Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) HOUSE BILL 3733 By: Lowe (Jason) AS INTRODUCED An Act relating to pharmacies; amending 59 O.S. 2021, Section 353.24, which relates to unlawful acts in the Oklahoma Pharmacy Act ; prohibiting oral disclosur e of medical information to third-parties; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF T HE 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 licensee 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 a way any unused quantity of drugs obtained by prescription, except through a program pursuant to the Utilization of Unused Pre scription Medications Act or as otherwise provided by the State Board of Pharmacy; Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Sell, offer for sale, barter or give away an y 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 establishment 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 authorize 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 individually determined and documented do not have 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 pres criptions, including sterile compounded drugs, may be delivered or shipped to a prescriber's clinic where they shall be administered, d. patient-specific filled prescriptions for patients with end-stage renal disease (ESRD) may be delivered Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 or shipped to a prescriber 's clinic for administration 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 prescription or delivering a legally filled prescrip tion 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 Health and Substance Abuse Services employee or any per son 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 delivery of a mental health consumer's medicine to the consumer's home or residence. Nothing in this paragraph shall prevent veterinary prescription drugs from Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 being shipped directly from an Oklahoma licensed wholesaler or distributor registered with the Oklahoma 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 dialysate 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 professional 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 otherwise obstruct any inspection, investigation or disciplinary proceeding authorized by the Oklahoma Pharmacy Act; 8. Possess dangerous drugs without a valid pr escription or a valid license to possess such drugs; provided, however, this provision shall not apply to a ny Department of Mental Health and Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 Section 353.1 of this title, is for the purpose of delivery of a mental health consumer '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 other purpose than legitimate medical, scientific or in dustrial 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 scheduled drug pu rsuant 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 constitute a misdemeanor and upon conviction shall be pu nishable by imprisonment in the county jail for a term not more 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 constitute a felony and upon conviction shall be punishabl e by Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 licensure examina tion materials; or 14. Fail to notify the Board, in writing, within ten (10) days of a licensee or perm it holder's address change; or 15. Disclose medical information, orally, to a customer other than the patient prescribed the medication . B. 1. It shall be unlawful for any person o ther than a licensed pharmacist or physician to certify a prescription 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 pharmacist prior to being supplied by a manufacturer, wholesaler or distribu tor. 2. It shall be unlawf ul for any person 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. 4. No pharmacist being requested to sell, furnish or compound any drug, medicine, chemical o r other pharmaceutical preparat ion, by Req. No. 9236 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 prescription or otherwise, shall substit ute or cause to be substituted for it, without authority of the prescriber or purchaser, any like drug, medicine, chemical or pharmaceuti cal preparation. 5. No pharmacy, pharma cist-in-charge or other person shall permit the practice of pharmacy except by a licensed pharmacist or assistant pharmacist. 6. No person shall subvert the authori ty of the pharmacist-in- charge of the pharmacy by impeding the management of the prescription department to act in complia nce 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 . SECTION 2. This act shall become effective November 1, 2024. 59-2-9236 TJ 01/04/24