcotics and 
Dangerous Drugs Control; 
8.  "Chronic pain" means pain that persists beyond the usual 
course of an acute disease or healing of an injury.  Chronic pain 
may or may not be associated with an acute or chronic pathologic 
process that causes continuous or intermittent pain over months or 
years; 
5. 9. "Coca leaves" includes cocaine and any compound, 
manufacture, salt, derivative, mixture or preparation of coca   
 
 
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leaves, except derivatives of coca leaves which do not contain 
cocaine or ecgonine; 
6. 10. "Commissioner" or "Director" means the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
7. 11. "Control" means to add, remove or change the placement 
of a drug, substance or immediate precursor under the Uniform 
Controlled Dangerous Substances Act; 
8. 12. "Controlled dangerous substance" means a drug, substance 
or immediate precursor in Schedules I through V of the Uniform 
Controlled Dangerous Substances Act or any drug, substance or 
immediate precursor listed either temporarily or permanently as a 
federally controlled substance.  Any conflict between state and 
federal law with regard to the particular schedule in which a 
substance is listed shall be resolved in favor of state law; 
9. 13. "Counterfeit substance" means a controlled substance 
which, or the container or labeling of which without authorization, 
bears the trademark, trade name or other identifying marks, imprint, 
number or device or any likeness thereof of a manufacturer, 
distributor or dispenser other than the person who in fact 
manufactured, distributed or dispensed the substance; 
10. 14. "Deliver" or "delivery" means the actual, constructive 
or attempted transfer from one person to another of a controlled 
dangerous substance or drug paraphernalia, whether or not there is 
an agency relationship;   
 
 
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11. 15. "Dispense" means to deliver a controlled dangerous 
substance to an ultimate user or human research subject by or 
pursuant to the lawful order of a practitioner, including the 
prescribing, administering, packaging, labeling or compounding 
necessary to prepare the substance for such distribution.  
"Dispenser" is a practitioner who delivers a controlled dangerous 
substance to an ultimate user or human research subject; 
12. 16. "Distribute" means to deliver other than by 
administering or dispensing a controlled dangerous substance; 
13. 17. "Distributor" means a commercial entity engaged in the 
distribution or reverse distribution of narcotics and dangerous 
drugs and who complies with all regulations promulgated by the 
federal Drug Enforcement Administration and the Oklahoma State 
Bureau of Narcotics and Dangerous Drugs Control; 
14. 18. "Drug" means articles: 
a. recognized in the official United States Pharmacopeia, 
official Homeopathic Pharmacopoeia of the United 
States, or official National Formulary, or any 
supplement to any of them, 
b. intended for use in the diagnosis, cure, mitigation, 
treatment or prevention of disease in man or other 
animals, 
c. other than food, intended to affect the structure or 
any function of the body of man or other animals, and   
 
 
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d. intended for use as a component of any article 
specified in this paragraph; 
provided, however, the term drug does not include devices or their 
components, parts or accessories; 
19.  "Drug paraphernalia" means all equipment, products, and 
materials of any kind which are used, intended for use, or fashioned 
specifically for use in planting, propagating, cultivating, growing, 
harvesting, manufacturing, comp ounding, converting, producing, 
processing, preparing, testing, analyzing, packaging, repackaging, 
storing, containing, concealing, injecting, ingesting, inhaling, or 
otherwise introducing into the human body, a controlled dangerous 
substance in violation o f the Uniform Controlled Dangerous 
Substances Act including, but not limited to: 
a. kits used, intended for use, or fashioned specifically 
for use in planting, propagating, cultivating, growing 
or harvesting of any species of plant which is a 
controlled dangerous substance or from which a 
controlled dangerous substance can be derived, 
b. kits used, intended for use, or fashioned specifically 
for use in manufacturing, compounding, converting, 
producing, processing, or preparing controlled 
dangerous substances , 
c. isomerization devices used, intended for use, or 
fashioned specifically for use in increasing the   
 
 
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potency of any species of plant which is a controlled 
dangerous substance, 
d. testing equipment used, intended for use, or fashioned 
specifically for use in identifying, or in analyzing 
the strength, effectiveness, or purity of controlled 
dangerous substances, 
e. scales and balances used, intended for use, or 
fashioned specifically for use in weighing or 
measuring controlled dangerous substances, 
f. diluents and adulterants, such as quinine 
hydrochloride, mannitol, mannite, dextrose and 
lactose, used, intended for use, or fashioned 
specifically for use in cutting controlled dangerous 
substances, 
g. separation gins and sifters used, intended for use, or 
fashioned specifically for use in removing twigs and 
seeds from, or in otherwise cleaning or refining 
marijuana, 
h. blenders, bowls, containers, spoons, and mixing 
devices used, intended for use, or fashioned 
specifically for use in compounding controlled 
dangerous substances, 
i. capsules, balloons, envelopes, and other containers 
used, intended for use, or fashioned specifically for   
 
 
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use in packaging small quantities of controlled 
dangerous substances, 
j. containers and other objects used, intended for use, 
or fashioned specifically for use in parenterally 
injecting controlled dangerous substances into the 
human body, 
k. hypodermic syringes, needles, and other objects used, 
intended for use, or fashioned specifically for use in 
parenterally injecting controlled dan gerous substances 
into the human body except as authorized by Section 2-
1101 of this title, 
l. objects used, intended for use, or fashioned 
specifically for use in ingesting, inhaling, or 
otherwise introducing marijuana, cocaine, hashish, or 
hashish oil into the human body, such as: 
(1) metal, wooden, acrylic, glass, stone, plastic, or 
ceramic pipes with or without screens, permanent 
screens, hashish heads, or punctured metal bowls, 
(2) water pipes, 
(3) carburetion tubes and devices, 
(4) smoking and carburetion masks, 
(5) roach clips, meaning objects used to hold burning 
material, such as a marijuana cigarette, that has   
 
 
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become too small or too short to be held in the 
hand, 
(6) miniature cocaine spoons and cocaine vials, 
(7) chamber pipes, 
(8) carburetor pipes, 
(9) electric pipes, 
(10) air-driven pipes, 
(11) chillums, 
(12) bongs, or 
(13) ice pipes or chillers, 
m. all hidden or novelty pipes, and 
n. any pipe that has a tobacco bowl or chamber of less 
than one-half (1/2) inch in diameter in which there is 
any detectable residue of any controlled dangerous 
substance as defined in this section or any other 
substances not legal for possession or use; 
provided, however, the term drug paraphernalia shall not include 
separation gins intended for use in preparing tea or spice, clamps 
used for constructing electrical equipment, water pipes designed for 
ornamentation in which no detectable amount of an illegal substance 
is found or pipes designed and used solely for smoking tobacco, 
traditional pipes of an American Indian tribal religious ceremony, 
antique pipes that are thirty (30) years of age or older, or drug   
 
 
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testing strips possessed by a person for purposes of determining the 
presence of fentanyl or a fentanyl-related compound; 
15. 20. "Drug-dependent person" means a person who is using a 
controlled dangerous substance and who is in a state of psychic or 
physical dependence, or both, arising from administration of that 
controlled dangerous substance on a continuous basis.  Drug 
dependence is characterized by behavioral and other responses which 
include a strong compulsion to take the substance on a continuous 
basis in order to experience its psychic effects, or to avoid the 
discomfort of its absence; 
21.  "Harm-reduction services" means programs established to: 
a. reduce the spread of infectious diseases r elated to 
injection drug use, 
b. reduce drug dependency, over dose deaths and associated 
complications, and 
c. increase safe recovery and disposal of used syr inges 
and sharp waste; 
22. "Hazardous materials" means materials, whether solid, 
liquid or gas, which are toxic to human, animal, aquatic, or plant 
life, and the disposal of which materials is controlled by state or 
federal guidelines; 
16. 23.  "Home care agency" means any sole proprietorship, 
partnership, association, corporation, or other organization which 
administers, offers, or provides home care services, for a fee or   
 
 
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pursuant to a contract for such services, to clients in their place 
of residence; 
17. 24. "Home care services" means skilled or personal care 
services provided to clients in their place of residence for a fee; 
18. 25.  "Hospice" means a centrally administered, nonprofit or 
for-profit, medically directed, nurse-coordinated program which 
provides a continuum of home and inpatient care for the terminally 
ill patient and the patient's family.  Such term shall also include 
a centrally administered, nonprofit or for-profit, medically 
directed, nurse-coordinated program if such program is licensed 
pursuant to the provisions of the Uniform Controlled Dangerous 
Substances Act. A hospice program offers palliative and supportive 
care to meet the special needs arising out of the physical, 
emotional and spiritual stresses which are experienced during the 
final stages of illness and during dying and bereavement.  This care 
is available twenty-four (24) hours a day, seven (7) days a week, 
and is provided on the basis of need, regardless of ability to pay.  
"Class A" Hospice refers to Medicare-certified hospices.  "Class B" 
refers to all other providers of hospice services; 
19. 26. "Imitation controlled substance" means a substance that 
is not a controlled dangerous substance, which by dosage unit 
appearance, color, shape, size, markings or by representations made, 
would lead a reasonable person to believe that the substance is a 
controlled dangerous substance.  In the event the appearance of the   
 
 
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dosage unit is not reasonably sufficient to establish that the 
substance is an imitation controlled substance, the court or 
authority concerned should consider, in addition to all oth er 
factors, the following factors as related to "representations made" 
in determining whether the substance is an imitation controlled 
substance: 
a. statements made by an owner or by any other person in 
control of the substance concerning the nature of the 
substance, or its use or effect, 
b. statements made to the recipient that the substance 
may be resold for inordinate profit, 
c. whether the substance is packaged in a manner normally 
used for illicit controlled substances, 
d. evasive tactics or actions utilized by the owner or 
person in control of the substance to avoid detection 
by law enforcement authorities, 
e. prior convictions, if any, of an owner, or any other 
person in control of the object, under state or 
federal law related to controlled substances or fraud, 
and 
f. the proximity of the substances to controlled 
dangerous substances; 
20. 27. "Immediate precursor" means a substance which the 
Director has found to be and by regulation designates as being the   
 
 
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principal compound commonly used or produced primarily for use, and 
which is an immediate chemical intermediary used, or likely to be 
used, in the manufacture of a controlled dangerous substance, the 
control of which is necessary to prevent, curtail or limit such 
manufacture; 
28. "Initial prescription" means a prescription issued to a 
patient who: 
a. has never previously been issued a prescription for 
the drug or its pharmaceutical equivalent in the past 
year, or 
b. requires a prescription for the drug or its 
pharmaceutical equivalent due to a surgica l procedure 
or new acute event and has previously had a 
prescription for the drug or its pharmaceutical 
equivalent within the past year. 
When determining whether a patient was previously issued a 
prescription for a drug or its pharmaceutical equivalent, th e 
practitioner shall consult with the patient and review the medical 
record and prescription monitoring information of the patient; 
29. "Isomer" means the optical isomer, except as used in 
subsections C and F of Section 2-204 of this title and paragraph 4 
of subsection A of Section 2-206 of this title.  As used in 
subsections C and F of Section 2-204 of this title, isomer means the 
optical, positional or geometric isomer.  As used in paragraph 4 of   
 
 
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subsection A of Section 2-206 of this title, the term isomer means 
the optical or geometric isomer; 
21. 30. "Laboratory" means a laboratory approved by the 
Director as proper to be entrusted with the custody of controlled 
dangerous substances and the use of controlled dangerous substances 
for scientific and medical purposes and for purposes of instruction; 
22. 31. "Manufacture" means the production, preparation, 
propagation, compounding or processing of a controlled dangerous 
substance, either directly or indirectly by extraction from 
substances of natural or synthetic origin, or independently by means 
of chemical synthesis or by a combination of extraction and chemical 
synthesis.  "Manufacturer" includes any person who packages, 
repackages or labels any container of any controlled dangerous 
substance, except practitioners who dispense or compound 
prescription orders for delivery to the ultimate consumer; 
23. 32. "Marijuana" means all parts of the plant Cannabis 
sativa L., whether growing or not; the seeds thereof; the resin 
extracted from any part of such plant; and every compound, 
manufacture, salt, derivative, mixture or preparation of such plant, 
its seeds or resin, but shall not include: 
a. the mature stalks of such plant or fiber produced from 
such stalks,   
 
 
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b. oil or cake made from the seeds of such plant, 
including cannabidiol derived from the seeds of the 
marijuana plant, 
c. any other compound, manufacture, salt, derivative, 
mixture or preparation of such mature stalks (except 
the resin extracted therefrom), including cannabidiol 
derived from mature stalks, fiber, oil or cake, 
d. the sterilized seed of such plant which is incapable 
of germination, 
e. for any person participating in a clinical trial to 
administer cannabidiol for the treatment of severe 
forms of epilepsy pursuant to Section 2-802 of this 
title, a drug or substance approved by the federal 
Food and Drug Administration for use by those 
participants, 
f. for any person or the parents, legal guardians or 
caretakers of the person who have received a written 
certification from a physician licensed in this state 
that the person has been diagnosed by a physician as 
having Lennox-Gastaut syndrome, Dravet syndrome, also 
known as severe myoclonic epilepsy of infancy, or any 
other severe form of epilepsy that is not adequately 
treated by traditional medical therapies, spasticity 
due to multiple sclerosis or due to paraplegia,   
 
 
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intractable nausea and vomiting, appetite stimulation 
with chronic wasting diseases, the substance 
cannabidiol, a nonpsychoactive cannabinoid, found in 
the plant Cannabis sativa L. or any other preparation 
thereof, that has a tetrahydrocannabinol concentration 
not more than three-tenths of one percent (0.3%) and 
that is delivered to the patient in the form of a 
liquid, 
g. any federal Food-and-Drug-Administration-approved drug 
or substance, or 
h. industrial hemp, from the plant Cannabis sativa L. and 
any part of such plant, whether growing or not, with a 
delta-9 tetrahydrocannabinol concentration not more 
than three-tenths of one percent (0.3%) on a dry-
weight basis which shall only be grown pursuant to the 
Oklahoma Industrial Hemp Program and may be shipped 
intrastate and interstate; 
24. 33. "Medical purpose" means an intention to utilize a 
controlled dangerous substance for physical or mental treatment, for 
diagnosis, or for the prevention of a disease condition not in 
violation of any state or federal law and not for the purpose of 
satisfying physiological or psychological dependence or other abuse; 
25. 34.  "Mid-level practitioner" means an Advanced Practice 
Registered Nurse as defined and within parameters specified in   
 
 
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Section 567.3a of Title 59 of the Oklahoma Statutes, or a certified 
animal euthanasia technician as defined in Section 698.2 of Title 59 
of the Oklahoma Statutes, or an animal control officer registered by 
the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control 
under subsection B of Section 2-301 of this title within the 
parameters of such officer's duties under Sections 501 through 508 
of Title 4 of the Oklahoma Statutes; 
26. 35. "Narcotic drug" means any of the following, whether 
produced directly or indirectly by extraction from substances of 
vegetable origin, or independently by means of chemical synthesis, 
or by a combination of extraction and chemical synthesis: 
a. opium, coca leaves and opiates, 
b. a compound, manufacture, salt, derivative or 
preparation of opium, coca leaves or opiates, 
c. cocaine, its salts, optical and geometric isomers, and 
salts of isomers, 
d. ecgonine, its derivatives, their salts, isomers and 
salts of isomers, and 
e. a substance, and any compound, manufacture, salt, 
derivative or preparation thereof, which is chemically 
identical with any of the substances referred to in 
subparagraphs a through d of this paragraph, except 
that the words narcotic drug as used in Section 2-101 
et seq. of this title shall not include decocainized   
 
 
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coca leaves or extracts of coca leaves, which extracts 
do not contain cocaine or ecgonine; 
27. 36. "Opiate" or "opioid" means any Schedule II, III, IV or 
V substance having an addiction-forming or addiction-sustaining 
liability similar to morphine or being capable of conversion into a 
drug having such addiction-forming or addiction-sustaining 
liability.  The terms do not include, unless specifically designated 
as controlled under the Uniform Controlled Dangerous Substances Act, 
the dextrorotatory isomer of 3-methoxy-n-methyl-morphinan and its 
salts (dextromethorphan).  The terms do include the racemic and 
levorotatory forms; 
28. 37. "Opium poppy" means the plant of the species Papaver 
somniferum L., except the seeds thereof; 
38.  "Palliative care" means a specialized medical service for 
people of any age and at any stage of a serious illness or life-
altering medical event that focuses on navigating co mplex medical 
decisions while providing patient autonomy and access to 
information.  Utilizing a holistic and interdisciplinary team 
approach, palliative care addresses physical, intellectual, 
emotional, social, and spiritual needs.  Palliative care may be 
provided in the inpatient, outpatient, or home care setting and 
strives to improve quality of lif e for both the patient and the 
family;   
 
 
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39.  "Patient-provider agreement" means a written contract or 
agreement that is executed between a practitioner and a patien t, 
prior to the commencement of treatment for chronic pain using an 
opioid drug as a means to: 
a. explain the possible risk of development of physical 
or psychological dependence in the patient and prevent 
the possible development of addiction, 
b. document the understanding of both the practitioner 
and the patient regarding the patient-provider 
agreement of the patient, 
c. establish the rights of the patient in association 
with treatment and the obligations of the patient in 
relation to the responsible use, discontinuation of 
use, and storage of opioid drugs, including any 
restrictions on the refill of prescriptions or the 
acceptance of opioid prescriptions from practitioners, 
d. identify the specific medications and other modes of 
treatment, including physical therapy or exercise, 
relaxation or psychological counseling, that are 
included as a part of the patient-provider agreement, 
e. specify the measures the practitioner may employ to 
monitor the compliance of the patient including, but 
not limited to, rand om specimen screens and pill 
counts, and   
 
 
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f. delineate the process for terminating the agreement, 
including the consequences if the practitioner has 
reason to believe that the patient is not complying 
with the terms of the agreement.  Compliance with the 
"consent items" shall constitute a valid, informed 
consent for opioid therapy.  The practitioner shall be 
held harmless from civil litigation for failure to 
treat pain if the event occurs because of nonadherence 
by the patient with any of the provisions of the 
patient-provider agreement; 
 
29. 40.  "Peace officer" means a police officer, sheriff, deputy 
sheriff, district attorney's investigator, investigator from the 
Office of the Attorney General, or any other person elected or 
appointed by law to enforce any of the criminal laws of this state 
or of the United States; 
30. 41. "Person" means an individual, corporation, government 
or governmental subdivision or agency, business trust, estate, 
trust, partnership or association, or any other legal entity.  
Person includes all beneficial owners of a legal entity where 
ownership disclosure is a condition or requirement of licensing or 
registration; 
31. 42. "Poppy straw" means all parts, except the seeds, of the 
opium poppy, after mowing;   
 
 
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32. 43. "Practitioner" means: 
a. (1) a medical doctor or osteopathic physician, 
(2) a dentist, 
(3) a podiatrist, 
(4) an optometrist, 
(5) a veterinarian, 
(6) a physician assistant or Advanced Practice 
Registered Nurse under the supervision of a 
licensed medical doctor or osteopathic physician, 
(7) a scientific investigator, or 
(8) any other person, 
licensed, registered or otherwise permitted to 
prescribe, distribute, dispense, conduct research with 
respect to, use for scientific purposes or administer 
a controlled dangerous substance in the course of 
professional practice or research in this state, or 
b. a pharmacy, hospital, laboratory or other institution 
licensed, registered or otherwise permitted to 
distribute, dispense, conduct research with respect 
to, use for scientific purposes or administer a 
controlled dangerous substance in the course of 
professional practice or research in this state;   
 
 
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33. 44.  "Production" includes the manufacture, planting, 
cultivation, growing or harvesting of a controlled dangerous 
substance; 
45. "Serious illness" means a medical illness or physical 
injury or condition that substantially affects quality of life for 
more than a short period of time.  Serious illness includes, but is 
not limited to, Alzheimer's disease or related dementias, lung 
disease, cancer, heart failure, renal failure, liver failure, or 
chronic, unremitting, or intractable pain such as neuropathic pain; 
34. 46.  "State" means the State of Oklahoma or any other state 
of the United States; 
47.  "Straw person" or "straw party" also know as a "front" 
means a third party who: 
a. is put up in name only to take part in a transaction 
or otherwise is a nominal party to a transaction with 
no actual control, 
b. acts on behalf of another person to obtain title to 
property and executes documents and instruments the 
principal may direct respecting property, or 
c. purchases property for anot her for the purpose of 
concealing the identity of the real purchaser or to 
accomplish some purpose otherwise in violation of 
Oklahoma statutes;   
 
 
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48.  "Surgical procedure" means a procedure that is performed 
for the purpose of structurally altering the human body by incision 
or destruction of tissues as part of the practice of medicine.  This 
term includes the diagnostic or therapeutic treatment of conditions 
or disease processes by use of instruments such as lasers, 
ultrasound, ionizing, radiation, scalpels, probes, or needles that 
cause localized alteration or transportation of live human tissue by 
cutting, burning, vaporizing, freezing, suturing, probing, or 
manipulating by closed reduction for major dislocations or 
fractures, or otherwise altering by any mechanical, thermal, light-
based, electromagnetic, or chemical means; 
49. a. "Synthetic controlled substance" means a substance: 
(1) the chemical structure of which is substantially 
similar to the chemical structure of a controlled 
dangerous substance in Schedule I or II, 
(2) which has a stimulant, depressant, or 
hallucinogenic effect on the cent ral nervous 
system that is substantially similar to or 
greater than the stimulant, depressant, or 
hallucinogenic effect on the central nervous 
system of a controlled dangerous substance in 
Schedule I or II, or 
(3) with respect to a particular person, which such 
person represents or intends to have a stimulant,   
 
 
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depressant, or hallucinogenic effect on the 
central nervous system that is substantially 
similar to or greater than the stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system of a controlled dangerous 
substance in Schedule I or II. 
b. The designation of gamma butyrolactone or any other 
chemical as a precursor, pursuant to Section 2-322 of 
this title, does not preclude a finding pursuant to 
subparagraph a of this paragraph that the chemical is 
a synthetic controlled substance. 
c. "Synthetic controlled substance" does not include: 
(1) a controlled dangerous substance, 
(2) any substance for which there is an approved new 
drug application, 
(3) with respect to a particular person any 
substance, if an exemption is in effect for 
investigational use, for that person under the 
provisions of Section 505 of the Federal Food, 
Drug and Cosmetic Act, Title 21 of the United 
States Code, Section 355, to the extent conduct 
with respect to such subst ance is pursuant to 
such exemption, or   
 
 
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(4) any substance to the extent not intended for 
human consumption before such an exemption takes 
effect with respect to that substance. 
d. Prima facie evidence that a substance containing 
salvia divinorum has been en hanced, concentrated or 
chemically or physically altered shall give rise to a 
rebuttable presumption that the substance is a 
synthetic controlled substance; 
50.  "Tetrahydrocannabinols" means all substances that have been 
chemically synthesized to emulate the tetrahydrocannabinols of 
marijuana, specificall y including any tetrahydrocannabinols derived 
from industrial hemp; and 
35. 51. "Ultimate user" means a person who lawfully possesses a 
controlled dangerous substance for the person's own use or for the 
use of a member of the person's household or for administration to 
an animal owned by the person or by a member of the person's 
household; 
36.  "Drug paraphernalia" means all equipment, products and 
materials of any kind which are used, intended for use, or fashioned 
specifically for use in planting, propagating, cultivating, growing, 
harvesting, manufacturing, comp ounding, converting, producing, 
processing, preparing, testing, analyzing, packaging, repackaging, 
storing, containing, concealing, injecting, ingesting, inhaling or 
otherwise introducing into the human body, a controlled dangerous   
 
 
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substance in violation o f the Uniform Controlled Dangerous 
Substances Act including, but not limited to: 
a. kits used, intended for use, or fashioned specifically 
for use in planting, propagating, cultivating, growing 
or harvesting of any species of plant which is a 
controlled dangerous substance or from which a 
controlled dangerous substance can be derived, 
b. kits used, intended for use, or fashioned specifically 
for use in manufacturing, compounding, converting, 
producing, processing or preparing controlled 
dangerous substances , 
c. isomerization devices used, intended for use, or 
fashioned specifically for use in increasing the 
potency of any species of plant which is a controlled 
dangerous substance, 
d. testing equipment used, intended for use, or fashioned 
specifically for use in identifying, or in analyzing 
the strength, effectiveness or purity of controlled 
dangerous substances, 
e. scales and balances used, intended for use, or 
fashioned specifically for use in weighing or 
measuring controlled dangerous substances, 
f. diluents and adulterants, such as quinine 
hydrochloride, mannitol, mannite, dextrose and   
 
 
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lactose, used, intended for use, or fashioned 
specifically for use in cutting controlled dangerous 
substances, 
g. separation gins and sifters used, intended for use, or 
fashioned specifically for use in removing twigs and 
seeds from, or in otherwise cleaning or refining, 
marijuana, 
h. blenders, bowls, containers, spoons and mixing devices 
used, intended for use, or fashioned specifically for 
use in compounding controlled dange rous substances, 
i. capsules, balloons, envelopes and other containers 
used, intended for use, or fashioned specifically for 
use in packaging small quantities of controlled 
dangerous substances, 
j. containers and other objects used, intended for use, 
or fashioned specifically for use in parenterally 
injecting controlled dangerous substances into the 
human body, 
k. hypodermic syringes, needles and other objects used, 
intended for use, or fashioned specifically for use in 
parenterally injecting controlled dan gerous substances 
into the human body, 
l. objects used, intended for use, or fashioned 
specifically for use in ingesting, inhaling or   
 
 
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otherwise introducing marijuana, cocaine, hashish or 
hashish oil into the human body, such as: 
(1) metal, wooden, acrylic, glass, stone, plastic or 
ceramic pipes with or without screens, permanent 
screens, hashish heads or punctured metal bowls, 
(2) water pipes, 
(3) carburetion tubes and devices, 
(4) smoking and carburetion masks, 
(5) roach clips, meaning objects used to hold burning 
material, such as a marijuana cigarette, that has 
become too small or too short to be held in the 
hand, 
(6) miniature cocaine spoons and cocaine vials, 
(7) chamber pipes, 
(8) carburetor pipes, 
(9) electric pipes, 
(10) air-driven pipes, 
(11) chillums, 
(12) bongs, or 
(13) ice pipes or chillers, 
m. all hidden or novelty pipes, and 
n. any pipe that has a tobacco bowl or chamber of less 
than one-half (1/2) inch in diameter in which there is 
any detectable residue of any controlled dangerous   
 
 
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substance as defined in this section or any other 
substances not legal for possession or use; 
provided, however, the term drug paraphernalia shall not include 
separation gins intended for use in preparing tea or spice, clamps 
used for constructing electrical equ ipment, water pipes designed for 
ornamentation in which no detectable amount of an illegal substance 
is found or pipes designed and used solely for smoking tobacco, 
traditional pipes of an American Indian tribal religious ceremony, 
antique pipes that ar e thirty (30) years of age or older, or drug 
testing strips possessed by a person for purposes of determining the 
presence of fentanyl or a fentanyl-related compound; 
37. a. "Synthetic controlled substance" means a substance: 
(1) the chemical structure of which is substantially 
similar to the chemical structure of a controlled 
dangerous substance in Schedule I or II, 
(2) which has a stimulant, depressant, or 
hallucinogenic effect on the cent ral nervous 
system that is substantially similar to or 
greater than the stimulant, depressant or 
hallucinogenic effect on the central nervous 
system of a controlled dangerous substance in 
Schedule I or II, or 
(3) with respect to a particular person, which such 
person represents or intends to have a stimulant,   
 
 
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depressant, or hallucinogenic effect on the 
central nervous system that is substantially 
similar to or greater than the stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system of a controlled dangerous 
substance in Schedule I or II. 
b. The designation of gamma butyrolactone or any other 
chemical as a precursor, pursuant to Section 2-322 of 
this title, does not preclude a finding pursuant to 
subparagraph a of this paragraph that the chemical is 
a synthetic controlled substance. 
c. "Synthetic controlled substance" does not include: 
(1) a controlled dangerous substance, 
(2) any substance for which there is an approved new 
drug application, 
(3) with respect to a particular person any 
substance, if an exemption is in effect for 
investigational use, for that person under the 
provisions of Section 505 of the Federal Food, 
Drug and Cosmetic Act, Title 21 of the United 
States Code, Section 355, to the extent conduct 
with respect to such subst ance is pursuant to 
such exemption, or   
 
 
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(4) any substance to the extent not intended for 
human consumption before such an exemption takes 
effect with respect to that substance. 
d. Prima facie evidence that a substance containing 
salvia divinorum has been en hanced, concentrated or 
chemically or physically altered shall give rise to a 
rebuttable presumption that the substance is a 
synthetic controlled substance; 
38. "Tetrahydrocannabinols" means all substances that have been 
chemically synthesized to emulate the tetrahydrocannabinols of 
marijuana, specifically including any tetrahydrocannabinols derived 
from industrial hemp; 
39.  "Isomer" means the optical isomer, except as used in 
subsections C and F of Section 2-204 of this title and paragraph 4 
of subsection A of Section 2-206 of this title.  As used in 
subsections C and F of Section 2-204 of this title, isomer means the 
optical, positional or geometric isomer.  As used in paragraph 4 of 
subsection A of Section 2-206 of this title, the term isomer means 
the optical or geometric isomer; 
40.  "Hazardous materials" means materials, whether solid, 
liquid or gas, which are toxic to human, animal, aquatic or plant 
life, and the disposal of which materials is controlled by state or 
federal guidelines;   
 
 
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41.  "Anhydrous ammonia" means any substance that exhibits 
cryogenic evaporative behavior and tests positive for ammonia; 
42.  "Acute pain" means pain, whether resulting from disease, 
accidental or intentional trauma or other cause, that the 
practitioner reasonably expects to last only a short period of time.  
Acute pain does not include chronic pain, pain being treated as part 
of cancer care, hospice or other end-of-life care, or pain being 
treated as part of palliative care; 
43.  "Chronic pain" means pain that persists beyond the usual 
course of an acute disease or healing of an injury.  Chronic pain 
may or may not be associated with an acute or chronic pathologic 
process that causes continuous or intermittent pain over months or 
years; 
44.  "Initial prescription" means a prescription issued to a 
patient who: 
a. has never previously been issued a prescription for 
the drug or its pharmaceutical equivalent in the past 
year, or 
b. requires a prescription for the drug or its 
pharmaceutical equivalent due to a surgica l procedure 
or new acute event and has previously had a 
prescription for the drug or its pharmaceutical 
equivalent within the past year.   
 
 
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When determining whether a patient was previously issued a 
prescription for a drug or its pharmaceutical equivalent, th e 
practitioner shall consult with the patient and review the medical 
record and prescription monitoring information of the patient; 
45. "Patient-provider agreement" means a written contract or 
agreement that is executed between a practitioner and a patien t, 
prior to the commencement of treatment for chronic pain using an 
opioid drug as a means to: 
a. explain the possible risk of development of physical 
or psychological dependence in the patient and prevent 
the possible development of addiction, 
b. document the understanding of both the practitioner 
and the patient regarding the patient-provider 
agreement of the patient, 
c. establish the rights of the patient in association 
with treatment and the obligations of the patient in 
relation to the responsible use, discontinuation of 
use, and storage of opioid drugs, including any 
restrictions on the refill of prescriptions or the 
acceptance of opioid prescriptions from practitioners, 
d. identify the specific medications and other modes of 
treatment, including physical therapy or exercise, 
relaxation or psychological counseling, that are 
included as a part of the patient-provider agreement,   
 
 
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e. specify the measures the practitioner may employ to 
monitor the compliance of the patient including, but 
not limited to, rand om specimen screens and pill 
counts, and 
f. delineate the process for terminating the agreement, 
including the consequences if the practitioner has 
reason to believe that the patient is not complying 
with the terms of the agreement.  Compliance with the 
"consent items" shall constitute a valid, informed 
consent for opioid therapy.  The practitioner shall be 
held harmless from civil litigation for failure to 
treat pain if the event occurs because of nonadherence 
by the patient with any of the provisions of the 
patient-provider agreement; 
46. "Serious illness" means a medical illness or physical 
injury or condition that substantially affects quality of life for 
more than a short period of time.  Serious illness includes, but is 
not limited to, Alzheimer's disease or related dementias, lung 
disease, cancer, heart failure, renal failure, liver failure or 
chronic, unremitting or intractable pain such as neuropathic pain; 
and 
47. "Surgical procedure" means a procedure that is performed 
for the purpose of structurally altering the human body by incision 
or destruction of tissues as part of the practice of medicine.  This   
 
 
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term includes the diagnostic or therapeutic treatment of conditions 
or disease processes by use of instruments such as lasers, 
ultrasound, ionizing, radiation, scalpels, probes or needles that 
cause localized alteration or transportation of live human tissue by 
cutting, burning, vaporizing, freezing, suturing, probing or 
manipulating by closed reduction for major dislocations or 
fractures, or otherwise altering by any mechanical, thermal, light-
based, electromagnetic or chemical means. 
SECTION 2.     AMENDATORY    63 O.S. 2021, Section 2-305, as 
amended by Section 2, Chapter 176, O.S.L. 2023 (63 O.S. Sup p. 2023, 
Section 2-305), is amended to read as follows: 
Section 2-305. A.  In addition to any other remedies provid ed 
for by law, the Director shall issue a writt en order to be served on 
the parties before annulling, conditioning, suspending or revoking 
any registration that the Director has reason to believe is 
operating inconsistent with any provision of Section 2 -303 or 2-304 
of this title or otherwise, where there has been a violation of any 
federal law, any rule or regulati on of the Drug Enforcement 
Administration, any provision of the Uniform Controlled Dangerous 
Substances Act, or any rules or regulations of the Oklahoma State 
Bureau of Narcotics and Dangerous Drugs Control.  The provisions of 
this subsection shall not apply to a violation of federal law 
regarding marijuana or any rul e or regulation of the Drug 
Enforcement Administration regarding mar ijuana.   
 
 
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B.  The written order shall state with specifici ty the nature of 
the violation or basis for the action. The Director may impose any 
disciplinary action authorized by the Uniform C ontrolled Dangerous 
Substances Act or rules of the Bureau including, but not limited to, 
the assessment of monetary pena lties. 
C. Any written order issued pursuant to the provisions of this 
section shall become a final order unless the registrant requests an 
administrative hearing in ac cordance with the rules and regulations 
promulgated by the Director within thirty (30) days of issuance. 
Upon such request, the Director shall promptly initiate 
administrative proceedings and serve formal notice of said 
proceedings pursuant to Section 309 of Title 75 of the Oklahoma 
Statutes.  Nothing in this section shall be construed so as to 
require an individual proceeding for the denial of a new application 
for registration. 
D. The Director may authorize the Deputy Director or the 
general counsel of the Bureau to initiate any individual proceedings 
under this title.  Nothing in this section shall be construed so as 
to delegate the authority of the Director to issue a fina l agency 
order of an individual proceeding adverse to a party. If a party 
fails to request an individual proc eeding in a timely manner, the 
written order as issued shall be deem ed adopted as the final order 
by the Director.   
 
 
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E. 1.  All proceedings shall be conducted in accordance with 
the Administrative Procedures Act and the rules and regulations of 
the Bureau without regard to any criminal prosecution or ot her 
proceeding.  Proceedings to refuse renewal, revoke, or suspend a 
registration shall not abate the existing re gistration which shall 
remain in effect pending the outcome of the administrativ e 
proceedings. 
This abatement shall not apply wh en the Director finds there is 
an imminent danger to the public health or safet y requiring an 
immediate suspension. Registrants subject to administrative action 
shall be required to mai ntain the registration as if it is still in 
effect, including the annual sub mission of a renewal applicati on and 
associated fee. 
2.  The Director may delegate to an administrative hearing 
officer the authority to conduct hear ings and recommend action for 
final agency orders in accordance with the rules and regulations of 
the Bureau. 
F. The Director may issue an order immediately suspending a 
registration, without n otice or a hearing, when he or she the 
Director finds there is imminent dan ger to the public health o r 
safety which warrants this action.  The suspension shall continue in 
effect until the conclusion of any administrative proceedings, 
including judicial review thereof, unless sooner withdrawn by the 
Director or dissolved by a cou rt of competent jurisdicti on.  The   
 
 
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order shall state the existence of an emergency requiring action be 
taken that the Director deems necessary to meet the emergency. Such 
action may include, bu t is not limited to, ordering the registrant 
to immediately cease and desist operations .  The order shall be 
effective immediately upon issuance .  Any person to whom th e order 
is directed shall comply immediately with the provision s of the 
order.  The Director may assess a penalty not to exceed Ten Thousand 
Dollars ($10,000.00) per day of non compliance with the order.  In 
assessing such a penalty, the Director shall consid er the 
seriousness of the violation and any efforts to comply with 
applicable requirements.  Upon application to the Director, the 
registrant shall be offered a hearing withi n thirty (30) days of the 
issuance of the order. 
G. 1.  In lieu of, or in addition to any other remedies 
available to the Director, if a find ing is made that a regist rant 
has committed any act in violation of federal law relating to any 
controlled dangerous substance, any provision of the Uniform 
Controlled Dangerous Substances Act , or any rules of the Bureau, the 
Director is hereby authorized to assess an administrati ve penalty 
not to exceed Five Thousand Dollars ($5,000.00) per day for each 
such act.  The provisions of this subsection shall not apply to 
violations of subsection G of Secti on 2-309D of this title.  Nothing 
in this section shall be construed so as to per mit the Director of   
 
 
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the Bureau to assess administrative fines f or violations of the 
provisions of subsection G of Section 2-309D of this title. 
2.  If a judge of competent jur isdiction finds probable cause 
that a registrant has possessed, transferred, sol d, or offered for 
sale any controlled dangerous substance in violation of the Uniform 
Controlled Dangerous Substances Act, any controlled dangerous 
substance in Schedule I of Section 2-204 of this title, and any 
controlled dangerous substance in Schedules II, III, IV, and V that 
is not in properly labeled containers in accordance with the Uniform 
Controlled Dangerous Substances Act then in the possession of the 
registrant, shall be deemed contraband and shall be seized and 
summarily forfeited pursuant to Se ction 2-505 of this title. 
Samples shall be retained of all con trolled dangerous substanc es 
seized in accordance with Section 2-508 of this title as required. 
The Director is authorized to assess an eradication or destruction 
fine not to exceed Fifty Thousand Dollars ($50,000.00) against the 
registrant. 
H. Upon an annulment, revocation, or de nial of a registration, 
the Director may prohibit the registrant or ap plicant from 
reapplying for registration for a period up to five (5) years 
following the date o f the final order.  The length of any 
prohibition shall not be us ed as grounds to contest t he validity of 
the annulment, revocation, or denial of a registration.   
 
 
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SECTION 3.     AMENDATORY    63 O.S. 2021, Section 2 -309, as 
amended by Section 2, Chapter 304, O.S.L. 2023 (63 O.S. Supp. 2023, 
Section 2-309), is amended to read as f ollows: 
Section 2-309. A.  1.  Except for dosages medically required 
for a period not to exceed forty-eight (48) hours which are 
administered by or on direction of a practitioner, other than a 
pharmacist, or medication dispensed directly by a practitioner, 
other than a pharmac ist, to an ultimate user, no controlled 
dangerous substance included in Sc hedule II, which is a prescription 
drug as determined und er regulation promulgated by the Board of 
Pharmacy, shall be dispensed without an electronic prescription of a 
practitioner; provided, that in emergency situations, as prescribed 
by the Board of Phar macy by regulation, such drug may be dispensed 
upon oral prescription reduced promptly to writing and filed by the 
pharmacist in a manner to be prescribed by rules and regulations of 
the Director of the Oklahoma State Bureau of Narcotics and Dangerous 
Drugs Control. 
2.  Electronic prescribing shall be utilized f or Schedules II, 
III, IV and V, subject to the requirements set forth i n 21 CFR, 
Section 1311 et seq. 
3.  An electronic presc ription with electronic signature may 
serve as an original prescription, s ubject to the requirements set 
forth in 21 CFR, Section 1 311 et seq.   
 
 
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4.  Prescriptions shall be retained in conformity with the 
requirements of this section and Section 2-307 of this title.  No 
prescription for a Schedule II substance may be refilled. 
5.  The electronic prescription requirement provided for in t his 
section shall not apply to prescriptions for controlled dangerous 
substances issued by any of the following: 
a. a person licensed to practice veterinary medicine, 
b. a practitioner who experience s temporary technological 
or electrical failure or other extenuating 
circumstance that prevents the prescription from being 
transmitted electronically; provided, however, that 
the practitioner documents the reason for this 
exception in the medical record o f the patient, 
c. a practitioner, other than a pharmacist , who dispenses 
directly to an ultimate user, 
d. a practitioner who ord ers a controlled dangerous 
substance to be administere d through an on-site 
pharmacy in: 
(1) a hospital as defined in Section 1 -701 of this 
title, 
(2) a nursing facility as defined in Se ction 1-1902 
of this title, 
(3) a hospice inpatient facility as defined in 
Section 1-860.2 of this title,   
 
 
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(4) an outpatient dialysis facility, 
(5) a continuum of care facility as defined in 
Section 1-890.2 of this title, or 
(6) a penal institution listed i n Section 509 of 
Title 57 of the Oklahoma Statutes, 
e. a practitioner who orders a controlled dangerous 
substance to be admin istered through a hospice program 
including but not limited to a hospice program that 
provides hospice services in the private residence of 
a patient or in a long-term care facility where the 
patient resides. As used in this subparagraph, 
"hospice program" has the same meaning as provided by 
Section 1-860.2 of this title, 
f. a practitioner who writes a prescription to be 
dispensed by a pharmacy located on federal property, 
provided the practitioner documents the reason for 
this exception in the medic al record of the patient, 
or 
g. a practitioner that has received a waiv er or extension 
from his or her licensing board. 
6.  Electronic prescriptions shall not may be utilized under the 
following circumstances:   
 
 
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a. compound compounded prescriptions containing two or 
more commercially available products or two or more 
active pharmaceutical ingredients, 
b. compounded infusion prescriptions containing two or 
more commercially available products or two or mo re 
active pharmaceutical ingredient s, or 
c. prescriptions issued under app roved research 
protocols, or 
d. if the practitioner determines that an electronic 
prescription cannot be issued in a timely manner and 
the condition of the patient is at risk . 
7.  A pharmacist who receives a written, ora l or facsimile 
prescription shall no t be required to verify that the prescription 
falls under one of the exceptions provided for in paragraph 6 of 
this subsection.  Pharmacists may cont inue to dispense medications 
from otherwise valid written, oral or facs imile prescriptions that 
are consistent with the provisions of this section. 
8.  Practitioners sha ll indicate in the health record of a 
patient that an exception to the electronic presc ription requirement 
was utilized. 
9. All prescriptions issued pursuant to paragraphs 5 and 6 of 
this subsection shall be issued on an official prescription form 
provided by the Oklahoma State Bureau of Narcotics and Dangerous 
Drugs Control if not issued electronically .   
 
 
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10. a. Effective January 1, 2020, practitioners shall 
register with the Oklahoma Stat e Bureau of Narcotics 
and Dangerous Drugs Control in order to be issued 
official prescription forms.  Such registration shall 
include, but not be limited to, the primary address 
and the address of each place of business to be 
imprinted on official prescrip tion forms.  Any change 
to a registered practitioner's registered address 
shall be promptly reported to the practitioner's 
licensing board and the Bureau by the practitioner in 
a manner approved by the Bureau. 
b. A practitioner's registration shall be with out fee and 
subject to approval by the Bureau.  Such registration 
shall be valid for a period of two (2) years and may 
be denied, suspended or revoked by the Bureau upon a 
finding by the Bureau or licensing board that the 
registered practitioner has had an y license to 
practice a medical pro fession revoked or suspended by 
any state or federal agency. 
c. Where the Bureau has revoked the registration of a 
registered practitioner, the Bureau may revoke or 
cancel any official prescription forms in the 
possession of the registered practitioner.  A ny 
revocation or any suspension shall require the   
 
 
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registered practitioner to return all unused official 
prescription forms to the Bureau within fiftee n (15) 
calendar days after the date of the written 
notification. 
d. A practitioner that has had any licens e to practice 
terminated, revoked or suspended by a state or federal 
agency may, upon restoration of such license or 
certificate, register to be issue d official 
prescription forms. 
11. a. Except as provided in subparagrap h f of this 
paragraph, the Bureau shall issue official Official 
prescription forms free of charge only to registered 
practitioners in this state.  Such forms shall not be 
transferable.  The numb er of official prescription 
forms issued to a registered shall be purchased at the 
expense of the practitioner at any time shall be at 
the discretion of or the employer of the practitioner 
from a list of vendors approved by the Bureau. 
b. Official prescription forms issued to a registered 
practitioner shall be imprinted only with the primary 
address and may include other addresses listed on the 
registration of the practitioner to identify the place 
of origin.  Such prescriptions shall be sent only to 
the primary address of the registered practitioner.   
 
 
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c. Official prescription forms issued to of a registered 
practitioner shall be used o nly by the practitioner to 
whom they are issued designated on the official 
prescription form. 
d. The Bureau may revoke or cancel official prescription 
forms in possession of registered practitioners when 
the license of such practitioner i s suspended, 
terminated or revoked. 
e. Official prescription forms of registered 
practitioners who are deceased or who no lon ger 
prescribe shall be returned to the Bureau at a 
designated address.  If the registered practitioner is 
deceased, it is the resp onsibility of the registered 
practitioner's estate or lawful designee to return 
such forms. 
f. The Bureau may issue official p rescription forms to 
employees or agents of the Bureau and other government 
agencies for the purpose of preventing, identifying, 
investigating and prosecuting unacceptable or illegal 
practices by providers and other person s and assisting 
in the recovery of overpayments under any program 
operated by the state or paid for with state funds.  
Such prescription forms shall be issued for this 
purpose only to individuals who are authorized to   
 
 
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conduct investigations on behalf of th e Bureau or 
other government agenc ies as part of their official 
duties. Individuals and agencies receiving such 
prescription forms for this purpose shall provide 
appropriate assurances to the Bureau that adequate 
safeguards and security measures are in pl ace to 
prevent the use of such pre scription forms for 
anything other than official government purposes. 
12. a. Adequate safeguards and security measures shall be 
undertaken by registered practitioners holding 
official prescription forms to assure against t he 
loss, destruction, theft or un authorized use of the 
forms. Registered practitioners shall maintain a 
sufficient but not excessive supply of such forms in 
reserve. 
b. Registered practitioners shall immediately notify the 
Bureau, in a manner designated b y the Bureau, upon 
their knowledge of the loss, destruction, theft or 
unauthorized use of any official prescription forms 
issued to them, as well as the failure to receive 
official prescription forms within a reasonable time 
after ordering them from the Bu reau. 
c. Registered practitioners shall immediately notify the 
Bureau upon their knowledge of any diversion or   
 
 
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suspected diversion of drugs pursuant to the los s, 
theft or unauthorized use of prescriptions. 
B.  1.  Except for dosages medically required for a period not 
to exceed seventy-two (72) hours which are administered by or on 
direction of a practitioner, other than a pharmacist, or medication 
dispensed directly by a practiti oner, other than a pharmacist, to an 
ultimate user, no controlled dangerous su bstance included in 
Schedule III or IV, which is a prescription drug as determined under 
regulation promulgated by the Board of Pharmacy, shall be dispensed 
without an electronic prescription. 
2.  Any prescription for a controlled dangerous substance in 
Schedule III, IV or V may not be fi lled or refilled more than six 
(6) months after the date thereof or be refilled more than five 
times after the date of the prescription, unless r enewed by the 
practitioner. 
C.  Whenever it appears to the Director of the Okl ahoma State 
Bureau of Narcotics a nd Dangerous Drugs Control that a drug not 
considered to be a prescription drug under existing state law or 
regulation of the Board of Pharmacy s hould be so considered because 
of its abuse potential, the Director shall so a dvise the Board of 
Pharmacy and furnish to the Board all available data relevant 
thereto. 
D.  1.  "Prescription", as used in this section, means a 
written, oral or electronic ord er by a practitioner to a pharmacist   
 
 
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for a controlled dangerous substance for a particular patient, which 
specifies the date of its issue, and the full name and address of 
the patient and, if the controlled dangerous substance is prescribed 
for an animal, the species of the animal, the name and quantity of 
the controlled dangerous s ubstance prescribed, the directio ns for 
use, the name and address of the owner of the animal and, if 
written, the signature of the practitioner. 
2.  "Registered practitioner", as used in this section, means a 
licensed practitioner duly registered with the Oklahoma State Bureau 
of Narcotics and Dangerous Drugs Control to be issued official 
prescription forms. 
E.  No person shall solicit, dispense, receive or deliver any 
controlled dangerous substance through the mail, unless the ultimate 
user is personally k nown to the practitioner and circ umstances 
clearly indicate such method of delivery is in the best interest of 
the health and welfare of the ultimate user. 
SECTION 4.     AMENDATORY    63 O.S. 2021, Section 2 -406, as 
amended by Section 2, Chapter 235, O.S.L. 2023 (63 O.S. Supp. 2023, 
Section 2-406), is amended to read as follows: 
Section 2-406. A.  It shall be unlawful for any registrant 
person knowingly or intentio nally: 
1.  To distribute, other than by dispensing or as otherwise 
authorized by the Uniform Controlled Dangerous Substances Act , a 
controlled dangerous substance cla ssified in Schedules I or II, in   
 
 
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the course of his or her legitimate business, except purs uant to an 
order form as required by Section 2 -308 of this title; 
2. To use in the course of t he manufacture or distribution of a 
controlled dangerous substance a registration number which is 
fictitious, revoked, suspended or issued to another person; 
3.  To acquire or obtain possession of a controlled dangerous 
substance by misrepresentation, fra ud, forgery, deception or 
subterfuge; 
4.  To furnish false or fraudulent material information in, or 
omit any material information from, any application, report, or 
other document required to be kept or filed unde r the Uniform 
Controlled Dangerous Substances Act, or any record required to be 
kept by the Uniform Controlled Dangerous Substances Act; 
5.  To make, distribute, or possess any punch, die, plate, 
stone, or other thing designed to print, imprint, or reproduce the 
trademark, trade name, or other identifying mark, imprint, or device 
of another or any likeness of any of the foregoing upon any drug or 
container or labeling thereof so as to render such drug a 
counterfeit controlled dangerous substance; and 
6.  To purchase, or attempt, endeavor, or conspire to obtain or 
purchase, any license or registration required to distribute, 
possess, prescribe, or manufacture any controlled dangerous 
substance on behalf of, or at the request or demand of, any other 
person through the use of a straw person or straw party.   
 
 
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B.  Any person who violates this section is gu ilty of a felony 
punishable by imprisonment for not more than twenty (20) years or a 
fine not more than Two Hundred Fifty Thousand Dollars ($250,000.00), 
or both. 
C. Any person convicted of a second or subsequent violation of 
this section is punishable by a term of imprisonment twice that 
otherwise authorized and by twice the fine otherwise authorized.  
Convictions for second or subsequent violations of this section 
shall not be subject to statutory provisions for suspended 
sentences, deferred sentences, o r probation. 
D.  Any person convicted of any offense described in this 
section shall, in addition to any fi ne imposed, pay a special 
assessment trauma-care fee of One Hundred Dollars ($100.00) to be 
deposited into the Trauma Car e Assistance Revolving Fund created in 
Section 1-2530.9 of this title. 
SECTION 5.     REPEALER     63 O.S. 2021, Section 2-101, as last 
amended by Section 10, Chapter 91, O.S.L. 2019, Section 1, Chapter 
235, O.S.L. 2023 and Section 1, Chapter 304, O.S.L. 2023, 2-305, as 
last amended by Section 4, Chapter 375, O.S.L. 2023, 2-309, as last 
amended by Section 1, Chapter 333, O.S.L. 2021 and 2-406 as last 
amended by Section 7, Chapter 375 , O.S.L. 2023 (63 O.S. Supp. 2023, 
Sections 2-101, 2-305, 2-309 and 2-406), are hereby repealed. 
 
   
 
 
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SECTION 6.  This act shall become effective November 1, 2024. 
 
59-2-8538 GRS 12/31/23