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STATE OF OKLAHOMA
1st Session of the 60th Legislature (2025)
SENATE BILL 907 By: Rosino
AS INTRODUCED
An Act relating to the practice of pharmacy; defining
terms; authorizing product fulfillment through
central fill pharmacies under certai n conditions;
listing powers and duties of pharmacist -in-charge;
providing certain limitations on filling of
prescriptions; requiring certain patient notification
by originating pharmacy; requiring provision of
certain information to patients; providing ex ception;
imposing certain duties on central fill pharmacy;
requiring maintenance of certain policy and procedure
manual; specifying certain product verification
responsibilities; requiring certain maintenance of
records; requiring certain application and f ee;
authorizing certain shared services; requiring
licensure; specifying qualifications for shared
services; imposing certain requirements on retail
pharmacy engaged in shared services; providing for
codification; and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 353.31 of Title 59, unless there
is created a duplication in numbering, reads as fol lows:
A. As used in this section:
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1. “Central fill” means the filling of a prescription drug
order by a central fill pharmacy licensed by the State Board of
Pharmacy at the request of an originating pharmacy;
2. “Central fill pharmacy ” means a licensed resident or non-
resident pharmacy facility that, upon the request of an origin ating
pharmacy, performs the product fulfillment of the drug order and
returns the filled prescription to the originating pharmacy for
delivery to the patient or patient ’s agent or sends it directly to
the patient for non-controlled substances. A central fill pharmacy
that returns filled prescriptions to an originating pharmacy shall
not be required to obtain a wholesale distributor license ; and
3. “Originating pharmacy ” means a pharmacy located in this
state or out-of-state that is licensed or permitted by the state in
which it is located and, upon receipt of a prescription drug order,
requests a central fill pharmacy to perform the product fulfillment
of the order and upon rece ipt of the filled prescription drug order,
delivers the prescription to the patient or patient ’s agent.
B. 1. An originating pharmacy may engage in product
fulfillment with a central fill pharmacy if the pharmacies:
a. have the same owner or have entered into a written
contract or agreement that outlines the services to be
provided and the responsibilities and accountabilities
of each pharmacy in compliance with federal and state
laws and regulations ,
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b. share a common electronic file or have appropriate
technology to allow access to sufficient information
necessary or required to dispense or process a
prescription drug order ,
c. ensure all state and federal laws regarding patient
confidentiality, network security, and use of shared
databases are followed , and
d. maintain the prescription information in a readily
retrievable manner.
2. The pharmacist-in-charge of a central fill pharmacy:
a. shall ensure that the pharmacy maintains and uses
adequate storage or shipment containers and shipping
processes to ensure drug stability and potency. Such
shipping processes shall include the use of
appropriate packaging material or devices, or both, to
ensure that the drug is maintained at an appropriate
temperature range to maintain the integrity of the
medication throughout the delivery process ,
b. shall ensure that the filled prescriptions a re shipped
in containers that are sealed in a manner that would
show evidence of having been opened or tampered with ,
and
c. may employ auxiliary supportive personnel to assist i n
non-dispensing functions such as inventory, delivery,
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receiving, or packing of completed prescription
orders.
3. Controlled substance prescriptions filled by a central fill
pharmacy shall comply with both state and federal laws and
regulations.
4. To the extent a pharmacy is acting as a central fill
pharmacy, the pharmacy shall not fill prescriptions provided
directly by a patient or an individual practitione r.
C. 1. An originating pharmacy that engages in prescription
filling by a central fill pharma cy shall, prior to the dispensing of
the prescription:
a. notify patients that their prescription may be filled
by another pharmacy, and
b. provide the name of that pharmacy or notify the
patient if the pharmacy is part of a network of
pharmacies under com mon ownership and that any of the
network pharmacies may fill the prescription .
2. Patient notification may be provided through a one -time
written notice to the patient or through use of a sign in the
pharmacy.
D. 1. A central fill pharmacy that deliver s prescriptions
directly to a patient shall provide written information regarding
the prescription with the filled prescription.
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2. A pharmacist at the originating pharmacy shall offer the
patient or the patient ’s agent information about the prescription
drug or device in accordance with Board rules.
3. This subsection shall not apply to patients in facilities
including, but not limited to, hospitals or nursing facilities,
where drugs are administered to patients by a person authorized to
do so by law.
E. The central fill pharmacy shall:
1. Place on the prescription label:
a. the name and address of the originating pharmacy which
receives the filled prescription for delivery to the
patient or the patient ’s agent, and
b. in some manner indicate which phar macy filled the
prescription;
2. Comply with all other labeling requirements of federal and
state law; and
3. Be exempt from signage requirements intended for patients.
F. A central fill policy and procedure manual shall be
maintained at both pharmacies and shall be available for inspection.
The originating and central fill pharmacies shall maintain only
those portions of the policy and procedure manual that relate to
that pharmacy’s operations. The manual shall at minimum contain:
1. An outline of the responsibilities of the central fill
pharmacy and the originating pharmacy i ncluding, but not limited to:
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a. confidentiality and integrity of patient information
procedures,
b. drug utilization review ,
c. counseling responsibilities ,
d. policies for operating a continuous quality
improvement program for pharmacy services designed to
objectively and systematically monitor and evaluate
the quality and appropriateness of patient care,
pursue opportunities to improve patient care, and
resolve identified probl ems,
e. safe delivery of prescriptions to patients ,
f. requirements for storag e and shipment of prescription
medication, and
g. procedures for conducting an annual review of written
policies and procedures and for documentation of this
review; and
2. Other responsibilities regarding proper handling of a
prescription and delivery to a patient or a patient ’s agent pursuant
to federal and state controlled substances laws and regulations.
G. The pharmacist product verification responsibilities
provided by paragraph 2 of subsection B of this section shall be
deemed satisfied if:
1. The pharmacy establishes and follows a policy and procedure
manual that complies with subsection F of this section ; or
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2. The pharmacy uses an automated system, the system is fully
automated from the time the medication is stocked into the machine
until a completed, labeled, and sealed prescription is produced by
the system that is ready for dispensing to the patient. No manual
intervention with the medication may occur after the me dication is
stocked into the system. For purposes of this paragraph, manual
intervention shall not include preparing a finished prescription for
mailing, delivery, or storage .
H. 1. Records may be maintained in an alternative data
retention system inclu ding, but not limited to, a data processing
system or direct imaging system, if:
a. the records maintained in the alternative system
contain all of the information required on the manual
record, and
b. the data processing system is capable of producing a
hard copy of the record upon the request of the Board,
its representative, or o ther authorized local, state,
or federal law enforcement or regulatory agency.
2. Each pharmacy shall maintain records in accordance with
federal and state laws and regulations and shall be able to produce
records as requested by the Board.
3. The originating pharmacy records shall include the date the
request for filling was transmitted to the central fill pharmacy.
4. The central fill pharmacy records shall include:
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a. the date the filled prescription was mailed or
delivered by the central fill pharmac y to the
originating pharmacy , and
b. if mailed or delivered to a patient, the name and
address to which the filled prescription was shipped.
I. A central fill pharmacy shall complete a pharmacy permit
application provided by the Board and shall:
1. Provide the name of the owner, permit holder, and
pharmacist-in-charge of the pharmacy for service of process; and
2. Pay the required fee as set by the Board through rule.
The Board shall develop and implement a central fill permit and
application under the authority granted by Section 353.18 of Title
59 of the Oklahoma Statutes.
SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 353.32 of Title 59, unless there
is created a duplication in numbering, reads as follows:
A. A pharmacy may engage in shared services with another
pharmacy in accordance with this section and rules promulgated by
the State Board of Pharmacy inc luding data entry, interpretation of
a prescription or drug order, data entry verification, drug
utilization review, product verification , centralized fulfillment
under Section 1 of this act, or, when necessary, therapeutic
intervention.
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B. Before participating in shared services, a pharmacy shall
have a current Board issued resident or non -resident retail pharmacy
license.
C. A pharmacy may provide or utilize shared services functions
only if the pharmacies involved:
1. Either:
a. have the same owner, o r
b. have a written contract or agreement that outlines the
services provided and the shared responsibilities of
each party in complying with federal and state
pharmacy laws and rules; and
2. Share a common electronic file or technology that allows
access to information necessary or required to perform shared
services in conformance with the Oklahoma Pharmacy Act and rules of
the Board.
D. A licensed retail pharmacy engaged in shared services shall :
1. Maintain manual or electronic records that identify,
individually for each order processed, the name, initials, or
identification code of each pharmacist, intern, and pharmacy
technician who took part, as authorized by rules of the Board, in
the data entry, prescription or order interpretation, data entry
verification, drug utilization review, product verification ,
centralized fulfillment, or necessary therapeutic intervention
performed at that pharmacy ;
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2. Report to the Board as soon as practical the results of any
disciplinary action taken by another stat e’s pharmacy regulatory
agency involving shared services;
3. Provide adequate security to protect the confidentiality and
integrity of patient information; and
4. Provide access for inspection of any required record or
information of any request by the B oard or its designee.
SECTION 3. This act shall become effective November 1, 2025.
60-1-888 DC 1/16/2025 11:03:10 AM