Oklahoma Code § 63-2550.4

Title 63. Public Health And Safety: Nonformulary or prior-authorized drugs - Approval
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A.  A managed care plan that has a closed formulary or that
requires prior authorization to obtain certain drugs shall approve
or disapprove a provider’s or a covered person’s request for a
nonformulary drug or a drug that requires prior authorization within
twenty-four (24) hours of receipt of such request.
B.  If the managed care plan does not render a decision within
twenty-four (24) hours, the provider or covered person shall be
entitled to a seventy-two-hour supply of the drug.  The managed care
plan shall then approve or disapprove the request for a nonformulary

drug or prior authorized drug within the additional seventy-two-hour
period.
C.  Failure of the managed care plan to respond within the
subsequently allowed seventy-two-hour period shall be deemed as
approval of the request for the nonformulary drug or prior
authorized drug; provided, however, the approval shall be subject to
the terms of the managed care plan’s drug formulary; provided
further, the purchase of the approved drug shall be at no additional
cost to the covered person beyond what the covered person would
otherwise pay for a prescription pursuant to the managed care plan.
D.  All providers and covered persons in a managed care plan
shall be provided with a copy of the plan’s drug prior authorization
process upon initial contracting or enrollment and at the time of
enactment of any subsequent changes to the process.

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