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53	53	STATE OF OKLAHOMA
54	54
55	55	1st Session of the 60th Legislature (2025)
56	56
57	57	SENATE BILL 907 By: Rosino
58	58
59	59
60	60
61	61
62	62
63	63	AS INTRODUCED
64	64
65	65	An Act relating to the practice of pharmacy; defining
66	66	terms; authorizing product fulfillment through
67	67	central fill pharmacies under certai n conditions;
68	68	listing powers and duties of pharmacist -in-charge;
69	69	providing certain limitations on filling of
70	70	prescriptions; requiring certain patient notification
71	71	by originating pharmacy; requiring provision of
72	72	certain information to patients; providing ex ception;
73	73	imposing certain duties on central fill pharmacy;
74	74	requiring maintenance of certain policy and procedure
75	75	manual; specifying certain product verification
76	76	responsibilities; requiring certain maintenance of
77	77	records; requiring certain application and f ee;
78	78	authorizing certain shared services; requiring
79	79	licensure; specifying qualifications for shared
80	80	services; imposing certain requirements on retail
81	81	pharmacy engaged in shared services; providing for
82	82	codification; and providing an effective date .
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84	84
85	85
86	86
87	87	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
88	88	SECTION 1. NEW LAW A new section of law to be codified
89	89	in the Oklahoma Statutes as Section 353.31 of Title 59, unless there
90	90	is created a duplication in numbering, reads as fol lows:
91	91	A. As used in this section:
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143	143	1. “Central fill” means the filling of a prescription drug
144	144	order by a central fill pharmacy licensed by the State Board of
145	145	Pharmacy at the request of an originating pharmacy;
146	146	2. “Central fill pharmacy ” means a licensed resident or non-
147	147	resident pharmacy facility that, upon the request of an origin ating
148	148	pharmacy, performs the product fulfillment of the drug order and
149	149	returns the filled prescription to the originating pharmacy for
150	150	delivery to the patient or patient ’s agent or sends it directly to
151	151	the patient for non-controlled substances. A central fill pharmacy
152	152	that returns filled prescriptions to an originating pharmacy shall
153	153	not be required to obtain a wholesale distributor license ; and
154	154	3. “Originating pharmacy ” means a pharmacy located in this
155	155	state or out-of-state that is licensed or permitted by the state in
156	156	which it is located and, upon receipt of a prescription drug order,
157	157	requests a central fill pharmacy to perform the product fulfillment
158	158	of the order and upon rece ipt of the filled prescription drug order,
159	159	delivers the prescription to the patient or patient ’s agent.
160	160	B. 1. An originating pharmacy may engage in product
161	161	fulfillment with a central fill pharmacy if the pharmacies:
162	162	a. have the same owner or have entered into a written
163	163	contract or agreement that outlines the services to be
164	164	provided and the responsibilities and accountabilities
165	165	of each pharmacy in compliance with federal and state
166	166	laws and regulations ,
167	167
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218	218	b. share a common electronic file or have appropriate
219	219	technology to allow access to sufficient information
220	220	necessary or required to dispense or process a
221	221	prescription drug order ,
222	222	c. ensure all state and federal laws regarding patient
223	223	confidentiality, network security, and use of shared
224	224	databases are followed , and
225	225	d. maintain the prescription information in a readily
226	226	retrievable manner.
227	227	2. The pharmacist-in-charge of a central fill pharmacy:
228	228	a. shall ensure that the pharmacy maintains and uses
229	229	adequate storage or shipment containers and shipping
230	230	processes to ensure drug stability and potency. Such
231	231	shipping processes shall include the use of
232	232	appropriate packaging material or devices, or both, to
233	233	ensure that the drug is maintained at an appropriate
234	234	temperature range to maintain the integrity of the
235	235	medication throughout the delivery process ,
236	236	b. shall ensure that the filled prescriptions a re shipped
237	237	in containers that are sealed in a manner that would
238	238	show evidence of having been opened or tampered with ,
239	239	and
240	240	c. may employ auxiliary supportive personnel to assist i n
241	241	non-dispensing functions such as inventory, delivery,
242	242
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293	293	receiving, or packing of completed prescription
294	294	orders.
295	295	3. Controlled substance prescriptions filled by a central fill
296	296	pharmacy shall comply with both state and federal laws and
297	297	regulations.
298	298	4. To the extent a pharmacy is acting as a central fill
299	299	pharmacy, the pharmacy shall not fill prescriptions provided
300	300	directly by a patient or an individual practitione r.
301	301	C. 1. An originating pharmacy that engages in prescription
302	302	filling by a central fill pharma cy shall, prior to the dispensing of
303	303	the prescription:
304	304	a. notify patients that their prescription may be filled
305	305	by another pharmacy, and
306	306	b. provide the name of that pharmacy or notify the
307	307	patient if the pharmacy is part of a network of
308	308	pharmacies under com mon ownership and that any of the
309	309	network pharmacies may fill the prescription .
310	310	2. Patient notification may be provided through a one -time
311	311	written notice to the patient or through use of a sign in the
312	312	pharmacy.
313	313	D. 1. A central fill pharmacy that deliver s prescriptions
314	314	directly to a patient shall provide written information regarding
315	315	the prescription with the filled prescription.
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367	367	2. A pharmacist at the originating pharmacy shall offer the
368	368	patient or the patient ’s agent information about the prescription
369	369	drug or device in accordance with Board rules.
370	370	3. This subsection shall not apply to patients in facilities
371	371	including, but not limited to, hospitals or nursing facilities,
372	372	where drugs are administered to patients by a person authorized to
373	373	do so by law.
374	374	E. The central fill pharmacy shall:
375	375	1. Place on the prescription label:
376	376	a. the name and address of the originating pharmacy which
377	377	receives the filled prescription for delivery to the
378	378	patient or the patient ’s agent, and
379	379	b. in some manner indicate which phar macy filled the
380	380	prescription;
381	381	2. Comply with all other labeling requirements of federal and
382	382	state law; and
383	383	3. Be exempt from signage requirements intended for patients.
384	384	F. A central fill policy and procedure manual shall be
385	385	maintained at both pharmacies and shall be available for inspection.
386	386	The originating and central fill pharmacies shall maintain only
387	387	those portions of the policy and procedure manual that relate to
388	388	that pharmacy’s operations. The manual shall at minimum contain:
389	389	1. An outline of the responsibilities of the central fill
390	390	pharmacy and the originating pharmacy i ncluding, but not limited to:
391	391
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442	442	a. confidentiality and integrity of patient information
443	443	procedures,
444	444	b. drug utilization review ,
445	445	c. counseling responsibilities ,
446	446	d. policies for operating a continuous quality
447	447	improvement program for pharmacy services designed to
448	448	objectively and systematically monitor and evaluate
449	449	the quality and appropriateness of patient care,
450	450	pursue opportunities to improve patient care, and
451	451	resolve identified probl ems,
452	452	e. safe delivery of prescriptions to patients ,
453	453	f. requirements for storag e and shipment of prescription
454	454	medication, and
455	455	g. procedures for conducting an annual review of written
456	456	policies and procedures and for documentation of this
457	457	review; and
458	458	2. Other responsibilities regarding proper handling of a
459	459	prescription and delivery to a patient or a patient ’s agent pursuant
460	460	to federal and state controlled substances laws and regulations.
461	461	G. The pharmacist product verification responsibilities
462	462	provided by paragraph 2 of subsection B of this section shall be
463	463	deemed satisfied if:
464	464	1. The pharmacy establishes and follows a policy and procedure
465	465	manual that complies with subsection F of this section ; or
466	466
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517	517	2. The pharmacy uses an automated system, the system is fully
518	518	automated from the time the medication is stocked into the machine
519	519	until a completed, labeled, and sealed prescription is produced by
520	520	the system that is ready for dispensing to the patient. No manual
521	521	intervention with the medication may occur after the me dication is
522	522	stocked into the system. For purposes of this paragraph, manual
523	523	intervention shall not include preparing a finished prescription for
524	524	mailing, delivery, or storage .
525	525	H. 1. Records may be maintained in an alternative data
526	526	retention system inclu ding, but not limited to, a data processing
527	527	system or direct imaging system, if:
528	528	a. the records maintained in the alternative system
529	529	contain all of the information required on the manual
530	530	record, and
531	531	b. the data processing system is capable of producing a
532	532	hard copy of the record upon the request of the Board,
533	533	its representative, or o ther authorized local, state,
534	534	or federal law enforcement or regulatory agency.
535	535	2. Each pharmacy shall maintain records in accordance with
536	536	federal and state laws and regulations and shall be able to produce
537	537	records as requested by the Board.
538	538	3. The originating pharmacy records shall include the date the
539	539	request for filling was transmitted to the central fill pharmacy.
540	540	4. The central fill pharmacy records shall include:
541	541
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592	592	a. the date the filled prescription was mailed or
593	593	delivered by the central fill pharmac y to the
594	594	originating pharmacy , and
595	595	b. if mailed or delivered to a patient, the name and
596	596	address to which the filled prescription was shipped.
597	597	I. A central fill pharmacy shall complete a pharmacy permit
598	598	application provided by the Board and shall:
599	599	1. Provide the name of the owner, permit holder, and
600	600	pharmacist-in-charge of the pharmacy for service of process; and
601	601	2. Pay the required fee as set by the Board through rule.
602	602	The Board shall develop and implement a central fill permit and
603	603	application under the authority granted by Section 353.18 of Title
604	604	59 of the Oklahoma Statutes.
605	605	SECTION 2. NEW LAW A new section of law to be codified
606	606	in the Oklahoma Statutes as Section 353.32 of Title 59, unless there
607	607	is created a duplication in numbering, reads as follows:
608	608	A. A pharmacy may engage in shared services with another
609	609	pharmacy in accordance with this section and rules promulgated by
610	610	the State Board of Pharmacy inc luding data entry, interpretation of
611	611	a prescription or drug order, data entry verification, drug
612	612	utilization review, product verification , centralized fulfillment
613	613	under Section 1 of this act, or, when necessary, therapeutic
614	614	intervention.
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666	666	B. Before participating in shared services, a pharmacy shall
667	667	have a current Board issued resident or non -resident retail pharmacy
668	668	license.
669	669	C. A pharmacy may provide or utilize shared services functions
670	670	only if the pharmacies involved:
671	671	1. Either:
672	672	a. have the same owner, o r
673	673	b. have a written contract or agreement that outlines the
674	674	services provided and the shared responsibilities of
675	675	each party in complying with federal and state
676	676	pharmacy laws and rules; and
677	677	2. Share a common electronic file or technology that allows
678	678	access to information necessary or required to perform shared
679	679	services in conformance with the Oklahoma Pharmacy Act and rules of
680	680	the Board.
681	681	D. A licensed retail pharmacy engaged in shared services shall :
682	682	1. Maintain manual or electronic records that identify,
683	683	individually for each order processed, the name, initials, or
684	684	identification code of each pharmacist, intern, and pharmacy
685	685	technician who took part, as authorized by rules of the Board, in
686	686	the data entry, prescription or order interpretation, data entry
687	687	verification, drug utilization review, product verification ,
688	688	centralized fulfillment, or necessary therapeutic intervention
689	689	performed at that pharmacy ;
690	690
691	691
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741	741	2. Report to the Board as soon as practical the results of any
742	742	disciplinary action taken by another stat e’s pharmacy regulatory
743	743	agency involving shared services;
744	744	3. Provide adequate security to protect the confidentiality and
745	745	integrity of patient information; and
746	746	4. Provide access for inspection of any required record or
747	747	information of any request by the B oard or its designee.
748	748	SECTION 3. This act shall become effective November 1, 2025.
749	749
750	750	60-1-888 DC 1/16/2025 11:03:10 AM

Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB907 Compare Versions