Pharmacists for Fair Reimbursement What your state's PBM laws actually mean for community pharmacies
State Tracker Updated June 15, 2026

Oklahoma: what the PBM reimbursement law requires

Oklahoma does not require PBMs to reimburse pharmacies at NADAC or above acquisition cost. It bars paying an independent pharmacy less than a PBM-affiliated pharmacy, provides MAC-list transparency with an appeal route, and (since 2025) prohibits spread pricing — but it sets no cost-based reimbursement floor.

Status Partially enacted
Law 36 O.S. §§ 6961–6962 (Patient's Right to Pharmacy Choice Act); SB 773 (2025)
Effective date MAC/appeal provisions in effect; 2025 spread-pricing and transparency amendments effective in 2025
Reimbursement basis No NADAC or acquisition-cost floor; PBM may not reimburse an independent less than a PBM-affiliated pharmacy; spread pricing prohibited
Professional dispensing fee Not specified in statute
Appeal route PBM must maintain and update a MAC list and offer a reimbursement appeal; a denied below-cost appeal requires the PBM to identify an in-state wholesaler with the drug at or below the reimbursement price

Oklahoma has a well-known PBM law — the Patient’s Right to Pharmacy Choice Act — but it is not a reimbursement-floor law. It does not tie reimbursement to NADAC or guarantee payment above acquisition cost. Its reimbursement-amount rule is an anti-self-dealing one: a PBM may not pay an independent pharmacy less than it pays a pharmacy it owns or is affiliated with.

The 2025 amendments (SB 773) added a spread-pricing ban and Attorney General enforcement, but still created no cost-based floor. The statute does require MAC transparency and an appeals route, including, on a denied below-cost appeal, that the PBM point to an in-state wholesaler where the drug is available at or below the reimbursement price.

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